The nurse includes implementations in the care plan to assist the patient with a total laryngectomy to maintain airway clearance, which are (select all that apply):
1. turning, coughing, and deep breathing.
2. placing the patient in a semi-Fowler's position.
3. maintaining hydration.
4. attaching a tracheostomy collar.
5. providing a method to communicate.
1, 2, 3, 4
Providing a communication method has high priority, but it does nothing to clear the airway.
PTS: 1 DIF: Cognitive Level: Application REF: 1230
OBJ: 4 TOP: Maintaining Airway Clearance
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
COMPLETION
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