A client is admitted with airway edema, bronchoconstriction, and increased mucus production after being exposed to an allergen. Which nursing interventions are appropriate to address this inflammation to the respiratory system?
Select all that apply.
A) Turn and reposition every 2 hours.
B) Monitor oxygen saturation.
C) Administer oxygen as prescribed.
D) Restrict fluids.
E) Monitor lung sounds.
Answer: B, C, E
Turning and repositioning every 2 hours would be appropriate to maintain tissue integrity. Monitoring oxygen saturation, administering oxygen, and monitoring lung sounds would be appropriate care for the client with inflammation to the respiratory system. Restricting fluids could cause respiratory secretions to thicken and hinder the client's ability to maintain a clear airway. Fluids should be encouraged.
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