A nurse plans care for a client who is at high risk for a pulmonary infection. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encourage deep breathing and coughing.
b. Implement an air mattress overlay.
c. Ambulate the client three times each day.
d. Provide a diet high in protein and vitamins.
e. Administer acetaminophen (Tylenol) twice daily.
ANS: A, C, D
Regular pulmonary hygiene and activities to maintain health and fitness help to maximize functioning of the respiratory system and prevent infection. A client at high risk for a pulmonary infection may need a specialty bed to help with postural drainage or percussion; this would not include an air mattress overlay, which is used to prevent pressure ulcers. Tylenol would not decrease the risk of a pulmonary infection.
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