Which one of the following actions should the nurse take in order to promote respiratory function in the immobilized client?
a. Change the client's position q4–8h.
b. Encourage deep breathing and coughing every hour.
c. Use oxygen and nebulizer treatments regularly.
d. Suction the client every hour.
B
The nurse should actively work with the immobilized client to deep breathe and cough every one to two hours to promote chest expansion.
The client's position should be changed every two hours to reduce stagnation of secretions.
The physician must order oxygen and nebulizer treatments. These interventions are used primarily to treat the client who is experiencing an impaired air exchange, not to promote respiratory function in the immobilized client.
The client should be suctioned as needed, not every hour.
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