The nurse determines that the diagnosis of Ineffective Airway Clearance is appropriate for a client with pneumonia who is experiencing copious amounts of respiratory secretions. Which intervention should the nurse include in this client's plan of care?
A) Perform chest percussion every 4 hours and prn.
B) Administer the pneumococcal vaccine prior to discharge.
C) Limit fluid intake to 1,000 mL per day.
D) Provide the client with smoking cessation education.
Question 2
The nurse is caring for an older adult client who is hospitalized with a second episode of pneumonia in the past 18 months. The client has expressed frustration to the nurse and states, I never got sick when I was younger.
Why is this happening? Which response by the nurse is most appropriate?
A) As you grow older, your immune system just quits working.
B) As you grow older, there is a decrease in the immune response, which puts you at greater risk for developing an infection.
C) As you grow older, there in an overall increase in the speed and strength of your immune response.
D) As you grow older, there is an increase in the number of B cells in the circulation, which hinders the immune response.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse assesses the patient's ability to use the walker correctly
Examples of NANDA nursing diagnosis
Responsibilities of the nurse manager
Nurse measuring the recumbent height of a toddler
Client is positioned