The nurse is planning care for a 70-year-old patient newly admitted with a medical diagnosis of pneumonia and a nursing diagnosis of Ineffective Airway Clearance. Which is the nurse's priority intervention?
a. Teach the importance of pneumonia immunization.
b. Teach coughing and deep breathing exercises.
c. Position to optimize maximum ventilation.
d. Encourage use of incentive spirometer to increase deep breathing.
Question 2
A nurse is suctioning a male client via a tracheostomy tube. When suctioning, the nurse must limit the suctioning time to a maximum of:
a. 1 minute
b. 5 seconds
c. 15 seconds
d. 30 seconds
Critical thinking and the process of planning care
It is important to act concerned when a patient is upset.
Medical assistants can quickly pull up a patient record when a phone call is received.
Assisting a falling patient.
Reacting to Medical Treatments
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