Mrs.Lois has a nursing diagnosis of ineffective airway clearance related to inadequate chest expansion and poor cough effort related to pain secondary to trauma.What is an appropriate nursing order to help her achieve the outcome of a patent airway?

A) Provide uninterrupted periods of sleep
B) Teach the rationale for her clear fluid diet
C) Assess for cyanosis and clubbing of the fingers
D) Encourage and assist with frequent position changes

Question

EVOLVING PERCEPTION · Accepted Answer

Final Answer : D, Explanation :  Encouraging and assisting with frequent position changes can help promote chest expansion and improve cough effort, leading to better airway clearance. Providing uninterrupted periods of sleep, teaching the rationale for a clear fluid diet, and assessing for cyanosis and clubbing of the fingers are all important nursing interventions, but they do not directly address the issue of ineffective airway clearance.

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