Encouraging increased fluid intake-rationale: increasing the clients intake of oral or i.v. fluids helps liquefy thick, tenacious secretions and ensures adequate hydration. turning the client every 2 hours would help prevent pressure ulcers but wouldnt help with the secretions. elevating the head of the bed would reduce pressure on the diaphragm and ease breathing but wouldnt help the client with secretions. maintaining a cool room temperature wouldnt help the client with secretions.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 640.