Which intervention helps meet this goal? - ProProfs Discuss
Topics
Products
Follow Us:

Which intervention helps meet this goal?
A client who suffered a stroke has a nursing diagnosis of Ineffective airway clearance. The goal of care for this client is to mobilize pulmonary secretions.



A. Repositioning the client every 2 hours
B. Restricting fluids to 1,000 ml/24 hours
C. Administering oxygen by nasal cannula as ordered
D. Keeping the head of the bed at a 30-degree angle

This question is part of

Basic Physical care (Part 2)
Asked by Alexander, Last updated: Apr 03, 2020

+ Answer
Request

2 Answers

E. Austin

E. Austin

Answered Jan 28, 2019

Whenever a patient can’t move due to their ailment or disorder, it is important for the patient to move or get moved by the nurse. This is because if the patient stays in the same position for a long period of time, he or she could get bed sores on the part of their body that remains against the bed.

Another problem could be that the patient could get stiff and not able to move. So, if a patient has had a stroke and the nurse diagnoses the patient as having an ineffective airway clearance, she will need to do something about it. The nurse will need to reposition the patient every two hours to make sure the person can easily breathe with their lungs.

 

John Smith

John Smith

Answered Sep 09, 2016

Repositioning the client every 2 hours-rationale: repositioning the client every 2 hours helps prevent secretions from pooling in dependent lung areas. restricting fluids would make secretions thicker and more tenacious, thereby hindering their removal. administering oxygen and keeping the head of the bed at a 30-degree angle might ease respirations and make them more effective but wouldnt help mobilize secretions.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 873.
 

Search for Google images
Select a recommended image
Upload from your computer
Search for Google images
Select a recommended image
Upload from your computer
Search for Google images
Select a recommended image
Upload from your computer

Email Sent
We have sent an email to your address "" with instructions to reset your password.