Nurse Rhea is caring for a client with a diagnosis of impaired gas exchange. Which outcome is most appropriate based upon this nursing diagnosis?
a. The client maintains a reduced cough effort to lessen fatigue
b. The client restricts fluid intake to prevent overhydration
c. The client reduces daily activities to a minimum
d. The client has normal breath sounds in all lung fields
Answer D. If the interventions are effective, breath sounds should return to normal.
The client should be able to cough effectively and should be encouraged to increase activity, as tolerated.
Fluid intake should thin secretions.
a. The client maintains a reduced cough effort to lessen fatigue
b. The client restricts fluid intake to prevent overhydration
c. The client reduces daily activities to a minimum
d. The client has normal breath sounds in all lung fields
Answer D. If the interventions are effective, breath sounds should return to normal.
The client should be able to cough effectively and should be encouraged to increase activity, as tolerated.
Fluid intake should thin secretions.
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Effective Care Environment