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    Course Task CU #3

    Uploaded by

    Kel Vin
    The document provides rationales for 10 nursing interventions for ineffective airway clearance. The interventions include encouraging deep breathing, coughing, using incentive spirometry, promoting hydration, monitoring respiration rate, chest movement, lung sounds, secretions, cough effectiveness, and signs of hypoxia.

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    © All Rights Reserved
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    Course Task CU #3

    Uploaded by

    Kel Vin
    7 views1 page
    The document provides rationales for 10 nursing interventions for ineffective airway clearance. The interventions include encouraging deep breathing, coughing, using incentive spirometry, promoting hydration, monitoring respiration rate, chest movement, lung sounds, secretions, cough effectiveness, and signs of hypoxia.

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    © © All Rights Reserved

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    The document provides rationales for 10 nursing interventions for ineffective airway clearance. The interventions include encouraging deep breathing, coughing, using incentive spirometry, promoting hydration, monitoring respiration rate, chest movement, lung sounds, secretions, cough effectiveness, and signs of hypoxia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7 views1 page

    Course Task CU #3

    Uploaded by

    Kel Vin
    The document provides rationales for 10 nursing interventions for ineffective airway clearance. The interventions include encouraging deep breathing, coughing, using incentive spirometry, promoting hydration, monitoring respiration rate, chest movement, lung sounds, secretions, cough effectiveness, and signs of hypoxia.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    BSN 3-YA- 16

    Course Task CU #3

    Give the rationale for each of the following nursing interventions and
    selected activities for the nursing care plan for ineffective airway
    clearance:

    INTERVENTIONS RATIONALE
    1. Encourage the client to take several deep 1.These technique help ventilation and mobilize
    breaths secretions

    2. Encourage the client to take a deep breath, 2. Inhaling through the nose allows air to be
    hold for 2 seconds, and cough two or three times filtered, warmed, and humidified. Holding
    in succession breath allows lungs to expand fully.

    3. Encourage use of incentive spirometry, as 3. Spirometry will help you take deep breaths
    appropriate correctly.

    4. Promote systemic fluid hydration, as 4. Adequate hydration keeps secretions moist


    appropriate and easier to expectorate.

    5. Monitor rate, rhythm, depth, and effort of 5. An increase in respiratory rate and rhythm
    respirations may be a compensatory response to airway
    obstruction.
    6. Note chest movement, watching for 6. To assess overall chest expansion with
    symmetry, use of accessory muscles, and inspiration. To identify the side of abnormality.
    supraclavicular and intercostal muscle
    retractions
    7. Auscultate lung sounds after treatments to To make the proper diagnosis, it is crucial to
    note results distinguish between typical respiratory noises
    like crackles, wheezes, and pleural rub and
    abnormal ones like these.

    8. Monitor client’s respiratory secretions 8. Helps evaluate the results of the client's
    specified therapy.
    9. Monitor client’s ability to cough effectively 9. The quantity and nature of secretions are
    altered by respiratory tract diseases. An
    excessive cough impairs airway clearance and
    hinders the expulsion of mucus.
    10. Monitor for increased restlessness, anxiety, 10. These clinical symptoms would be the first
    and air hunger signs of hypoxia.

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