A client is admitted to the hospital with airway edema, bronchoconstriction, and increased mucus production after being exposed to an allergen. Which nursing interventions are appropriate to address this inflammation to the client's respiratory system? Select all that apply.
A)Turn and reposition every 2 hours.
B)Monitor oxygen saturation.
C)Administer oxygen as prescribed.
D)Restrict fluids.
E)Monitor lung sounds.

Question

Quizplus · Accepted Answer

A)Turning and repositioning every 2 hours would be appropriate to maintain tissue integrity but not to address respiratory inflammation. In contrast, monitoring oxygen saturation, administering oxygen, and monitoring lung sounds would all be appropriate care for a client who is experiencing inflammation of the respiratory system. Restricting fluids could cause respiratory secretions to thicken and hinder the client's ability to maintain a clear airway. Fluids should be encouraged.
B)Turning and repositioning every 2 hours would be appropriate to maintain tissue integrity but not to address respiratory inflammation. In contrast, monitoring oxygen saturation, administering oxygen, and monitoring lung sounds would all be appropriate care for a client who is experiencing inflammation of the respiratory system. Restricting fluids could cause respiratory secretions to thicken and hinder the client's ability to maintain a clear airway. Fluids should be encouraged.
C)Turning and repositioning every 2 hours would be appropriate to maintain tissue integrity but not to address respiratory inflammation. In contrast, monitoring oxygen saturation, administering oxygen, and monitoring lung sounds would all be appropriate care for a client who is experiencing inflammation of the respiratory system. Restricting fluids could cause respiratory secretions to thicken and hinder the client's ability to maintain a clear airway. Fluids should be encouraged.
D)Turning and repositioning every 2 hours would be appropriate to maintain tissue integrity but not to address respiratory inflammation. In contrast, monitoring oxygen saturation, administering oxygen, and monitoring lung sounds would all be appropriate care for a client who is experiencing inflammation of the respiratory system. Restricting fluids could cause respiratory secretions to thicken and hinder the client's ability to maintain a clear airway. Fluids should be encouraged.
E)Turning and repositioning every 2 hours would be appropriate to maintain tissue integrity but not to address respiratory inflammation. In contrast, monitoring oxygen saturation, administering oxygen, and monitoring lung sounds would all be appropriate care for a client who is experiencing inflammation of the respiratory system. Restricting fluids could cause respiratory secretions to thicken and hinder the client's ability to maintain a clear airway. Fluids should be encouraged.

A Client Is Admitted to the Hospital with Airway Edema