A nurse is caring for a client recovering from a wedge resection of the left lung for a tumor.What would be appropriate goals for the nursing diagnosis of ineffective airway clearance? Select all that apply.
A) Minimize accumulation of fluid.
B) Participation in care by the client
C) Maintain a patent airway.
D) Maintain current weight.
E) Express feelings and concerns.

Question

Quizplus · Accepted Answer

A) All of the outcomes for this client are viable, but appropriate outcomes for the diagnosis of ineffective airway clearance are maintaining a patent airway and minimizing the accumulation of fluid.
B) All of the outcomes for this client are viable, but appropriate outcomes for the diagnosis of ineffective airway clearance are maintaining a patent airway and minimizing the accumulation of fluid.
C) All of the outcomes for this client are viable, but appropriate outcomes for the diagnosis of ineffective airway clearance are maintaining a patent airway and minimizing the accumulation of fluid.
D) All of the outcomes for this client are viable, but appropriate outcomes for the diagnosis of ineffective airway clearance are maintaining a patent airway and minimizing the accumulation of fluid.
E) All of the outcomes for this client are viable, but appropriate outcomes for the diagnosis of ineffective airway clearance are maintaining a patent airway and minimizing the accumulation of fluid.

A Nurse Is Caring for a Client Recovering from a Wedge