A nurse identifies a nursing diagnosis of risk for ineffective breathing pattern related to incisional pain and restricted positioning for a client who has had a nephrectomy. Which of the following would be most appropriate for the nurse to include in the client's plan of care?

Question

Quizplus · Accepted Answer

Encouraging the use of an incentive spirometer every 2 hours would help maintain adequate breathing and prevent the risk of ineffective breathing. Administering isotonic fluid therapy, keeping the drainage catheter below the level of insertion, and monitoring temperature are important aspects of post-operative care, but they do not directly address the risk of ineffective breathing pattern.

A Nurse Identifies a Nursing Diagnosis of Risk for Ineffective