Following assessment of a client with pneumonia, the nurse identifies a nursing diagnosis of ineffective airway clearance. Which of the following information best supports this diagnosis?
A)Weak, nonproductive cough effort
B)Large amounts of greenish sputum
C)Respiratory rate of 28 breaths/minute
D)Resting pulse oximetry (SpO2) of 85%

Question

Quizplus · Accepted Answer

The weak, nonproductive cough indicates that the client is unable to clear the airway effectively. The other data would be used to support diagnoses such as impaired gas exchange and ineffective breathing pattern.

Following Assessment of a Client with Pneumonia, the Nurse Identifies