The Nurse Identifies the Diagnosis Potential for Ineffective Gas Exchange

The nurse identifies the diagnosis Potential for Ineffective Gas Exchange as appropriate for a patient with pneumonia.Which independent nursing actions should the nurse plan for this problem? (Select all that apply.)

A) Apply oxygen, 2 liters, per nasal cannula.
B) Turn and reposition in bed every 2 hours.
C) Coach to deep breathe and cough every hour.
D) Administer intramuscular antibiotic medication.
E) Encourage to drink 240 mL of fluid every 2 hours.