The nursing diagnosis Ineffective Airway Clearance has been identified for a patient with multiple sclerosis.Which interventions should the nurse include in this patient's plan of care? (Select all that apply.)

Question

Quizplus · Accepted Answer

Nursing interventions appropriate for the patient with Ineffective Airway Clearance include elevating the head of the bed,evaluating gag reflex every shift,monitoring oxygen saturation twice a shift,and encouraging deep breathing and coughing every 2 hours.A.Intake and output measurement would be more appropriate for the patient with a fluid volume imbalance.

The Nursing Diagnosis Ineffective Airway Clearance Has Been Identified for a Patient