Question 1: A nurse is caring for a client who has been diagnosed with pneumonia. Which of
the following interventions should the nurse implement to promote airway clearance?
A) Encourage the client to drink 1-2 liters of fluid per day.
B) Place the client in a supine position) C
CPerform chest physiotherapy every 4 hours.
D) Administer oxygen
at 5 L/min via nasal cannula.
Answer: C) Perform chest physiotherapy every 4 hours.
Explanation: Chest physiotherapy helps mobilize secretions in the lungs, promoting airway
clearance. While hydration is important (answer A), 1-2 liters may be insufficient; positioning
should be semi-Fowler's or higher (answer B), and oxygen therapy depends on the client's
oxygenation status, not necessarily the flow rate indicated (answer D).
Question 2: Which action should a nurse take first when caring for a client who reports
shortness of breath?
A) Assess the client’s airway.
B) Place the client in a supine position.
C) Notify the healthcare provider.
D) Administer prescribed bronchodilators.
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