Question

The client has a nursing diagnosis of impaired gas exchange as a result of excessive secretions. An outcome for the client is that the airways will be free of secretions. A positive evaluation will focus upon the client's:

1. Respiratory rate
2. Complaint of chest pain
3. Lungs clear bilaterally on auscultation
4. Ability to perform incentive spirometry

Answer 1

The positive evaluation for a client with impaired gas exchange due to excessive secretions focuses on the lungs being clear bilaterally on auscultation.

Step-by-step explanation:

The positive evaluation that would focus on the client's nursing diagnosis of impaired gas exchange as a result of excessive secretions would be 3. Lungs clear bilaterally on auscultation. This outcome indicates that there are no abnormal breath sounds or crackles heard during the examination, suggesting that the airways are free of secretions.