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A nurse is planning care for a client who has pneumonia. Which of the following interventions should the nurse include in the plan?

A: Direct the client to perform incentive spirometry every 2 hr.
B: Titrate oxygen to maintain the client's oxygen saturation level at 90%.
C: Teach the client how to cough up secretions.
D: Maintain the client in a low-Fowler's position

1 Answer

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Final answer:

For a client with pneumonia, the nurse should include interventions such as performing incentive spirometry, titrating oxygen to maintain oxygen saturation, teaching effective coughing techniques, and maintaining the client in an upright position to facilitate breathing and expectoration.

Step-by-step explanation:

Interventions for Pneumonia Care

When planning care for a client who has pneumonia, a nurse should consider several interventions that aim to improve the client's respiratory function and overall health. The mentioned interventions are directed towards optimizing lung capacity, maintaining adequate blood oxygen levels, facilitating the expulsion of respiratory secretions, and ensuring the patient's comfort and ability to perform deep breathing exercises:

  • Performing incentive spirometry every 2 hours helps the client increase lung volume and prevent alveolar collapse.
  • Titrating oxygen to maintain the client's oxygen saturation level at 90% or above is essential to ensure adequate tissue perfusion and prevent hypoxemia.
  • Teaching the client to cough up secretions effectively aids in clearing mucus from the respiratory tract, which is crucial for clients with pneumonia.
  • While a low-Fowler's position could be applicable in some scenarios, a more upright position such as the semi-Fowler's or high-Fowler's position is typically recommended for pneumonia clients to aid in breathing and expectoration of secretions.

Additionally, other supportive measures such as hydration, nutrition, rest, and monitoring of vital signs are also vital components of pneumonia management.

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