The nurse identifies the priority nursing dx for a...

Pneumonia NCLEX Practice Questions Med Surg I Test

Question Number 13

The nurse identifies the priority nursing dx for a pneumonia pt to be ineffective airway clearance related to fatigue, CP, excessive secretions and muscle weakness. To correct the problem the nurse will implement which intervention

A. administer oxygen to prevent hypoxemia and atelectasis

B. push fluids to greater than 3000 mL/day to ensure adequate hydration

C. administer bronchodilator therapy in a timely manner to decrease bronchospasms

D. maintain semi-fowlers position to facilitate breathing and prevent further fatigue

✔ Correct Answer:

C. administer bronchodilator therapy in a timely manner to decrease bronchospasms

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Pneumonia NCLEX Practice Questions Med Surg I Test

Question Number 13

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