The charge nurse is precepting a new graduate nurse who is assigned to a client admitted with a diagnosis of pneumonia and they are reviewing the plan of care. The new graduate nurse is determining what actions would be appropriate to include to meet the expected outcomes for the client.
Click to indicate which interventions the nurse would include in the plan of care to support the expected outcomes of adequate gas exchange and clear airway.
Intervention
Adequate Gas Exchange
Clear Airway
Teaching the patient to splint painful areas of the chest when coughing
Positioning the patient with the head of the bed elevated
Encouraging oral fluids up to 3 L/day
Providing supplemental oxygen
Adding humidification
Administering nonopioid analgesics as needed
Assisting the patient to ambulate
Encouraging incentive spirometry
Administering prescribed antibiotics