ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

What is the expected outcome for a client with a nursing diagnosis of ineffective airway clearance related to inflammation?
  1. Closely monitor blood pH less than 7.25
  2. Client will experience reduction of anxiety
  3. Client will breathe easily and without dyspnea
  4. Teach percussion, postural drainage, and encourage coughing
Explanation
Answer - C - Choice C is the only correct answer. The desired outcome addresses the client’s response. Choice A and D are nursing interventions. Choice B is a client goal not relevant to the nursing diagnosis.
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