To promote respiratory function in the immobilized client, the nurse should:
1. Change the client’s position every 4 to 8 hours
2. Encourage deep breathing and coughing every hour
3. Use oxygen and nebulizer treatments regularly
4. Suction the client’s secretions every hour
ANSWER
ANS: 2
The nurse should actively work with the immobilized client to deep breathe and cough every 1 to 2 hours to promote chest expansion. The client’s position should be changed every 2 hours to re-duce stagnation of secretions. The health care provider must order oxygen and nebulizer treat-ments, which are primarily used to treat the client who is experiencing an impaired air exchange, not to promote respiratory function in the immobilized client. The client’s secretions should only be suctioned as needed.
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