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The Nurse Evaluates That the Interventions for the Nursing Diagnosis

Question 17

Multiple Choice

The nurse evaluates that the interventions for the nursing diagnosis of ineffective airway clearance in a postoperative client have been successful when which of the following goals has been met?


A) Client drinks 2-3 L of fluid in 24 hours.
B) Client uses the spirometer 10 times every hour.
C) Client's breath sounds are clear to auscultation.
D) Client's temperature is less than 38°C (100.4°F) orally.

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