This is a Multiple Response Item. The patient’s problem is t…
This is a Multiple Response Item. The patient’s problem is the inability to clear his airway related to increased mucous production due to upper airway infection and poor cough effort. The nurse includes which of the following interventions in the plan of care? Select the two responses that apply. Type the letters to your answer in alphabetical order using no spaces, commas, or periods. A. Encourage increased fluid intake. B. Assess level of anxiety. C. Encourage coughing and pursed-lip breathing techniques. D. Assess calorie count with each meal.