CONCEPT MAPIneffective Airway Clearance• ↑temperature; fatigue; rapid, labored respirations; mild dehydration. "Bad cold" x several weeks. Dieting for several months & skipping meals. Works full-time job as secretary, college classes 2x/week. Smokes, 21 pack/years.• Assist to a sitting position with head slightly flexed,shoulders relaxed, and knees flexed• Encourage her to take several deep breaths• Encourage her to take a deep breath, hold for 2seconds, and cough two or three time in succession• Encourage use of incentive spirometry, as appropriate• Promote systemic fluid hydration, as appropriate• Instruct about importance of leaving oxygen deliverydevice on• Periodically check oxygen delivery device to ensurethat the prescribed concentration is being delivered• Observe for signs of oxygen-induced hypoventilation• Monitor rate, rhythm, depth, and effort of respirations• Note chest movement, watching for symmetry, use of
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