The nursing diagnosis for a patient with pneumonia is ineffective airway clearance related to increased sputum production. Which is an appropriate goal for this patient?


•A regular respiratory rate and the absence of dyspnea will indicate whether the patient's goal of maintaining a patient airway is met.

•A patient with pneumonia may have increased secretions that can lead to ineffective airway clearance. Assessment findings that indicate that the patient is effectively clearing his airway include the absence of dyspnea, improvement of lung sounds, and normal skin color.


Incorrect options:

• Tachypnea would indicate that the patient has continued ineffective airway clearance.

• Complaints of pain are not an effective measure of airway clearance.

• "The patient's airway will remain free of obstruction" does not include a measurement for the goal.

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