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1. The patient presented with ineffective airway clearance related to retained secretions as evidenced by wheezing. 2. The nursing intervention plan included monitoring vital signs, assessing airway and breathing patterns, suctioning as needed, administering nebulizer treatments, and repositioning the patient to clear secretions. 3. Short term goals were for the patient to effectively expel secretions and maintain clear airways after 8 hours, and long term goals were to maintain clear airways for 2-3 day

Author

Mariam Yiani Aspiras Raceles

Language

EN