hard · NCLEX-RN Basic Care and Comfort
The nurse updates the clinical comfort and safety instructions for Clara and her caregiver. Which interventions should the nurse include in the collaborative care plan? Select all that apply.
- Premedicate Clara with the prescribed oral liquid opioid 30 to 45 minutes before starting any scheduled catheter drainage session.
- Stop the drainage flow immediately if the client experiences sharp chest pain or persistent, uncontrolled coughing.
- Guide the client to perform deep, slow, diaphragmatic breathing rather than rapid shallow breaths when anxiety peaks.
- Clamp the tunneled catheter permanently and do not unclamp it if the drainage volume drops below 100 mL on any session.
- Limit Clara's daily oral fluid intake to less than 800 mL to minimize pleural fluid re-accumulation.
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