hard · NCLEX-RN basic-care
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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