Which intervention should the nurse prioritize to promote effective airway clearance in a client with impaired oxygenation?

Answer: c. Encouraging deep breathing and coughing Explanation:

Deep breathing and coughing help to mobilize and clear respiratory secretions, promoting effective airway clearance and improved oxygenation.

Incorrect choices:

a. Incentive spirometry exercises help promote lung expansion but are not directly aimed at airway clearance.

b. Bronchodilator medications are primarily used to alleviate bronchospasm and improve airflow, but they may not directly address airway clearance.

d. Positioning the client in high Fowler's position facilitates lung expansion and may improve oxygenation but does not directly address airway clearance.

Answer: b. Monitoring oxygen saturation levels Explanation:

Monitoring the client's oxygen saturation levels using a pulse oximeter is crucial to assess the effectiveness of oxygen therapy and ensure the client's oxygen needs are being met adequately.

Incorrect choices:

a. Assessing the client's respiratory rate is important but does not directly measure the adequacy of oxygen therapy.

c. Evaluating the client's level of dyspnea provides subjective information but does not quantify the client's oxygenation status.

d. Adjusting the oxygen flow rate as needed is a valid action, but monitoring oxygen saturation levels is essential to guide the adjustment accurately.