A client is coughing and has bilateral rhonchi throughout the lung fields.Which nursing diagnosis is most appropriate for these assessment findings?
A) Impaired Gas Exchange
B) Ineffective Airway Clearance
C) Ineffective Breathing Pattern
D) Impaired Spontaneous Ventilation

Question

Quizplus · Accepted Answer

Bilateral rhonchi indicate the presence of mucus in the airways, which can lead to ineffective airway clearance. Coughing is also a symptom of ineffective airway clearance. Impaired Gas Exchange would be appropriate if the client had decreased oxygen saturation levels, whereas Ineffective Breathing Pattern and Impaired Spontaneous Ventilation do not directly relate to the assessment findings.

A Client Is Coughing and Has Bilateral Rhonchi Throughout the Lung