Definition: Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway.
SAMPLE CLINICAL APPLICATIONS: Chronic obstructive pulmonary disease (COPD), pneumonia, influenza, acute respiratory distress syndrome (ARDS), cancer of lung/head and neck, congestive heart failure (CHF), cystic fibrosis, neuromuscular diseases, inhalation injuries.
DESIRED OUTCOMES/EVALUATION CRITERIA
Sample NOC linkages:
Sample NIC linkages:
NURSING PRIORITY NO. 1. To maintain adequate, patent airway:
● Identify client populations at risk. Persons with impaired ciliary function (e.g., cystic fibrosis, status post heart-lung transplantation);