The nurse plans for a nursing diagnosis of ineffective airway clearance for a client with pneumonia. Which intervention will the nurse identify as a priority in the plan of care?
A. Instruct on coughing, deep breathing, and hydration.
B. Give the client supplemental oxygen.
C. Contact physician for blocked airway and prepare tracheostomy set-up.
D. Client will maintain head of bed in mid-fowlers for the next 48 hours.