The correct option is regarding pneumonia diagnosis is Option A : Ineffective Airway clearance
The primary nursing diagnosis for this client is inadequate airway clearance.
Pneumonia causes an increase in respiratory tract secretions, which prevents air from reaching the capillary bed.
Tachypnea, bradypnea, or Cheyne-Stokes respirations are ineffective respiratory patterns that may not be present in a patient with pneumonia. Falls risk and compromised tissue integrity are not this client's top diagnoses.
Due to bypassed and compromised natural mucociliary transport pathways, the use of an artificial airway results in ineffective airway clearing. The key to keeping the patient's airway open while using an artificial airway is nursing assessment and intervention.
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