ineffective airway clearance rt inability to remove secretions as manifested by inefective cough
yes, with time and experience you will get better at this. looking again at the diagnosis you proposed i missed pointing out something to you last evening. the inability to remove secretions is merely a restatement of the definition of this nursing problem and, therefore, cannot be a related factor, or etiology, of it.
i understand that as a beginner at this it can be frustrating. this is nursing language combined with the nursing process and how you are being trained to think to do the job. trust me and other veterans of the profession that this is the way we want you to rationalize out these problems. when we get this person's secretions cleared, choking is off the table. this is only one nursing problem. there are 206 other ones.