Hello, I am a first year nursing student and I need 3 ideas for care plans from my client from clinicals this past week. My client was diagnosed with pneumonia, and already has COPD. She also has a history of lung cancer. Client has had frequent bouts of pneumonia already this year. However, her vital signs were mostly WNL when I assisted caring for her. Her respirations were at 20, and O2 sats were at 100 with 4 L of 02. She did have high blood pressure, with the first reading at 164/87, and the second at 185/101. She was alert and oriented, eating and drinking well, and walking with assistance. She had little risk for skin breakdown as she was moving frequently, and she had a PRN adapter, but was no longer on the IV. She was coughing frequently, and productively. She was on medication for pain, with a pain level of 7, so I already have:Risk for falls related to presence of acute illness and use of narcotics for pain.Pain related to pneumonia as evidenced by pt. states pain is at a level 7 on a scale of 1-10. What should I do for her third diagnoses? I am thinking ineffective airway clearance, or impaired gas exchange, but at the time that I cared for her, I collected no data to suggest (besides the productive cough) that these two things were still happening. I appreciate any advice anyone has to give! Thanks in advance.