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ve cough; forced cough A Ineffective airway clearance related to accumulation of sputum as evidenced by productive cough P After 8 hours of nursing intervention client will be able to learn ways to loosen phlegm and effectively expectorate sputum. I instruct the client to increase fluid intake to decrease viscosity of sputum; teach client to do deep breathing exercises and proper coughing exercises to mobilize the secretions; administer antitussives as prescribed by the physician. E After 8 hours of nursing intervention client is able to effectively expectorate sputum and learn techniques to loosen phlegm.