A nurse is planning the care of a client. Which nursing diagnosis has the highest priority when setting priorities for a client and the need to rank nursing diagnosis in terms of importance?
A) Ineffective airway clearance
B) Risk for injury
C) Risk for suffocation
D) Social isolation
A
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Survival needs, such as the need for air, water, food, and imminent life-threatening problems take highest priority. High priority needs include ineffective airway clearance. Safety needs are the next priority, with nursing diagnostic categories such as risk for injury and risk for suffocation. At a lower level of priority are the social and psychological needs for love, self-esteem, and companionship and would include the nursing diagnosis social isolation.
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