What is a priority nursing diagnosis for the client receiving anticholinergic drugs?
1. Injury, Risk for related to CNS changes related to medications
2. Knowledge, Deficient related to new medications
3. Gas Exchange, Impaired related to respiratory secretions
4. Urinary Retention related to loss of bladder tone
Correct Answer: 3
Rationale 1: A risk of injury related to CNS changes related to medications may occur but is not the priority.
Rationale 2: A knowledge deficit related to new medications is present but is not an immediate priority.
Rationale 3: Impaired gas exchange related to respiratory secretions is the most critical priority to address.
Rationale 4: Urinary retention related to loss of bladder tone is present but is not an immediate priority.
Global Rationale: Impaired gas exchange related to respiratory secretions is the most critical priority to address. A risk of injury related to CNS changes related to medications may occur but is not the priority. A knowledge deficit related to new medications is present but is not an immediate priority. Urinary retention related to loss of bladder tone is present but is not an immediate priority.
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