Successful resolution of the nursing diagnosis Gas exchange impaired related to disease process would be indicated by which of the following outcomes?
a. Client experiences effective cough reflex.
b. Client verbalizes understanding of disease process.
c. Client's oxygen saturation 90%.
d. Client has no injury due to adverse effects of respiratory drugs.
ANS: C
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A Incorrect: This would relate to airway clearance.
B Incorrect: This would relate to deficient knowledge.
C Correct: This is a measurable outcome criteria for impaired gas exchange.
D Incorrect: This would relate to risk for injury.
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a. with iron to prevent anemia. b. with high-calorie foods to protect the stomach. c. before bedtime to allow the patient to sleep. d. with high-fat food to provide quick energy.
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