A client is demonstrating a diminished ability to exhale. The nurse realizes this client is at risk for developing:
1. Pleurisy.
2. Congestive heart failure.
3. Increased carbon dioxide levels.
4. Reduced oxygen capacity.
3
Rationale 1: Pleurisy results in pleuritic pain.
Rationale 2: This client is not at risk for developing congestive heart failure.
Rationale 3: During expiration, the carbon dioxide is expelled. Poor exhalation leads to retention of carbon dioxide.
Rationale 4: The client's oxygen capacity at this time is increased.
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