The nurse assesses these symptoms in a client with bacterial pneumonia: chills, elevated temperature, tachypnea, productive cough of yellow sputum, shortness of breath, and fatigue. Based on the assessment data, what is the most appropriate nursing diagnosis (ND) for this client?
a. Impaired gas exchange
b. Impaired spontaneous ventilation
c. Ineffective breathing pattern
d. Risk for infection
Ans: a. Impaired gas exchange
You might also like to view...
The most common contributing factor to the development of delirium in critically ill patients is
a. sensory overload. c. electrolyte disturbances. b. hypoxemia. d. sleep deprivation.
The nurse is completing the psychosocial history on a newly admitted adult client. The client reports trouble concentrating, rapid heartbeats, irritability, and inability to make decisions. Based on these assessment findings, which does the nurse suspect?
1. A stress reaction. 2. Role confusion. 3. An impending heart attack. 4. Dysfunctional anxiety.
A patient who had a Schilling test shows a 20% excretion of the radioactive vitamin B12. What would this indicate?
a. The patient has a low reserve of iron and has iron deficiency anemia. b. The patient has a normal finding and does not have pernicious anemia. c. The patient has a deficiency of thrombocytes and has a clotting disorder. d. The patient has an excess of RBCs and has polycythemia.
During a strategic planning committee meeting to develop futuristic technology goals, several unit managers spend a considerable amount of time discussing current staffing problems. What is the primary action of the chairperson of this committee?
A) Take the remainder of the meeting time to discuss staffing with all members. B) Adjourn the meeting and reschedule at a time when there are no staffing problems. C) Request that committee members return to discussing items on the agenda. D) Excuse those discussing staffing from the remainder of the meeting.