A client is admitted for tocolytic therapy for preterm labor. The client states, "I'm so afraid that I'm so early. Is my baby okay? What if the drug doesn't help?"

Question

Based on the client's statement, the nurse would identify which nursing diagnosis as the priority?

A) Anxiety
B) Risk for Injury
C) Impaired Gas Exchange
D) Excess Fluid Volume

Answer 1

Ans: A
Feedback:
Based on the client's statements, the nurse would identify Anxiety as the priority nursing diagnosis because of the client's stated concern for her fetus and cessation of labor. Risk for Injury and Excess Fluid Volume would be more appropriate for a client receiving oxytocin. Impaired Gas Exchange would be appropriate if the client was experiencing adverse reactions related to the tocolytic.