A nurse is caring for a client diagnosed with sleep apnea. Which of the following nursing diagnoses should the nurse include in the client's nursing care plan?
A) Aspiration
B) Impaired bed mobility
C) Impaired gas exchange
D) Risk for injury
C
Feedback:
The nurse should include the nursing diagnosis of impaired gas exchange in her nursing care plan. During the apneic or hypopneic periods, ventilation decreases, and blood oxygenation drops. The accumulation of carbon dioxide and the fall in oxygen cause brief periods of awakening throughout the night. Aspiration, impaired bed mobility, and risk of injury are not appropriate diagnoses because the client's loss of sleep poses no direct risk of aspiration, immobility, or injury risk.
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