Upon assessment, the nurse notes that the client is dyspneic, has bibasilar crackles, and tires easily upon exertion. Which nursing diagnosis is best supported by these assessment details?
1. Ineffective Breathing Pattern
2. Anxiety
3. Ineffective Airway Clearance
4. Impaired Gas Exchange
Correct Answer: 3
Rationale 1: There are no data to support Ineffective Breathing Pattern.
Rationale 2: There are no data that support Anxiety as a diagnosis.
Rationale 3: The data given for this client best support the nursing diagnosis of Ineffective Airway Clearance. The most supportive finding for this diagnosis is bibasilar crackles.
Rationale 4: There are no data that support Impaired Gas Exchange.
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