A client diagnosed with a pulmonary embolism has a reduction in arterial oxygen saturation level and dyspnea. Which is the priority nursing diagnosis for this client?
A) Ineffective Tissue Perfusion
B) Anxiety
C) Impaired Gas Exchange
D) Impaired Physical Mobility
Answer: C
A reduction in arterial oxygen saturation level and dyspnea indicate the client is experiencing impaired gas exchange. This would be the priority for the client at this time. The client may have ineffective tissue perfusion; however, this is not the priority. The client may be experiencing anxiety; however, this is not the priority at this time either. There is not enough information to determine whether the client is at risk for impaired mobility.
You might also like to view...
Adequate hydration is a key to optimizing the health of many body systems, including
a. Genitourinary b. Gastrointestinal c. Respiratory d. All of the above
Match the event with the appropriate year. Each item has only one correct answer
1) Nursing programs become affiliated with religious groups 2) Start of public health nursing with the founding of the Henry Street Settlement 3) First formal nursing education in United States 4) First hospital 5) Establishment of the Army Nursing Service 6) Disassociation of nursing from religious orders 7) Florence Nightingale cared for the soldiers of the Crimean War ____ 1. 1st century AD ____ 2. 15th to 19th century ____ 3. 1854 ____ 4. 1861 ____ 5. 1873 ____ 6. 1893
A wealthy factory owner says, "I don't care about the poor. I just want the best care available for me and my family. Why should I care whether other people get health care or not?" Which of the following would be the most appropriate response by the nurs
a. "If your employees are ill, who will do the work in your factory?" b. "You might catch a contagious disease from one of your employees." c. "You have a moral obligation to help those less fortunate." d. "Your personal insurance and tax costs will go up if your employees have to use community resources when they're ill."
A nurse manager at a home-care agency is planning a continuing education program for the home-care staff nurses. Which type of continuing education program should the nurse manager plan?
a. On-line training modules b. A structured written teaching module each nurse completes individually c. A workshop training day, with a professional speaker, where nurses can interact with each other d. One-on-one continuing education training with each nurse