A client is receiving plasmapheresis as treatment for Goodpasture's syndrome. When planning care, the nurse places highest priority on interventions for which client problem?
a. Reduced physical activity related to the disease's effects on the lungs
b. Inadequate family coping related to the client's hospitalization
c. Inadequate knowledge related to the plasmapheresis process
d. Potential for infection related to the site for organism invasion
ANS: D
Physical diagnoses take priority over psychosocial diagnoses, so inadequate family coping and inadequate knowledge are not the priority. The client has a potential for infection because plasmapheresis is an invasive procedure. Reduced activity is manifested by changes in vital signs, oxygenation, or electrocardiogram, and/or reports of chest pain or shortness of breath. There is no information in the question to indicate that the client is experiencing reduced physical activity.
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