A patient is diagnosed with a pulmonary contusion as a result of a chest injury sustained from a motor vehicle accident. Which of the following nursing diagnoses would be the priority for this patient?
1. knowledge deficit
2. impaired tissue perfusion (cardiopulmonary)
3. ineffective airway clearance
4. impaired physical mobility
3
Rationale: Because of the degree of pain associated with a lung contusion, the patient will avoid deep breathing and coughing. This results in a lack of removal of lung secretions and the development of pneumonia. The other three nursing diagnoses are relevant but not the highest priority in this case.
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