The nurse is preparing a care plan for an older client with asthma. The client is receiving oxygen and has a respiratory rate of 28 breaths per minute, heart rate of 86 beats per minute, and blood pressure of 108/52 mmHg. Which nursing diagnosis would be the priority for this client?
1. Risk for Injury
2. Risk for Infection
3. Activity Intolerance
4. Ineffective Tissue Perfusion
4. Ineffective Tissue Perfusion
Explanation: 1. There is no evidence that the client is at risk for injury.
2. The client may or may not be at risk for infection.
3. The client may or may not have activity intolerance.
4. Ineffective Tissue Perfusion is the appropriate diagnosis for the client with tachypnea, requiring oxygen and asthma care.
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