A nurse is caring for an 80-year-old patient with pneumonia. The most appropriate nursing diagnosis for this patient would be what?

A) Dysfunctional ventilatory weaning response
B) Impaired gas exchange
C) Ineffective health maintenance
D) Risk for delayed development


B
Feedback:
Pneumonia causes swelling, engorgement, and exudation of protective sera in the lower respiratory tract. The respiratory membrane is affected, resulting in decreased gas exchange. There is no indication that the patient has been on a ventilator so a diagnosis that concerns weaning is not appropriate. There is also no indication that this patient has pneumonia because of ineffective health maintenance and because the patient is 80 years old, a diagnosis of risk for delayed development is also inappropriate.

Nursing

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