The priority NANDA for a hemorrhaging client in the emergency department would be:
1. Ineffective tissue perfusion related to hypovolemia.
2. Impaired ventilation related to airway obstruction.
3. Fluid-volume deficit related to decreased renal perfusion.
4. Ineffective breathing related to shallow respirations.
Ineffective tissue perfusion related to hypovolemia.
Rationale: When a client is hemorrhaging, the tissues are not being perfused. Therefore, major organs such as the heart, brain, and lungs will receive oxygenation, and other organs such as kidneys, intestines, and long muscles will not receive oxygenation and will become ischemic. Hemorrhaging relates to arterial and venous perfusion and does not impact ventilation. The airway is not obstructed, and unless the bleeding is in the lung tissues (which is not mentioned in this question), breathing will not be impaired initially; therefore, this would not be a priority NANDA. The hemorrhaging person is losing volume, but it is due to the injury and actual blood loss rather than renal perfusion.
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