A client is admitted to the unit with chronic obstructive pulmonary disease. Blood gas analysis indicates respiratory acidosis. Based on this data, the nurse plans care based on which priority diagnosis?
A) Impaired Gas Exchange
B) Ineffective Airway Clearance
C) Impaired Mobility
D) Anxiety
Answer: A
Impaired Gas Exchange is the priority nursing diagnosis for the client with respiratory acidosis. Interventions are aimed at restoring effective alveolar ventilation and gas exchange. Anxiety and Ineffective Airway Clearance are both appropriate nursing diagnoses but not priority for the client with respiratory acidosis. There is no evidence to support Impaired Mobility for this client.
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A patient is having an anaphylactic reaction to an intravenous (IV) antibacterial drug. Which action should you perform first?
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A patient in the chronic phase of chronic myelogenous leukemia has just completed treatment. The nurse realizes this patient will most likely
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Staff education should include:
1. Education on cultures common to their practice. 2. Annual updates and reviews. 3. Self-reflection on the care providers' own values and beliefs. 4. All of the above.