The nurse has just completed the assessment of a client admitted with a gunshot wound to the femoral artery. Which of the following would be considered the priority nursing diagnosis for this client?
1. Ineffective Airway Clearance
2. Excess Fluid Volume
3. Decreased Cardiac Output
4. Ineffective Coping
3. Decreased Cardiac Output
Rationale:
The client sustained a gunshot wound to the femoral artery, which would lead to significant bleeding and the risk of hypovolemic shock. The nursing diagnosis that would be a priority for the client is decreased cardiac output because of low blood volume. There is not enough information to determine whether the client does or does not have ineffective airway clearance. The client will most likely not be experiencing excess fluid volume. There is not enough information to determine whether the client is or is not experiencing ineffective coping.
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