A client with a respiratory rate of 8 breaths per minute has an oxygen saturation of 82%. Which of the following is a priority nursing diagnosis for this client?
1. Ineffective Breathing Pattern
2. Decreased Cardiac Output
3. Risk for Infection
4. Risk for Acute Confusion
1. Ineffective Breathing Pattern
Rationale:
The client has an irregular respiratory pattern of 8 breaths per minute with an oxygen saturation of 82%. The nursing diagnosis of priority for this client is ineffective breathing pattern. If this breathing pattern continues without intervention, the client could be at risk for decreased cardiac output and risk for acute confusion. There is not enough information to determine whether the client is or is not at risk for infection.
You might also like to view...
The nurse would refer which patient to a partial hospitalization program? A patient who:
a. spent yesterday in a supervised crisis care center and continues to be actively suicidal. b. needs psychoeducation for relaxation therapy related to agoraphobia and panic episodes. c. has a therapeutic lithium level and reports regularly for blood tests and clinic follow-up. d. states, "I'm not sure I can avoid using alcohol when my spouse goes to work every morning."
What type of clotting problem is most often treated with a thrombin inhibitor?
a. Hemophilia b. Hemorrhage c. Heart attack d. Gastric ulcers
Write 0.6% as a decimal number and a proper fraction in lowest terms
1. 3/50; 0.06 2. 6/100; 0.60 3. 1/17; 0.06 4. 3/500; 0.006
Which of the following laboratory values is in the normal range for a woman?
1. Hemoglobin, 10 g/dL; hematocrit, 46% 2. Hemoglobin, 12 g/dL; hematocrit, 36% 3. Hemoglobin, 17 g/dL; hematocrit, 48% 4. Hemoglobin, 19 g/dL; hematocrit, 58%