When planning care for a client receiving treatment for vomiting, the nurse's highest priority nursing diagnosis is:
a. prevention of aspiration by placing client in lateral position.
b. risk for aspiration related to vomiting.
c. nausea related to receiving chemotherapy.
d. risk for deficient fluid volume related to vomiting.
ANS: B
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A Incorrect: This is not a nursing diagnosis.
B Correct: This is the nurse's highest priority nursing diagnosis.
C Incorrect: The scenario does not indicate that the client is receiving chemotherapy and this is not the highest priority for a client who is vomiting.
D Incorrect: This is not the priority nursing diagnosis.
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