The nurse is caring for a patient who has recently undergone major abdominal surgery. The patient is exhibiting shallow breathing and is hesitant to cough and deep breathe. An appropriate nursing diagnosis for this patient would be
1. impaired gas exchange.
2. ineffective airway clearance.
3. ineffective breathing pattern.
4. potential for pneumonia.
3
Rationale: The patient has documented shallow breathing, indicative of an ineffective breathing pattern. There is a potential risk for impaired gas exchange or ineffective airway clearance, but the data at this time does not support an actual problem. Potential for pneumonia is not a nursing diagnosis.
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