A home health nurse is working with a client who has pulmonary fibrosis. Of the following nursing diagnoses, which will take the highest priority?
1. Activity Intolerance
2. Impaired Gas Exchange
3. Ineffective Breathing Pattern
4. Anxiety
2. Impaired Gas Exchange
Rationale:
All of these nursing diagnoses are appropriate for the client who is experiencing pulmonary fibrosis, but the priority for the nurse to address is impaired gas exchange. If the client's oxygen level is too low, or the carbon dioxide level is too high, the client's life may be threatened. This client will also experience activity intolerance, anxiety, and, at times, ineffective breathing patterns, but the priority diagnosis is impaired gas exchange.
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