The nurse is caring for a client with a new tracheostomy. Which of the following nursing diagnoses are priorities? Select all that apply
A) Ineffective Airway Clearance related to increased secretions
B) Risk for Infection related to operative incision and tracheostomy tube placement
C) Knowledge Deficit related to care of the tracheostomy tube and surrounding site
D) Impaired Gas Exchange related to shallow breathing and anxiousness
A, D
Feedback:
The client with a new tracheostomy tube has increased secretions, which may become dried and occlude the airway or plug the airway requiring frequent suctioning. Impaired Gas Exchange is an equally important diagnosis. These are related to airway and breathing and are priorities.
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