The client is hypoxic according to arterial blood gas ...

[dejastew]

The client is hypoxic according to arterial blood gas measurement. What nursing diagnosis problem statement is most appropriate for this client?
 
  What will be an ideal response?

Question 2

Upon assessment, the nurse notes that the client is dyspneic, has bibasilar crackles, and tires easily upon exertion. Which nursing diagnosis is best supported by these assessment details?
 
  1. Ineffective Breathing Pattern
  2. Anxiety
  3. Ineffective Airway Clearance
  4. Impaired Gas Exchange

[mjbamaung]

Answer to Question 1

Correct Answer: Impaired Gas Exchange
Rationale : The only nursing diagnosis supported by hypoxia as the only finding is Impaired Gas Exchange. The client may have other nursing diagnoses such as Ineffective Breathing Pattern or Ineffective Airway Clearance, but those diagnoses are not supported by the findings in this scenario.

Answer to Question 2

Correct Answer: 3
Rationale 1: There are no data to support Ineffective Breathing Pattern.
Rationale 2: There are no data that support Anxiety as a diagnosis.
Rationale 3: The data given for this client best support the nursing diagnosis of Ineffective Airway Clearance. The most supportive finding for this diagnosis is bibasilar crackles.
Rationale 4: There are no data that support Impaired Gas Exchange.

[dejastew]

TYSM

[atrochim]

Excellent