Author Question: A client is admitted to the unit with chronic obstructive pulmonary disease. Blood gas analysis ... (Read 64 times)

OSWALD · **on:** Jun 25, 2018

A client is admitted to the unit with chronic obstructive pulmonary disease. Blood gas analysis indicates respiratory acidosis. Based on this data, the nurse plans care based on which priority diagnosis?

A) Impaired Gas Exchange
B) Ineffective Airway Clearance
C) Impaired Mobility
D) Anxiety

Question 2

A school-age client is admitted to the hospital with respiratory acidosis. Which chronic lung illness in the client's health history does the nurse suspect is causing the current diagnosis?

A) Cystic fibrosis
B) Aspiration
C) Hyperthyroidism
D) Pneumonia

diana chang · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Impaired Gas Exchange is the priority nursing diagnosis for the client with respiratory acidosis. Interventions are aimed at restoring effective alveolar ventilation and gas exchange. Anxiety and Ineffective Airway Clearance are both appropriate nursing diagnoses but not priority for the client with respiratory acidosis. There is no evidence to support Impaired Mobility for this client.

Answer to Question 2

Answer: A

Chronic lung disease such as asthma and cystic fibrosis put the child at risk for respiratory acidosis. Pneumonia and aspiration are both acute lung conditions. Hyperthyroidism is a disorder that results in metabolic acidosis.