A nurse is caring for a patient with left sided hemiparesis who has developed bronchitis and has a heart rate of 105,blood pressure of 156/90,and a respiration rate of 30.Which nursing diagnosis is the priority for this patient?
A) Activity intolerance
B) Risk for skin breakdown
C) Impaired gas exchange
D) Risk for infection

Question

Quizplus · Accepted Answer

The most important nursing intervention is to maintain airway and circulation for this patient; therefore,Impaired gas exchange is the first nursing priority.Activity intolerance is a concern but is not the priority in this case.Risk for skin breakdown and Risk for infection are also important but do not address an immediate impairment with physiologic integrity.

A Nurse Is Caring for a Patient with Left Sided