The nurse is caring for a client who has been admitted with persistent diarrhea lasting 3 days.Which are appropriate nursing diagnoses for this client during the acute phase of the illness? Select all that apply.
A) Decreased Cardiac Output
B) Ineffective Airway Clearance
C) Deficient Fluid Volume
D) Knowledge Deficit
E) Risk for Injury

Question

Quizplus · Accepted Answer

A) Metabolic acidosis affects cardiac output by decreasing contractility, slowing the heart rate, and increasing the risk for dysrhythmias. Appropriate nursing diagnoses during the acute phase of illness are Risk for Injury and Decreased Cardiac Output. The client may have a knowledge deficit but this is not an appropriate nursing diagnosis during the acute phase of the illness. The client with metabolic acidosis will be at risk for developing an Excessive Fluid Volume, not a Deficient Fluid Volume. The client with metabolic acidosis is not at risk for Ineffective Airway Clearance.
B) Metabolic acidosis affects cardiac output by decreasing contractility, slowing the heart rate, and increasing the risk for dysrhythmias. Appropriate nursing diagnoses during the acute phase of illness are Risk for Injury and Decreased Cardiac Output. The client may have a knowledge deficit but this is not an appropriate nursing diagnosis during the acute phase of the illness. The client with metabolic acidosis will be at risk for developing an Excessive Fluid Volume, not a Deficient Fluid Volume. The client with metabolic acidosis is not at risk for Ineffective Airway Clearance.
C) Metabolic acidosis affects cardiac output by decreasing contractility, slowing the heart rate, and increasing the risk for dysrhythmias. Appropriate nursing diagnoses during the acute phase of illness are Risk for Injury and Decreased Cardiac Output. The client may have a knowledge deficit but this is not an appropriate nursing diagnosis during the acute phase of the illness. The client with metabolic acidosis will be at risk for developing an Excessive Fluid Volume, not a Deficient Fluid Volume. The client with metabolic acidosis is not at risk for Ineffective Airway Clearance.
D) Metabolic acidosis affects cardiac output by decreasing contractility, slowing the heart rate, and increasing the risk for dysrhythmias. Appropriate nursing diagnoses during the acute phase of illness are Risk for Injury and Decreased Cardiac Output. The client may have a knowledge deficit but this is not an appropriate nursing diagnosis during the acute phase of the illness. The client with metabolic acidosis will be at risk for developing an Excessive Fluid Volume, not a Deficient Fluid Volume. The client with metabolic acidosis is not at risk for Ineffective Airway Clearance.
E) Metabolic acidosis affects cardiac output by decreasing contractility, slowing the heart rate, and increasing the risk for dysrhythmias. Appropriate nursing diagnoses during the acute phase of illness are Risk for Injury and Decreased Cardiac Output. The client may have a knowledge deficit but this is not an appropriate nursing diagnosis during the acute phase of the illness. The client with metabolic acidosis will be at risk for developing an Excessive Fluid Volume, not a Deficient Fluid Volume. The client with metabolic acidosis is not at risk for Ineffective Airway Clearance.

The Nurse Is Caring for a Client Who Has Been