The nurse has just completed the assessment of a client admitted with a gunshot wound to the femoral artery.Which is the priority nursing diagnosis for this client?
A) Deficient Fluid Volume
B) Ineffective Coping
C) Ineffective Airway Clearance
D) Decreased Cardiac Output

Question

Quizplus · Accepted Answer

A) The client sustained a gunshot wound to the femoral artery, which would lead to significant bleeding and the risk of hypovolemic shock. The nursing diagnosis that would be a priority for the client is Decreased Cardiac Output because of low blood volume. There is not enough information to determine whether the client has ineffective airway clearance. The client will most likely have deficient fluid volume; however, cardiac output is the first priority at this time. There is not enough information to determine whether the client is experiencing ineffective coping.
B) The client sustained a gunshot wound to the femoral artery, which would lead to significant bleeding and the risk of hypovolemic shock. The nursing diagnosis that would be a priority for the client is Decreased Cardiac Output because of low blood volume. There is not enough information to determine whether the client has ineffective airway clearance. The client will most likely have deficient fluid volume; however, cardiac output is the first priority at this time. There is not enough information to determine whether the client is experiencing ineffective coping.
C) The client sustained a gunshot wound to the femoral artery, which would lead to significant bleeding and the risk of hypovolemic shock. The nursing diagnosis that would be a priority for the client is Decreased Cardiac Output because of low blood volume. There is not enough information to determine whether the client has ineffective airway clearance. The client will most likely have deficient fluid volume; however, cardiac output is the first priority at this time. There is not enough information to determine whether the client is experiencing ineffective coping.
D) The client sustained a gunshot wound to the femoral artery, which would lead to significant bleeding and the risk of hypovolemic shock. The nursing diagnosis that would be a priority for the client is Decreased Cardiac Output because of low blood volume. There is not enough information to determine whether the client has ineffective airway clearance. The client will most likely have deficient fluid volume; however, cardiac output is the first priority at this time. There is not enough information to determine whether the client is experiencing ineffective coping.

The Nurse Has Just Completed the Assessment of a Client