A client is diagnosed with pneumonia and has been hospitalized for several days. A priority nursing diagnosis for this client is which of the following?
1. Altered oral mucous membranes, related to dry mouth
2. Activity intolerance, related to oxygen supply imbalance
3. Knowledge deficit, related to medication regimen
4. Ineffective airway clearance, related to increased secretions
ANSWER
Correct Answer: 4
Rationale 1: Prioritizing care must begin with the basic needs. This option is appropriate but does not match the primary need..
Rationale 2: Prioritizing care must begin with the basic needs. This option is appropriate but does not match the primary need.
Rationale 3: Prioritizing care must begin with the basic needs. This option is appropriate but does not match the primary need
Rationale 4: Prioritizing care must begin with the basic needs, in this case, the airway.
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