Question

Tlue nurse is planuing care for a clicut huspitalized with lacterial puecumunia. Which nursing diagnosis should receive priority? A. Ineffective airway clearance related to increased sputum production B. Activity intolerance related to changes in respiratory function C. Anxiety related to hospitalization D. Fluid volume deficit related to fever

Short answer

Answer: Ineffective airway clearance related to increased sputum production.

Step-by-step solution

Understand the given information

We are given a scenario where the client has been hospitalized with bacterial pneumonia. In this scenario, we need to prioritize the nursing diagnosis to provide the most effective care possible.

Analyze Option A

Option A is "Ineffective airway clearance related to increased sputum production." Bacterial pneumonia often results in increased sputum production, which can obstruct the airway and make it difficult for the client to breathe properly. Since pneumonia is a respiratory condition, airway clearance is a critical component in maintaining the client's health and well-being.

Analyze Option B

Option B is "Activity intolerance related to changes in respiratory function." While it is true that respiratory function changes caused by pneumonia can have an impact on the client's ability to tolerate activity, it is not the most critical aspect of their immediate care. The primary focus should be on addressing their respiratory needs.

Analyze Option C

Option C is "Anxiety related to hospitalization." Although anxiety may be an issue for some clients during hospitalization, it is not the most pressing concern for someone with bacterial pneumonia. The primary focus should be on addressing the physical needs of the client, rather than the emotional aspect.

Analyze Option D

Option D is "Fluid volume deficit related to fever." It is possible that a client with bacterial pneumonia may have a fever and experience a fluid volume deficit as a result. However, the priority should be on maintaining the client's respiratory function and ensuring that the airway stays clear.

Determine the priority nursing diagnosis

Based on the analysis of each option, the priority nursing diagnosis for a client hospitalized with bacterial pneumonia should be: A. Ineffective airway clearance related to increased sputum production. This is the most critical aspect of care for a client with bacterial pneumonia, as it directly relates to the primary issue of maintaining the client's respiratory function.