Which of the following would be a priority nursing diagnosis for the client with CHF and pulmonary edema?*1 pointa. High risk for infection related to stasis of secretions in alveoli.b. Impaired skin integrity related to edema and pressure.c. Activity intolerance related to imbalance between oxygen supply and demand.d. Constipation related to immobility.
Question
Which of the following would be a priority nursing diagnosis for the client with CHF and pulmonary edema?*1 pointa. High risk for infection related to stasis of secretions in alveoli.b. Impaired skin integrity related to edema and pressure.c. Activity intolerance related to imbalance between oxygen supply and demand.d. Constipation related to immobility.
Solution
The priority nursing diagnosis for a client with Congestive Heart Failure (CHF) and pulmonary edema would be "c. Activity intolerance related to imbalance between oxygen supply and demand."
Here's why:
a. High risk for infection related to stasis of secretions in alveoli: While this is a potential risk, it is not the primary concern for a patient with CHF and pulmonary edema. The main issue is the heart's inability to pump enough blood to meet the body's needs, which leads to fluid build-up in the lungs (pulmonary edema).
b. Impaired skin integrity related to edema and pressure: This could be a concern for a patient with generalized edema, but it's not the primary issue in CHF and pulmonary edema.
c. Activity intolerance related to imbalance between oxygen supply and demand: This is the most appropriate diagnosis. In CHF, the heart is unable to pump enough blood to meet the body's needs, including the need for oxygen. This can lead to shortness of breath and fatigue, especially during physical activity.
d. Constipation related to immobility: While constipation can be a problem for patients who are bedridden or have limited mobility, it's not the primary concern in CHF and pulmonary edema.
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