ANCC Medical-Surgical Nursing Exam Prep

Category - Pulmonary

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The nurse is preparing her plan of care for a patient diagnosed with pneumonia. Which is the most appropriate nursing diagnosis for this patient?

Fluid volume deficit
Decreased tissue perfusion
Impaired gas exchange
Risk for infection

Explanation

Answer - C - Impaired gas exchange. Pneumonia, which is an infection, causes lobar consolidation, thus impairing gas exchange between the alveoli and the blood. Because the patient would require adequate hydration, this makes him prone to fluid volume excess.

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