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The Nurse Is Caring for a Client with Pneumonia Has

Question 13

Multiple Choice

The nurse is caring for a client with pneumonia has a fever of 38.4°C (101.1°F) , a nonproductive cough, and an oxygen saturation of 89%. The client is very weak and needs assistance to get out of bed. Which of the following nursing diagnoses is priority?


A) Hyperthermia related to increase in metabolic rate (illness)
B) Impaired transfer ability related to insufficient muscle strength
C) Ineffective airway clearance related to retained secretions
D) Ineffective breathing pattern related to respiratory muscle fatigue

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