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Question

Question 2 of 5

A nurse is caring for a client with chest trauma. Which nursing diagnosis takes the highest

priority?

• Anxiety

• Decreased cardiac output

• Impaired gas exchange

• Ineffective tissue perfusion (cardiopulmonary)

Answer

Impaired gas exchange takes the highest priority in a client with chest trauma.

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Impaired gas exchange is the priority nursing diagnosis in a client with chest trauma because chest trauma can cause damage to the lungs, leading to difficulty in breathing and impaired gas exchange. This can result in hypoxemia, which can be life-threatening. Therefore, it is essential to monitor the client's oxygen saturation levels, respiratory rate, and depth of breathing. The nurse should also assess the client's lung sounds and provide oxygen therapy as needed. Once the client's oxygenation status is stabilized, the nurse can address other nursing diagnoses such as anxiety, ineffective tissue perfusion, and decreased cardiac output.