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Question 7 of 20

The client with a lower respiratory airway infection is presenting with the folowing symptoms:
fever, chills, dry hacking cough, and wheezing. Which nursing diagnosis best supports the
assessment by the nurse?
Infection risk
O Ineffective airway clearance
Impaired gas exchange
Ineffective breathing pattern
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Final answer:

The nursing diagnosis that best supports the assessment by the nurse is Ineffective airway clearance. The symptoms indicate an infection in the lower respiratory airway.


Step-by-step explanation:

The nursing diagnosis that best supports the assessment by the nurse is Ineffective airway clearance. Ineffective airway clearance refers to the inability to clear secretions or obstructions from the respiratory tract, leading to impaired gas exchange and difficulty breathing.

In this case, the symptoms of fever, chills, dry hacking cough, and wheezing indicate an infection in the lower respiratory airway, which can cause mucus build-up and blockage in the airways.

The nursing diagnosis is based on the assessment of the client's symptoms and the understanding of the connection between respiratory infections, airway clearance, and breathing difficulties.


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