The document prioritizes four nursing problems for a patient:
1. Ineffective airway clearance related to retained secretions, which must be addressed first to ensure a patent airway and oxygenation.
2. Hyperthermia related to increased metabolic rate from disease, which can cause various complications if left untreated.
3. Risk for decreased cardiac output related to increased afterload from hypertension, which could inefficiently pump blood to vital organs.
4. Risk for unstable blood glucose related to impaired insulin secretion for a patient with diabetes, which could lead to hypoglycemia or hyperglycemia complications.
The document prioritizes four nursing problems for a patient:
1. Ineffective airway clearance related to retained secretions, which must be addressed first to ensure a patent airway and oxygenation.
2. Hyperthermia related to increased metabolic rate from disease, which can cause various complications if left untreated.
3. Risk for decreased cardiac output related to increased afterload from hypertension, which could inefficiently pump blood to vital organs.
4. Risk for unstable blood glucose related to impaired insulin secretion for a patient with diabetes, which could lead to hypoglycemia or hyperglycemia complications.
The document prioritizes four nursing problems for a patient:
1. Ineffective airway clearance related to retained secretions, which must be addressed first to ensure a patent airway and oxygenation.
2. Hyperthermia related to increased metabolic rate from disease, which can cause various complications if left untreated.
3. Risk for decreased cardiac output related to increased afterload from hypertension, which could inefficiently pump blood to vital organs.
4. Risk for unstable blood glucose related to impaired insulin secretion for a patient with diabetes, which could lead to hypoglycemia or hyperglycemia complications.
1. Ineffective airway Airway must be given the first attention as based on clearance related to the rule of ABC, which stands for Airway, Breathing retained secretions in the and Circulation. Addressing the problem will give bronchotracheal tree 2° patent airway to the client. Oxygenation is a vital pneumonia need for every cell, if there is any problem related to it, it could easily affect the functioning of the individual. Retained secretions can cause blockage Classification: Actual Problem of airway, which will further cause difficulty of breathing (Berman, et al, 2016). 2. Hyperthermia related to This is the next priority because the increase in the increased metabolic rate body temperature is just in response to the disease experienced by the body. However, many complications may arise if it was left untreated. Hyperthermia may result to fluid loss, hemodynamic alterations, serum enzyme abnormalities and other symptoms of variable severity. It can also cause neurologic symptoms including nausea, confusion, Classification: Actual Problem disorientation, apathy, delirium, stupor or coma (Progress in Brain Research, page153). 3. Risk for decreased cardiac The patient has hypertension and the output related to vasoconstriction itself may lead to decreased increased afterload cardiac output. If it happens, all of the vital organs (vasoconstriction) will suffer. It is a priority since there is inefficient pumping of the heart. This is the 4th priority since the nature of the problem is potential, meaning it can Classification: Potential be prevented. Problem 4. Risk for unstable blood The patient has Type 2 DM, so the problem is her glucose related to blood glucose level. It is a priority since if the patient impaired insulin secretion had her blood glucose less than 80, hypoglycaemia will occur, if it is too high, hyperglycemia will occur which both problems leads to different complications like ketoacidosis. This is the 5th priority Classification: Potential because it is a risk, thus it can be prevented. Problem