Asked by Briana Bradley on Jul 22, 2024
Verified
The nurse is caring for a patient admitted with a diagnosis of muscular dystrophy resulting in inadequate muscle strength to draw enough air into the lungs.What nursing diagnosis would be most appropriate for this patient?
A) Ineffective Breathing Pattern
B) Ineffective Airway Clearance
C) Impaired Gas Exchange
D) Impaired Spontaneous Ventilation
Muscular Dystrophy
A group of genetic disorders characterized by progressive weakness and degeneration of the skeletal muscles that control movement.
Impaired Spontaneous Ventilation
A condition where the natural ability to breathe independently and maintain adequate gas exchange is diminished or compromised.
- Define the leading nursing responsibilities for patients suffering from acute respiratory distress.
Verified Answer
CH
chenyang huangJul 26, 2024
Final Answer :
D
Explanation :
This patient's breathing is altered but does not fit this diagnosis because respiratory rate is unknown,so it is impossible to know what pattern of breathing is occurring based on the information given.There is no indication of an obstructed airway or increased secretions that would measure ability to clear airway.There is no indication in the question regarding the patient's gas exchange,so this is not the best choice,even though it would be easy to read into the question and suspect hypoxia.The best diagnosis for this patient is Impaired Spontaneous Ventilation because without external support,this patient's muscle strength is inadequate to maintain breathing adequate to support life.
Learning Objectives
- Define the leading nursing responsibilities for patients suffering from acute respiratory distress.
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