A patient has ineffective airway clearance, disturbed sleep and deficient knowledge about diet. Which nursing diagnosis should receive the highest priority?
Correct answer: C. Ineffective airway clearance
- A. Deficient knowledge about diet
- B. Disturbed sleep pattern
- C. Ineffective airway clearance
- D. Readiness for enhanced nutrition
Explanation
Ineffective airway clearance threatens breathing and therefore takes priority over sleep or education needs. Prioritisation follows airway, breathing and circulation before safety, comfort and teaching.
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About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
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