Question

1-nursing diagnosis for high blood pressure

2- Nursing diagnosis for pneumonia

Answer 1

1. Nursing diagnosis for high blood pressure:-
✓Blood pressure- 220/115 mm Hg (220 systolic BP/115 diastolic BP)
✓patient complaining of blurred vision, and headache
Explanation:- Decreased cardiac output related to increased peripheral vascular resistance secondary to hypertension.

2. Nursing diagnosis for pneumonia:-

(A).Ineffective airway clearance:-
Related to inflammation, the accumulation of secretions, characterized by:
✓Tachypnea / rapid breathing
✓Shallow nostrils
✓Bronchial breath sounds
✓Crackles wet
✓Accessory muscle use
✓Dyspnoea
✓Cyanosis
✓Cough with sputum production.

(B)Impaired gas exchange:-
Related to alveolar capillary membrane changes
characterized by:---
✓Dyspnea
✓cyanosis
✓Tachycardia
✓Restlessness