Question 25 - Physiological Adaptation Practice Test for the NCLEX-RN Exam

The nurse is caring for a client on a ventilator for pneumonia secondary to influenza. Which of the following nursing diagnoses is least appropriate for the client?

risk for falls
ineffective airway clearance
ineffective tissue perfusion
impaired gas exchange

Hint

Be alert for words like not, cannot, except, false, incorrect(ly), least (likely), without, and other negative word forms in questions. These words change the purpose of your search for the correct answer.

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