Difficulty: Medium
Average Score: 83%
Full-length
A client with acquired immunodeficiency syndrome is admitted with a diagnosis of pneumocystis jirovecki pneumonia. Shortly after his admission, he becomes confused and disoriented. He attempts to pull out his IV and refuses to wear an O2 mask. Based on his mental status, the priority nursing diagnosis is:
Correct answer
B
Rationale
The client's confusion and attempts to remove medical devices indicate a risk for self-injury, making this the priority nursing diagnosis.