49. A client with an exacerbation of chronic obstructive pulmonary disease (COPD) is admitted to the hospital. Which nursing diagnosis requires the nurse to collaborate with other health care members to achieve the best outcome for the client? a. Activity intolerance b. Impaired gas exchange c. Imbalanced nutrition: less than body requirements d. Impaired skin integrity {Ans: Answer: B Rationale: Impaired gas exchange requires collaboration between the nurse, physician and respiratory therapist to help achieve the best respiratory outcome for the client. Medications, oxygen, nebulizer treatment, and arterial blood gas analyses all required a physician's order. The respiratory therapist administers oxygen and nebulizer treatments. The nurse assesses the client's response to medications and respiratory treatments and provides feedback to the physician and respiratory therapist. The other nursing diagnoses (when applied to the client with COPD) don't require collaboration with other health team members. These interventions include skin care, pacing nursing cares to promote rest and minimize fatigue, and providing small, frequent meals.}23. An obese, postoperative patient experiencing sudden sharp stabbing chest pain is breathless and highly anxious. Which nursing intervention is of most immediate priority? a. Stay with the patient and try to calm him or her b. Apply