Which nursing diagnosis is most crucial for a patient diagnosed with chronic obstructive pulmonary disease (COPD)?

Impaired gas exchange is crucial for a patient diagnosed with chronic obstructive pulmonary disease (COPD) because this condition specifically affects the lungs and the ability to exchange oxygen and carbon dioxide efficiently. In COPD, the airways are narrowed, making it difficult for air to flow in and out of the lungs. This can lead to inadequate oxygen reaching the bloodstream and insufficient removal of carbon dioxide.

Recognizing impaired gas exchange as a priority nursing diagnosis allows for focused interventions that address the immediate respiratory needs of the patient. These may include monitoring oxygenation levels, administering supplemental oxygen, and educating the patient on breathing techniques that can facilitate better gas exchange, such as pursed-lip breathing.

While other diagnoses like acute pain, risk for infection, and activity intolerance are important in the overall care of a patient with COPD, they are secondary to the immediate need to ensure adequate oxygenation and ventilation. Addressing impaired gas exchange directly impacts the patient's ability to breathe and their overall health status, making it a primary concern in managing COPD.