Hi- I am having a hard time deciding which diagnosis to use for this patient. I believe it's Risk for Ineffective Respiratory Function but I'm not 100% committed. Here's the info: 82 year old male patient admitted to an acutre care facility for shortness of breath and an elevated temperature of 101 for 3 days. He responds slowly but appropriately to all questions. His skin is warm, dry, thin, and flaky. Skin turgor greater than 3 seconds. Capillary refill is greater than 3 seconds. Respirations are short and shallow, lung sounds with bilateral crackles, and pulse ox of 92%. Bilateral lower extremities with 1+ pitting edema. Toenails yellowish, thick. He states the food is very bland and he eats 50% of all his meals. Last BM this a.m. was moderate amount of formed hard stool. vital signs upon admission: T.101 F, P. 84, RR 24, B/P 160/80. We were told to only have one diagnosis, so, obviously I am searching for the main diagnosis. I'm concerned that my book says that this is not on the NANDA list. I've reviewed Ineffective Airway Clearance, Ineffective Breathing Patterns, and Decreased Cardiac Output and didn't feel like they were related enough to this case. Thanks for your help!!!