When creating plans of nursing care for patients who are undergoing surgery using general anesthetic, what nursing diagnoses should the nurse identify? Select all that apply
A) Disturbed sensory perception related to anesthetic
B) Risk for impaired nutrition: less than body requirements related to anesthesia
C) Risk of latex allergy response related to surgical exposure
D) Disturbed body image related to anesthesia
E) Anxiety related to surgical concerns
Ans: A, C, E
Feedback:
Based on the assessment data, some major nursing diagnoses may include the following: anxiety related to surgical or environmental concerns, risk of latex allergy response due to possible exposure to latex in the OR environment, risk for perioperative positioning injury related to positioning in the OR, risk for injury related to anesthesia and surgical procedure, or disturbed sensory perception (global) related to general anesthesia or sedation. Malnutrition and disturbed body image are much less likely.
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