An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which is the most appropriate nursing diagnosis for the adolescent?
1. Impaired social interaction related to hospitalization and separation from peers
2. Delayed growth and development related to prolonged hospitalization and life-threatening condition
3. Powerlessness (moderate) related to inability to speak to or communicate
4. Potential for imbalanced nutrition, more than body requirements related to inactivity
3
Rationale 1: Although the adolescent will have difficulty with social interaction, that is not the primary concern at this time.
Rationale 2: There may be issues related to growth and development, but they are not the primary concerns at this time.
Rationale 3: The adolescent values communication and might feel frustrated that he cannot speak and make his wishes known while intubated.
Rationale 4: The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.
Global Rationale:
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