The nurse is writing a plan of care for a patient who has just returned from the PACU following surgery for urinary diversion. What would be a major postoperative nursing diagnosis following surgery for urinary diversion?
A) Potential for sexual dysfunction related to structural and physiologic alterations
B) Deficient knowledge about management bowel function
C) Acute pain related to ureteral obstruction.
D) Disturbed body image related to perceived rejection of significant other
Ans: A
Feedback: Based on the assessment data, the major postoperative nursing diagnoses for the patient following urinary diversion surgery may include the following: Risk for impaired skin integrity related to problems in managing the urine collection appliance; Acute pain related to surgical incision; Disturbed body image related to urinary diversion; Potential for sexual dysfunction related to structural and physiologic alterations; Deficient knowledge about management of urinary function. Therefore options B, C, and D are incorrect.
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