What would be a priority nursing diagnosis for a patient being treated for colon cancer?
A) Risk for ineffective therapeutic regimen management related to knowledge deficit concerning the diagnosis, the surgical procedure, and self-care before discharge
B) Imbalanced nutrition, more than body requirements, related to nausea and anorexia
C) Risk for excess fluid volume related to vomiting and dehydration
D) Ineffective sexuality patterns related to presence of ostomy and changes in body image and self-concept
Ans: D
Feedback: Based on the assessment data, the major nursing diagnoses may include the following: Imbalanced nutrition, less than body requirements, related to nausea and anorexia; Risk for deficient fluid volume related to vomiting and dehydration; Anxiety related to impending surgery and the diagnosis of cancer; Risk for ineffective therapeutic regimen management related to knowledge deficit concerning the diagnosis, the surgical procedure, and self-care after discharge; Impaired skin integrity related to the surgical incisions (abdominal and perianal), the formation of a stoma, and frequent fecal contamination of peristomal skin; Disturbed body image related to colostomy; and Ineffective sexuality patterns related to presence of ostomy and changes in body image and self-concept.
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