A nurse is caring for a client postoperatively following creation of a colostomy. Which of the following nursing diagnoses should the nurse include in the plan of care?
1. Sexual dysfunction
2. Disturbed body image
3. Fear
4. Imbalanced nutrition: more than body requirements
2
Rationale: Disturbed body image relates to loss of bowel control, the presence of a stoma, the release of fecal material onto the abdomen, the passage of flatus, odor, and the need for an appliance (external pouch). There are no data in the question to support "sexual dysfunction" and "fear." A risk for "imbalanced nutrition: less than body requirements" is the more likely nursing diagnosis.
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