A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would be the priority?
A) Impaired skin integrity related to trauma secondary to pruritus and scratching
B) Fluid volume deficit related to increased metabolic demands and insensible losses
C) Social isolation related to infectivity and inability to go to the playroom
D) Deficient knowledge related to how infection is transmitted
Ans: C
Children who are placed on transmission-based precautions are not allowed to leave their rooms and are not allowed to go to common areas such as the playroom or schoolroom. Thus, they are at risk for social isolation. Impaired skin integrity, fluid volume deficit, and deficient knowledge may be appropriate but would depend on the infectious disease diagnosed.
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