An adolescent with cystic fibrosis is intubated with an endotracheal tube. The most appropriate nursing diagnosis is:
1. Potential for Imbalanced Nutrition, More Than Body Requirements related to inactivity.
2. Anxiety related to leaving chores undone at home.
3. Potential for Fear of Future Pain related to medical procedures.
4. Powerlessness (Moderate) related to inability to speak to or communicate with friends.
4
Rationale:
1. The adolescent with cystic fibrosis is likely to be underweight, and is unlikely to take in more calories than needed while intubated.
2. The adolescent is present-, not future-, oriented, and is unlikely to worry about household chores.
3. The adolescent will more affected by powerlessness related to inability to speak, then fear of the unknown. Fear of the unknown is more common in younger children.
4. The adolescent values communication with peers, and might feel frustrated that he cannot speak to them while intubated.
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