The nurse is caring for a patient who recently underwent ileal conduit surgery. Which nursing diagnosis is the highest priority for this patient?
a. Ineffective sexuality pattern related to changed body structure
b. Social isolation related to potential for accidental leakage of urine
c. Knowledge deficit related to care and maintenance of ostomy appliance
d. Disturbed body image related to presence of stoma and appliance
ANS: C
The patient with a new ileal conduit needs to learn how to care for the urinary stoma and appliance prior to discharge from the hospital. If the appliance is not used and applied correctly, the patient may experience urinary leakage and significant skin breakdown from exposure to urine. The other diagnoses are less important than the patient's knowledge deficit about ostomy care.
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