A patient has just returned to the postsurgical unit from post-anesthetic recovery after breast surgery for removal of a malignancy. What is the most likely major nursing diagnosis to include in this patient's immediate plan of care?
A) Acute pain related to tissue manipulation and incision
B) Ineffective coping related to surgery
C) Risk for trauma related to post-surgical injury
D) Chronic sorrow related to change in body image
Ans: A
Feedback:
Although many patients experience minimal pain, it is still important to assess for this postsurgical complication. Sorrow and ineffective coping are possible, but neither is likely to be evident in the immediate postoperative period. There is minimal risk of trauma.
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