Which nursing diagnosis identified on a patient's nursing care plan has the highest priority during oxytocin administration?
a. Fear related to unknown outcome
b. Potential for altered uterine tissue perfusion related to uterine contractions
c. Pain related to uterine contractions
d. Knowledge deficit related to the use of oxytocin during labor
ANS: B
Although all nursing diagnoses are applicable in this situation, the potential for altered uterine tissue perfusion is the highest priority. During oxytocin administration, the nurse must carefully monitor frequency, duration, and intensity of uterine contractions because overstimulation can cause decreased uterine perfusion, jeopardizing fetal oxygenation.
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In the last step of data analysis, what would the nurse develop?
A) Community health needs B) Community nursing diagnosis C) Patterns of health responses D) Trends in health care use