A student nurse is preparing a plan of care for a patient with chronic pancreatitis. What nursing diagnosis related to the care of a patient with chronic pancreatitis with drainage through the skin and abdominal wall is a priority?
A) Disturbed body image
B) Impaired skin integrity
C) Nausea
D) Risk for deficient fluid volume
Ans: B
Feedback: While each of the diagnoses may be applicable to a patient with pancreatitic drainage, the priority nursing diagnosis is: Impaired skin integrity. The drainage is often perfuse and destructive to tissue because of the enzyme contents. Nursing measures must focus on steps to protect the skin near the drainage site from excoriation. The application of ointments or the use of a suction apparatus protect the skin from excoriation.
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