The patient has returned from the postanesthesia care unit (PACU) to the step-down unit after a unilateral nephrectomy related to cancer. The nurse is developing a care plan for this patient
What is the priority nursing diagnosis for the patient following a nephrectomy (kidney surgery)?
A) Ineffective breathing pattern related to the surgical incision
B) Acute pain related to abdominal distension and the surgical incision
C) Urine retention related to anesthesia
D) Anxiety related to fear of kidney failure
Ans: A
Feedback: The priority nursing diagnosis is ineffective breathing pattern related to the surgical incision. While management of pain and assessing urine output are important, the priority is assessing the patient's respiratory status and oxygenation. The patient will not likely exhibit anxiety in the immediate postoperative phase due to the presence of anesthesia.
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