The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for HSCT. What is a priority nursing diagnosis for this patient?
A) Fatigue related to altered metabolic processes
B) Altered nutrition: less than body requirements related to anorexia
C) Risk for infection related to altered immunologic response
D) Body image disturbance related to weight loss and anorexia
Ans: C
Feedback:
A priority nursing diagnosis for this patient is risk for infection related to altered immunologic response. Because the patient's immunity is suppressed, he or she will be at a high risk for infection. The other listed nursing diagnoses are valid, but they are not as high a priority as is risk for infection.
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