A client who is at 12 weeks' gestation is experiencing nausea, breast tenderness, and fatigue. She tells the nurse her husband is upset with her constant complaints
Which of the following nursing diagnoses would be of the highest priority for the client at this time? 1. Fatigue
2. Nausea
3. Ineffective Breastfeeding
4. Dysfunctional Family Processes
2. Nausea
Rationale:
Of the three physiological complaints, the one that has the highest priority is nausea because it could directly impact the developing fetus. Breast tenderness does not mean that the client will experience ineffective breastfeeding. Fatigue is a common symptom of pregnancy and would not negatively impact the developing fetus. The husband being upset with the client's complaints does not necessarily mean that she and her husband have dysfunctional family processes.
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