The nurse on a bone marrow transplant unit is caring for a patient with cancer who is preparing for engraphment for a bone marrow transplant. What is a priority nursing diagnosis for this patient?
A) Fatigue and activity intolerance
B) Altered nutrition: less than body requirements due 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. Options A, B, and D all are valid nursing diagnoses, but they are not as much of a priority as is risk for infection.
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