An infant is born with exstrophy of the bladder but otherwise appears healthy. Which nursing diagnosis is the priority for this infant?
A.
Altered family processes
B.
Fluid volume deficit
C.
Hypothermia
D.
Risk for infection
ANS: D
In this condition, the bladder is open on the abdominal wall, and priority interventions revolve around preventing infection. There is no indication that the child has fluid volume deficit or hypothermia. Altered family processes might be a diagnosis, but physical diagnoses take priority over psychosocial ones.
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