A child with a myelomeningocele corrected at birth is now 5 years old. What is a priority nursing diagnosis for a child with corrected spina bifida at this age?
1. Risk for infection
2. Risk for impaired tissue perfusion—cranial
3. Risk for altered urinary elimination
4. Risk for altered comfort
3
Rationale:
1. Risk for infection is not a problem once surgery to close the defect has been performed.
2. Risk for impaired tissue perfusion is not a problem once surgery to close the defect has been performed.
3. A child with spina bifida will continue to have a risk for altered urinary elimination because the bowel and bladder sphincter controls are affected. Urinary retention is a problem, so bladder interventions are initiated early to prevent kidney damage.
4. Risk for altered comfort is not a problem once surgery to close the defect has been performed.
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