A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?

Question

1. Impaired gas exchange, risk for
2. Altered growth and development, risk for
3. Impaired skin integrity, risk for
4. Impaired mobility, risk for

Answer 1

3
Rationale 1: Risk for impaired gas exchange is a late effect of scoliosis and would not be the priority. If the patient is compliant with wearing the brace, the risk should be minimized.
Rationale 2: The diagnosis of altered growth and development would not be the priority and should be corrected by the wearing of the brace.
Rationale 3: The skin should be monitored for breakdown in any area where the brace might rub against the skin.
Rationale 4: The diagnosis of impaired mobility would not be the priority and should be corrected if the patient is compliant with wearing the brace.
Global Rationale: