The nurse is developing a care plan for a newly delivered mother who had a forceps delivery. Which nursing diagnosis is appropriate for a postpartal mother with lacerations from a forceps delivery?
1. Alteration in Body Image related to scar formation
2. High Risk for Infection related to lochia and decreased perineal and birth canal integrity
3. Alteration in Nutrition: more than body requirements related to increased appetite
4. Self-care Deficit related to poor opportunity for independence
2
Rationale 1: While the mother might have concerns about eventual scar formation, this is not a priority.
Rationale 2: This nursing diagnosis is appropriate for this patient.
Rationale 3: Alteration in Nutrition is not related to the problem of lacerations in the postpartal period.
Rationale 4: Self-care Deficit is not related to the problem of lacerations in the postpartal period.
You might also like to view...
The amount of 1:20 Burow solution needed to make 1 L of 1:40 solution is ______________
a. 500 mL b. 200 mL c. 400 mL d. 100 mL
One outcome of collecting evidence about a phenomenon of interest in a qualitative research study may be what?
a. Triangulation b. Participant cross-checking c. Metasynthesis d. Instrument development
Select all those items from the list below that would be considered mistakes during an interview for a job
a. Smoking b. Arriving 5 minutes early c. Knowing your strengths and weaknesses d. Not asking any questions e. Criticizing your present employer f. Looking the interviewer in the eye
The nursing student is using a data collection tool while researching a client assignment before clinical the next day. In which category should the student document the client's use of oxygen?
1. Medications 2. Biographical data 3. Nursing interventions 4. Physical assessment findings