Which nursing diagnosis has the highest priority for the infant with a congenital diaphragmatic hernia?
a. Risk for infection related to the immature immune system
b. Imbalanced nutrition: less than body requirements related to NPO status
c. Acute pain related to procedures and treat-ments
d. Ineffective breathing pattern related to structural anomaly
D
The nursing diagnosis with the highest priority for the infant with a congenital diaphragmatic hernia is ineffective breathing pattern related to structural anomaly. A diaphragmatic hernia causes an ineffective breathing pattern, because it allows the abdominal organs to be displaced into the left side of the chest, decreasing lung capacity.
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