A home care nurse is caring for a middle-aged client with fecal incontinence. The client states that her friends recently came to visit her, but the client was reluctant to meet them because of her problem
Which of the following nursing diagnoses should the nurse identify? A) Risk for infection
B) Situational low self-esteem
C) Diarrhea
D) Spiritual distress
B
Feedback:
The nurse should diagnose the client with situational low self-esteem since the client's fecal incontinence has impacted her social life and identity. Diarrhea does not necessarily accompany fecal incontinence. The risk of infection is significant, but not paramount. The client's reluctance is not necessarily associated with spiritual distress.
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