An adolescent with cystic fibrosis is intubated with an endotracheal tube. Which nursing diagnosis is most appropriate for this adolescent?

1. Potential for Imbalanced Nutrition, More Than Body Requirements Related to Inactivity
2. Anxiety Related to Leaving Chores Undone at Home
3. Potential for Fear of Future Pain Related to Medical Procedures
4. Powerlessness (Moderate) Related to Inability to Speak to or Communicate with Friends


Correct Answer: 4
Rationale: The adolescent values communication with peers and may feel frustrated that he cannot speak to them while intubated. The adolescent is present-oriented and is unlikely to worry about household chores or future unknown procedures. The adolescent with cystic fibrosis is likely to be underweight and is unlikely to take in more calories than needed while intubated.

Nursing

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Nursing

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