The nurse is developing a plan of care for a female patient who expresses loss of interest in sexual intimacy with her husband following a mastectomy several months ago. What nursing diagnosis would be most appropriate for this patient?
a. Ineffective sexuality patterns
b. Sexual Dysfunction
c. Activity Intolerance and Fatigue
d. Disturbed Body Image
D
The patient's lack of sexual intimacy resulted following the mastectomy, so the most likely cause is the change in body image. Disturbed Body Image would be the most appropriate nursing diagnosis for this patient. If interventions help improve her body image, the sexual issues may resolve themselves. Although this patient is displaying an ineffective sexuality pattern, this is not the most appropriate diagnosis for this patient because it does not address the root cause of the problem the patient is experiencing; it is an etiology of the main problem. The choice of Sexual Dysfunction would not be wrong; however, it is not the best choice for this patient because it does not address the primary cause (or etiology) of the patient's change in sexual intimacy. There are no data cues in the item to indicate that this patient is experiencing activity intolerance or fatigue.
You might also like to view...
When considering the various routes of drug elimination, the nurse is aware that elimination occurs mainly by which routes?
A. Renal tubules and skin B. skin and lungs C. bowel and renal tubules D. lungs and gastrointestinal tract
Which pediatric client will the community health nurse assess first?
1. A 6-year-old who is wheezing and short of breath. 2. A 2-year-old who has been pulling at his ear. 3. A 2-month-old with a 2-day history of diarrhea. 4. A 10-year-old with a sore throat and low-grade fever.
An elderly patient with a history of congestive heart failure has been admitted to hospital with failure to thrive and admission blood work reveals a hemoglobin level of 6.9 g/dL
The care team has consequently administered two units of packed red blood cells, but auscultation of the client's lungs now reveals diffuse crackles. Administration of what drug is likely to resolve the patient's pulmonary edema? A) Furosemide B) Hydrochlorothiazide C) Mannitol D) Triamterene
A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic hyperosmolar syndrome (HHS). In what patient population does hyperosmolar nonketotic syndrome most often occur?
A) Patients who are obese and who have no known history of diabetes B) Patients with type 1 diabetes and poor dietary control C) Adolescents with type 2 diabetes and sporadic use of antihyperglycemics D) Middle-aged or older people with either type 2 diabetes or no known history of diabetes