The nurse is preparing a care plan for a client about to undergo surgery. Which nursing diagnosis would take priority during the intraoperative phase of surgery?
1. Ineffective Protection
2. Risk for Aspiration
3. Impaired Skin Integrity
4. Risk for Falls
Correct Answer: 2
Rationale 1: Although appropriate for a client having surgery, the nurse should prioritize care according to the ABCs or airway, breathing, circulation when planning care.
Rationale 2: This is the priority nursing diagnosis for the client having surgery. The Risk for Aspiration would impact the client's airway and breathing.
Rationale 3: Although appropriate for a client having surgery, the nurse should prioritize care according to the ABCs or airway, breathing, circulation when planning care.
Rationale 4: This nursing diagnosis is not appropriate during the intraoperative phase of care.
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