The nurse cares for a female client on the fourth postoperative day after an ileostomy. The client tells the nurse that she feels she must find a new career because of the ileostomy
Which is the best nursing diagnosis for the nurse to use in the client's plan of care? 1. Anxiety related to odors and leakage
2. Deficient knowledge about ileostomies
3. Ineffective coping related to ileostomy
4. Situational depression about body image
1
1. The nurse feels the client is panicking about ostomy odor and leakage; thus, the nurse uses anxiety in the plan of care to help the client to make rational decisions about the future. Suitable goals for this nursing diagnosis include teaching odor-controlling strategies and teaching stoma care to prevent leakage in addition to facilitating relaxation and effective coping mechanisms.
2. Deficient knowledge is a suitable supporting nursing diagnosis for anxiety because increased knowledge is more likely to increase client coping than a knowledge deficit.
3. The client is coping ineffectively because of anxiety; so improving client anxiety can help to enhance client coping.
4. The client does not sound hopeless and is trying to adjust to life with an ileostomy.
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