A client has been prescribed immunosuppressant medication. Which nursing diagnoses would the nurse include in this client's care plan?

Question

Standard Text: Select all that apply.
1. Social Isolation
2. Infection, Risk for
3. Nutrition, Imbalanced: Less than Body Requirements
4. Gas Exchange, Impaired
5. Caregiver Role Strain

Answer 1

Correct Answer: 1,2
Rationale 1: Social isolation may occur because the client must avoid crowds and people who are ill or have been exposed to illness.
Rationale 2: Because the action of the medication is to suppress immune response, this client has a higher risk of infection.
Rationale 3: There is no evidence that immunosuppressive medications cause loss of appetite and decreased intake.
Rationale 4: Immunosuppressive therapy does not affect gas exchange.
Rationale 5: There is nothing in the scenario that supports the diagnosis of Caregiver Role Strain.
Global Rationale: Potential nursing diagnoses include Anxiety or Fear, Ineffective Family Therapeutic Regimen Management, Social Isolation, Deficient Knowledge (Drug Therapy), Risk for Infection, related to drug treatment, and Risk for Injury, related to adverse drug effects. There is no evidence that immunosuppressive medications cause loss of appetite and decreased intake. Immunosuppressive therapy does not affect gas exchange. There is nothing in the scenario that supports the diagnosis of Caregiver Role Strain.