[font=optima]i have a case study due and i'm stumped!
question: "pre operatively what are three priority nursing diagnosis for this patient"
the patient, a 5 year old girl with turners syndrome and coarctation of the aorta, is scheduled for an end to end anastomosis.
should my nursing diagnosis reflect the pre-op period itself (example nursing dx include):
deficient knowledge related to preoperative and postoperative events
anxiety related to change in health status
risk for infection and injury related to exposure to nosocomial infection and use of preoperative medication
or should it reflect the signs and symptoms requiring surgery in the first place? (which i have all the aeb and supporting s/s for)
decreased cardiac output related to obstruction of system blood outflow
excess fluid volume related to heart failure and pulmonary vasculature overload
risk for infection related to pulmonary vascular congestion and chronic illness
i can't figure this out. any help or insight would be greatly greatly appreciated!