What nursing diagnosis could I choose?

  1. Hello everyone!
    My Pt. is recovering after laproscopic surgery, renal cancer removal. What nursing diagnosis could I choose? I have to choose the most important problem. I came up with the following problems:
    Impaired skin integrity
    Constipation
    Activity Intolerance

    Please help!!! Thank you very much!
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  2. 7 Comments

  3. by   not.done.yet
    pain r/t nephrectomy
    Altered urinary elimination r/t nephrostomy tube, ureteral catheter and surgical intervention
    Risk for fluid volume deficit r/t hypovolemia or hemorrhage
    risk for infection r/t surgical incision/presence of tubes, catheters
    Dysfunctional grieving r/t loss of body organ
  4. by   BurmaCharm
    Thank you very much!
  5. by   AggieNurse99
    To come up with a nursing diagnosis, you must assess the pt first. ADPIE!
    What problems were found in your assessment? I'm sorry if I sound short, but really, is a pt with renal cancer's biggest problem impaired skin integrity - laparoscopic incision sites closed usually with dermabond or steristrips?
  6. by   Carrie_MTC
    When your trying to come up with the priority diagnosis start with your ABCs, if you can't think of any that pertain to this patient then things like infection would come next. Skin integrity might be a nursing diagnosis for this patient, but if the patient has impaired circulation or an infection it is not the priority. If you don't already have a careplan book, pick one up they are really helpful. This site helps too www.danibanani.wordpress.com on the right side there is links for careplan creators.
  7. by   BurmaCharm
    Great site. Thank you! They have an NCLEX test practice also.
  8. by   SandGram
    I agree, you have to assess them first...ADPIE! then prioritize using maslow. airway, breathing, circulation, pain., etc. (think simple, lung sounds are? clear? resp rate, depth, (airway, breathing) and so on..
  9. by   BurmaCharm
    His lungs were clear and no problems with respiration. He had an abdominal pain and constipation.
    Thank you.

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