Nursing diagnosis question

[EMTPRNDR]

i took a quiz that said activity intolerance has a higher priority over Nutrition imbalance and Innefective Breathing patter. could some explain to me please this logic!!!

[krisiepoo]

r/t what?

[classicdame, MSN, EdD]

not enough info to make a good reply, but if a person cannot be active it will not affect nutrition. We can feed them artifically if needed. Breathing --- whole other question

[Esme12, ASN, BSN, RN]

what was the question...it is i,possible to answer it like this.

[nurseprnRN, BSN, RN]

If all the question is asking is to rank those three (activity intolerance, nutrition imbalance, ineffective breathing pattern), it's not a question with an answer. NO nursing diagnosis exists in a vacuum; no nursing diagnosis is one-size-fits-all. EVERY nursing diagnosis must be applied after assessment of the particular patient's presentation.

(There is no such thing as "nutrition imbalance." There are "imbalanced nutrition, more than body requirements" and "imbalanced nutrition, less than body requirements.")

Examples:

1) Your patient is a 13-month-old baby with an acute asthma exacerbation. He is a little pudgy for his age and when he's not fighting for breath has activity normal for age. His nursing diagnosis priorities, in order, are likely to be: ineffective breathing, activity intolerance (because he's short of breath), and imbalanced nutrition, more than body requirements.

2) Your patient is a 13-month-old baby with marasmus (look it up). His resps are shallow, he is weak and flaccid. His priorities are likely to be imbalanced nutrition, less than body requirements, activity intolerance, ineffective breathing pattern

3) Your patient is a 13-month-old baby with mitochondrial disease (look it up). He is a little thin; his resp rate and sats are normal for age. His priorities are likely to be activity intolerance, imbalanced nutrition, less than body requirements, ineffective breathing pattern.

[AlmostNurseJ]

I would need more information on what the question was asking. Maybe the reason it said activity intolerance has a higher priority because that one nursing diagnosis usually relates to the other two. For example, a person that has activity intolerance probably has risk for imbalanced nutrition:more than body requirements because they are not burning off all the calories they are eating. Additionally, a person with an ineffective breathing pattern usually goes along with activity intolerance.