What nursing diagnosis could I choose?

allnurses Guide · Mar 9, 2010

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

BurmaCharm · Mar 29, 2010

Thank you very much!

AggieNurse99, BSN, RN · Mar 30, 2010

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?

Carrie_MTC · Mar 30, 2010

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.

BurmaCharm · Mar 31, 2010

Great site. Thank you! They have an NCLEX test practice also.

SandGram · Mar 31, 2010

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..

BurmaCharm · Apr 1, 2010

His lungs were clear and no problems with respiration. He had an abdominal pain and constipation.

Thank you.