The nurse is caring for an infant who is scheduled for surgery for pyloric stenosis. When planning the infant's care, which nursing diagnoses are appropriate? Select all that apply.
A)Deficient Fluid Volume related to inadequate intake and vomiting
B)Hyperbilirubinemia related to poor liver function
C)Sleep Pattern Disturbance related to discomfort and hunger
D)Parental Anxiety related to surgery
E)Imbalanced Nutrition: Less than Body Requirements related to inadequate intake and vomiting

Question

Quizplus · Accepted Answer

A)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
B)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
C)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
D)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.
E)Appropriate nursing diagnoses to include in the infant's plan of care include Deficient Fluid Volume due to poor intake and vomiting; Sleep Pattern Disturbance related to the discomfort and hunger; Parental Anxiety related to the need for surgical correction; and Imbalanced Nutrition: Less than Body Requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.

The Nurse Is Caring for an Infant Who Is Scheduled