A child has been admitted with Kawasaki disease and is started on aspirin and warfarin (Coumadin).For which nursing diagnosis does the nurse plan interventions as the priority?
A) Acute pain related to mouth redness and cracked lips
B) Altered body image related to peeling skin rash
C) Altered nutrition: less than body requirements
D) Risk for bleeding related to medication effects

Question

Quizplus · Accepted Answer

Actual nursing diagnoses take priority over "risk for" diagnoses when the actual diagnoses exist.There is no information in the stem to show that the child has impaired mucous membranes leading to pain,an altered body image related to rash,or altered nutrition,although all of these are possible for this child.Risk for injury is the priority because the child is taking two medications that alter coagulation,and for patient safety,this is a critical diagnosis.

A Child Has Been Admitted with Kawasaki Disease and Is