A client who gave birth to her first child 12 hours ago has the following assessment findings: nausea for 2 hours; boggy fundus that firmed with massage; moderately heavy lochia rubra; ecchymotic and edematous perineum; and pain rating of 6 on a scale of 0-10. The client's partner is present and supportive. Breastfeeding has been successful three times. Based on this data, which is the priority nursing diagnosis?

Question

Quizplus · Accepted Answer

A)The client has a pain level of 6, so treating pain is a high priority for this client. Pain could contribute to nausea and a decreased desire to drink fluids, so treating the pain could decrease the risk for deficient fluid volume. Actual diagnoses, such as Acute Pain, are almost always higher priority than Risk diagnoses. Although the nursing diagnoses of Readiness for Enhanced Family Coping and Deficient Knowledge fit, they are a lower priority than treating pain.
B)The client has a pain level of 6, so treating pain is a high priority for this client. Pain could contribute to nausea and a decreased desire to drink fluids, so treating the pain could decrease the risk for deficient fluid volume. Actual diagnoses, such as Acute Pain, are almost always higher priority than Risk diagnoses. Although the nursing diagnoses of Readiness for Enhanced Family Coping and Deficient Knowledge fit, they are a lower priority than treating pain.
C)The client has a pain level of 6, so treating pain is a high priority for this client. Pain could contribute to nausea and a decreased desire to drink fluids, so treating the pain could decrease the risk for deficient fluid volume. Actual diagnoses, such as Acute Pain, are almost always higher priority than Risk diagnoses. Although the nursing diagnoses of Readiness for Enhanced Family Coping and Deficient Knowledge fit, they are a lower priority than treating pain.
D)The client has a pain level of 6, so treating pain is a high priority for this client. Pain could contribute to nausea and a decreased desire to drink fluids, so treating the pain could decrease the risk for deficient fluid volume. Actual diagnoses, such as Acute Pain, are almost always higher priority than Risk diagnoses. Although the nursing diagnoses of Readiness for Enhanced Family Coping and Deficient Knowledge fit, they are a lower priority than treating pain.

A Client Who Gave Birth to Her First Child 12