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ISPN考试复习一日一练(325)

  The nurse in charge is caring for a postpartum client who had a vaginal delivery with a midline episiotomy. Which nursing diagnosis takes priority for this client?

  A. Risk for deficient fluid volume related to hemorrhage

  B. Risk for infection related to the type of delivery

  C. Pain related to the type of incision

  D. Urinary retention related to periurethral edema

  答案:A.

  Hemorrhage jeopardizes the client’s oxygen supply — the first priority among human physiologic needs. Therefore, the nursing diagnosis of Risk for deficient fluid volume related to hemorrhage takes priority over diagnoses of Risk for infection, Pain, and Urinary retention.

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