Question

The nurse is developing a plan of care for a client with a newly created ileostomy. The priority nursing diagnosis for this client is:

Risk for deficient fluid volume related to excessive fluid loss from ostomy
Disturbed body image related to presence of ostomy
Risk for impaired skin integrity related to irritation from ostomy appliance
Deficient knowledge of ostomy care related to unfamiliarity with information resources

Answer 1

The primary nursing diagnosis for a client with a new ileostomy is 'Risk for deficient fluid volume' due to potential excessive fluid loss through the ostomy, necessitating careful monitoring of hydration status.

Step-by-step explanation:

Prioritizing Nursing Diagnoses for an Ileostomy Patient

The priority nursing diagnosis for a client with a newly created ileostomy is Risk for deficient fluid volume related to excessive fluid loss from the ostomy. An ileostomy allows the watery chyme from the distal ileum to be expelled through the abdominal wall and collected in an adhesive appliance. This procedure can result in a significant loss of fluids and electrolytes and places the patient at a heightened risk for dehydration and electrolyte imbalance. Therefore, the nurse must monitor the client's fluid status closely, including intake and output, to ensure adequate hydration and prevent complications.

Other important nursing diagnoses for an ileostomy patient include Disturbed body image related to the presence of the ostomy, Risk for impaired skin integrity related to irritation from the ostomy appliance, and Deficient knowledge of ostomy care related to unfamiliarity with information resources. Education and emotional support are crucial for these patients as they adjust to the changes in their body and learn how to manage their ostomy.