A patient has severe watery diarrhea from chemotherapy and is ...

[Diane]

A patient has severe watery diarrhea from chemotherapy and is embarrassed having to be cleaned up frequently. The nurse notes several open areas on the patient's rectal area that cause pain. What nursing diagnosis takes priority?
 
  a. Acute pain
  b. Impaired skin integrity
  c. Ineffective coping
  d. Decreased cardiac output

Question 2

To evaluate an older patient for possible renal failure as a result of chronic untreated hyperten-sion, nurse prepares to
 
  a. schedule an ultrasound.
  b. collect a urine sample.
  c. monitor intake and output.
  d. transport the patient to radiology.

[hanadaa]

Answer to Question 1

B
Physical needs take priority over psychosocial ones. The patient has open areas and impaired skin integrity, but no information shows decreased cardiac output. The pain is related to the impaired skin, so treating that will diminish the pain.

Answer to Question 2

B
A urinalysis will investigate for proteinuria or other signs of renal failure.