Which of the following are appropriate nursing diagnoses for an 80-year-old woman following a bilateral mastectomy for stage IV breast cancer?
Explanation
• All of these are appropriate nursing diagnoses for a woman after a mastectomy. The surgical incisions result in impaired skin integrity. These wounds then place the patient at risk for infection.
• Women of all ages experience disturbed body image after surgical removal of their breasts. This puts the patient at risk for situational low self-esteem. The nurse should also assess the patient's support system and coping strategies to ensure that the patient receives any necessary psychological support after surgery.
• There is no indication that this patient is currently at risk for imbalanced nutrition (less than body r