Constipation due to insufficient fiber intake is prioritized as the number one problem because it is an actual issue being experienced by the client that interferes with their normal bowel elimination pattern. The risk for injury due to muscle weakness and hypotension from hypokalemia is ranked second as it represents a potential problem that could lead to further harm for the patient if not addressed.
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Prioritization
Constipation due to insufficient fiber intake is prioritized as the number one problem because it is an actual issue being experienced by the client that interferes with their normal bowel elimination pattern. The risk for injury due to muscle weakness and hypotension from hypokalemia is ranked second as it represents a potential problem that could lead to further harm for the patient if not addressed.
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PRIORITIZATION
NURSING RANK CUES JUSTIFICATION
PROBLEM IDENTIFIED Constipation 1 Subjective: This problem is r/t insufficient The client prioritized first fiber intake verbalizes, because it is an “meron naming actual problem mga prutas sa and should be amin pero di given concern as ako ganun it interferes with kadalas kumain. the normal May saging elimination naman pero pattern of the minsan lang client. ako kung kumaen noon. Minsan kasi di swak sa panlasa ko yun.” “Hirap din ako dumumi minsan. Sa isang lingo eh mga 2 hanggang tatlong beses lang ako magbawas.” Risk for injury 2 It is ranked r/t muscle second since it weakness and is a potential hypotension problem and this secondary to places the hypokalemia patient to further harm.