PRIORITIZED NURSING RANK
DIAGNOSES
Ineffective airway
clearance related to
excessive secretion as
evidenced by stuffy nose,
nasal flaring and use of
accessory muscle
Risk for infection related
to decrease wbc as
evidenced by decreased
wbc count.
Risk for injury related to
physical hazzards
Risk for delayed
development related to
learning disability
Readiness for enhanced
nutrition
RATIONALE
According to Maslow’s
hierarchy of need, air is
essential to survive.
This is the first nursing
nursing diagnosis
1 because this is an
immediate intervention
which requires attention
to prevent any
complications that may
occur on the patient.
According to Maslow’s
hierarchy of needs,
safety and security are
2 needed for survival.
This one’s prioritized
because this one’s also
requires attention
because the client is at
high risk of acquiring
infection therefore it
needs immediate
attention.
According to Virginia
Hendreson, one of the
fundamental needs to
3 attain a whole, complete
and independent being is
to avoid danger. The
client is prone for injury
because he always plays
outside and around
outside the house and
the street.
According to Sister
Callista Roy’s adaptation
model, health is a state
and a process of
4 developing and becoming
an integrated and whole
person. The client is
prone to delayed
development because of
inadequate care taking.
According to Maslow’s
hierarchy of needs, food
is crucial for survival. The
patient needs further
5 information about the
ideal nutrition suitable for
his age.