PRIORITIZATION
NURSING PROBLEM IDENTIFIED Constipation r/t insufficient fiber intake
RANK
CUES
JUSTIFICATION
1
Subjective: The client verbalizes, “meron naming mga prutas sa amin pero di ako ganun kadalas kumain. May saging naman pero minsan lang 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.”
This problem is prioritized first because it is an actual problem and should be given concern as it interferes with the normal elimination pattern of the client.
Risk for injury r/t muscle weakness and hypotension secondary to hypokalemia
2
It is ranked second since it is a potential problem and this places the patient to further harm.