In nursing diagnosis, which related factor would the nurse attach?

In nursing diagnosis, which related factor would the nurse attach?

• A. Trauma of incision
• B. Hypertension
• C. Infection
• D. Pain

Answer: (A)

In nursing diagnoses, the related factor is what is contributing to or underlying the patient’s problem and is something the nurse can address. For a postoperative wound, the incision’s trauma describes the direct disruption to tissue integrity that creates risk for impaired healing and infection. It ties the problem to a tangible cause the care plan can target, such as preventing further tissue damage, ensuring proper wound care, and maintaining asepsis. Hypertension is a separate medical condition not specifically linking to the wound problem in the diagnostic context. Infection is the actual problem or outcome you’re concerned about, not the contributing cause. Pain, while an important symptom, is typically a defining characteristic or evidence of the problem rather than the related factor that explains why the problem exists.

In nursing diagnoses, the related factor is what is contributing to or underlying the patient’s problem and is something the nurse can address. For a postoperative wound, the incision’s trauma describes the direct disruption to tissue integrity that creates risk for impaired healing and infection. It ties the problem to a tangible cause the care plan can target, such as preventing further tissue damage, ensuring proper wound care, and maintaining asepsis.

Hypertension is a separate medical condition not specifically linking to the wound problem in the diagnostic context. Infection is the actual problem or outcome you’re concerned about, not the contributing cause. Pain, while an important symptom, is typically a defining characteristic or evidence of the problem rather than the related factor that explains why the problem exists.