Pertanyaan
Ny.I (31th) dibawake RS karena terdapat benjolan pada leher, pasien mengeluh sudah seminggusebelum masuk RStidaknapsu makan, serta 3 hari yang lalu mulai diare danteraa nyeri padararealeher. TD120/90mmHg,HR100x/menit. suhu 36C, RR20x/menit. Pemeriksaan fisik didapatkan adanya pembesaran pada kelenjar tiroid, mukosa bibir pucat.diare, nyeri leher skala 2, kerontokan rambut. Diagnosa keperawatan utama pada kasus diatas adalah Defisit nutrisi berhubungan dengan peningkatan kebutuhan metabolisme Intoleransi aktivitas berhubungan dengan kleelmahan Keletihan berhubungan dengan kondisi fisiologis Resiko defisit nutrisi Nyeri akut berhubungan dengan agen pencedera fisiologis
Jawaban
Penjelasan: Gejala utama yang paling menonjol dan memerlukan penanganan segera adalah nyeri leher (skala 2) yang berhubungan langsung dengan pembesaran kelenjar tiroid. Meskipun gejala lain ada, nyeri merupakan masalah utama yang perlu diatasi.
Pertanyaan Panas
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