What is the primary nursing diagnosis for a patient taking phenothiazines?

The primary nursing diagnosis for a patient taking phenothiazines is focused on the risk for injury due to the potential side effects associated with these medications. Phenothiazines, which are typically used to manage psychotic disorders and severe anxiety, can cause sedation, confusion, and motor skill impairment. These effects increase the likelihood of falls or other accidents, making it essential for nurses to closely monitor patients for signs of sedation and any disturbance in their level of consciousness.

In this context, the risk for injury encompasses concerns about both physical safety and the ability to perform daily activities without harm. This diagnosis can prompt the nursing team to implement safety measures, such as ensuring the patient has assistance when ambulating or is closely monitored when engaging in activities that could lead to falls.

Addressing other nursing diagnoses related to skin integrity, social isolation, or ineffective coping may also be important but are secondary to the immediate risk of injury associated with the pharmacologic effects of phenothiazines, which can compromise the patient's safety.