The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?
Risk for Injury
Altered Tissue Perfusion
Impaired Tissue Integrity
Impaired Skin Integrity
The Correct Answer is D
A stage II pressure ulcer is a wound that involves partial-thickness loss of skin. The most appropriate NANDA nursing diagnosis problem statement for a client with this condition would be Impaired Skin Integrity. This diagnosis reflects the fact that the client's skin has been damaged and is no longer intact. Risk for Injury, Altered Tissue Perfusion, and Impaired Tissue Integrity are also NANDA nursing diagnoses, but they are not as specific or relevant to the client's condition as Impaired Skin Integrity.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Guided imagery is a mind-body therapy that involves using mental images to help reduce stress and promote relaxation. In this case, the client is picturing themselves lying on a beach with the sounds of waves, the cries of seagulls, and the warmth of the sun to help them relax during periods of stress.

Correct Answer is B
Explanation
Clara Barton was a pioneering nurse who is best known for founding the American Red Cross in 1881. She was a hospital nurse during the American Civil War and later worked to provide aid to soldiers and civilians affected by war and natural disasters. In 1881, she established the American Red Cross to provide humanitarian assistance during times of crisis. The organization continues to provide disaster relief and support to this day.

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