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.
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Related Questions
Correct Answer is C
Explanation
Based on the comment made by the nurse manager during the staff meeting, this leader can be best identified as a laissez-faire leader. A laissez-faire leader is one who takes a hands-off approach to leadership and allows group members to make their own decisions and determine their own course of action. In this case, the nurse manager is allowing the staff to come to their own decision regarding staff assignments and is not actively directing or guiding the decision-making process.
Correct Answer is A
Explanation
Primary prevention refers to actions taken to prevent the occurrence of a disease or condition. In this case, the nurse is educating women on the need for calcium to prevent bone loss, which is an example of primary prevention. By providing information on how to maintain strong bones and prevent bone loss, the nurse is helping to reduce the risk of conditions such as osteoporosis.
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