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 A
Explanation
All of the options listed (Willing to learn from clients, Motivated to provide to the best of her abilities, Aware of how beliefs and values influence others, Accepting responsibility for one's actions, and advocating for all clients) are attributes of a professional nurse. A professional nurse should be willing to learn from their clients and be motivated to provide the best care possible. They should also be aware of how their beliefs and values can influence others and accept responsibility for their actions. Additionally, a professional nurse should advocate for all clients.

Correct Answer is C
Explanation
The Agent-Host-Environment Model is a model of health promotion and illness prevention that focuses on the interaction between an infectious agent, the host (the person who is infected), and the environment in which the infection occurs. In this case, the agent is Clostridium difficile, the host is the elderly resident, and the environment is the long-term care facility where the outbreak occurred. The prescription of metronidazole (Flagyl) by the resident's primary care provider is an example of an intervention ai
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