Asked by Destiny Burks on Jun 04, 2024
Verified
A man was involved in a motor vehicle accident yesterday.He is to be sedated for more than 2 weeks while breathing with the assistance of a mechanical ventilator.Which of the following would be an appropriate nursing diagnosis for him at this time?
A) Risk for Infection related to subcutaneous injuries
B) Risk for Impaired Skin Integrity related to immobility
C) Impaired Tissue Integrity related to ventilator dependency
D) Impaired Skin Integrity related to ventilator dependency
Mechanical Ventilator
A machine that supports or substitutes for a person’s breathing by moving air into and out of the lungs.
Sedated
A state in which a patient is made calm or less anxious through the administration of sedative drugs.
Nursing Diagnosis
A clinical judgment based on a comprehensive nursing assessment of physical, psychological, and social aspects of a patient's condition.
- Formulate nursing diagnoses and care strategies for patients with impaired skin integrity.
Verified Answer
RG
Ralph GarciaJun 11, 2024
Final Answer :
B
Explanation :
This patient is at Risk for Impaired Skin Integrity because he is being kept in a sedated state.Thus,he is unable to turn himself to relieve pressure.There is no mention of subcutaneous injuries,ruling out Risk for Infection related to subcutaneous injuries.Impaired Tissue Integrity and Impaired Skin Integrity are also incorrect because there is no supporting evidence for these nursing diagnoses.
Learning Objectives
- Formulate nursing diagnoses and care strategies for patients with impaired skin integrity.