The nurse collects the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?

A) Imbalanced nutrition: less than body requirements
B) Ineffective peripheral tissue perfusion
C) Risk for infection
D) Acute pain

Question

Kathleen Nicole Campbell · Accepted Answer

Final Answer : B, Explanation :  The area on the heel has experienced a decreased supply of blood and oxygen (tissue perfusion), which has resulted in tissue damage. The most appropriate nursing diagnosis with this information is Ineffective peripheral tissue perfusion. Risk for infection, Acute pain, and Imbalanced nutrition do not support the data in the question.

The nurse collects the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?

A) Imbalanced nutrition: less than body requirements
B) Ineffective peripheral tissue perfusion
C) Risk for infection
D) Acute pain

Definitions

Learning Objectives

Learning Objectives

Related questions

The nurse collects the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?A) Imbalanced nutrition: less than body requirementsB) Ineffective peripheral tissue perfusionC) Risk for infectionD) Acute pain

Definitions

Learning Objectives

Learning Objectives

Related questions

The nurse collects the following assessment data: right heel with reddened area that does not blanch. Which nursing diagnosis will the nurse assign to this patient?

A) Imbalanced nutrition: less than body requirements
B) Ineffective peripheral tissue perfusion
C) Risk for infection
D) Acute pain