Asked by Jennifer Darce on Jun 16, 2024

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The nurse is caring for a patient with a stage 4 pressure injury.The nurse assigns which of the following nursing diagnoses?

A) Readiness for enhanced nutrition.
B) Impaired physical mobility.
C) Impaired skin integrity.
D) Chronic pain.

Pressure Injury

Damage to the skin and underlying tissue caused by prolonged pressure, often occurring in bedridden patients.

Skin Integrity

The condition of healthy and intact skin, free of damage, breakdown, or infection, essential for protecting the body from external harm.

Nutrition

The process by which organisms take in and utilize food material, essential for energy, growth, maintenance of life, and health.

  • Evaluate the condition of skin and associated nursing diagnostic categories.
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ZK
Zybrea KnightJun 17, 2024
Final Answer :
C
Explanation :
After the assessment is completed and the information that the patient has a stage 4 pressure injury is gathered,a diagnosis of Impaired skin integrity is selected.Readiness for enhanced nutrition would be selected for an individual with an adequate diet that could be improved.Impaired physical mobility and Chronic pain,as well as the nutrition nursing diagnosis,could well be the nursing diagnoses selected for this patient,but the physical data in the question strongly support Impaired skin integrity.