Asked by Marco Tulio Canjura-Martinez on May 02, 2024

verifed

Verified

Which is the highest priority nursing diagnosis for a patient who is frequently incontinent of stool and urine?

A) Risk for impaired skin integrity related to exposure to urine and stool
B) Powerlessness related to inability to control release of bowel and bladder
C) Readiness for enhanced comfort related to expressed desire to smell fresh
D) Social isolation related to unpleasant odor from stool and urine

Incontinent

The inability to control bladder and/or bowel movements, leading to involuntary loss of urine or feces.

Skin Integrity

The condition of skin being intact, undamaged, and healthy, often considered in the context of wound management and healing.

Social Isolation

A state where an individual has limited contact with others, leading to feelings of loneliness and lack of social support.

  • Illustrate familiarity with the principles of skin integrity and the utilization of appropriate actions to ward off skin damage.
verifed

Verified Answer

ZK
Zybrea KnightMay 06, 2024
Final Answer :
A
Explanation :
The highest priority nursing diagnosis is risk for impaired skin integrity as the perineal tissues can readily break down due to exposure to urine and stool.The nurse can address powerlessness,comfort,and social isolation once the perineal tissues have been protected.