The Client Has a Documented Stage III Pressure Ulcer on the Right

question 26

Multiple Choice

The client has a documented stage III pressure ulcer on the right hip. What NANDA-I nursing diagnosis problem statement is most appropriate for use with this client?

• A) Impaired Tissue Integrity.
• B) Risk for Injury.
• C) Impaired Skin Integrity.
• D) Altered Tissue Perfusion.

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Definitions:

Blue-Green Light

A portion of the visible light spectrum that is perceived by the human eye as a color between blue and green.

Oxidized

The process or result of a substance losing electrons or increasing its oxidation state, often associated with a gain of oxygen or loss of hydrogen.

Hydrogen Peroxide

A chemical compound with the formula H2O2, known for its oxidizing properties and use as a disinfectant and bleaching agent.

Luminal

A compound used in forensic science to detect blood traces, as it produces blue luminescence with the hemoglobin in blood.