The Nurse Is Caring for a Client Who Has Left-Sided

question 13

Multiple Choice

The nurse is caring for a client who has left-sided paralysis as the result of a stroke and assesses a pressure injury on the client's left hip. Which of the following is the most appropriate nursing diagnosis for this client?

• A)Impaired physical mobility related to decrease in muscle control (left-sided paralysis)
• B)Risk for impaired tissue integrity as evidenced by insufficient knowledge about protecting tissue integrity
• C)Impaired skin integrity related to pressure over bony prominence (impaired circulation)
• D)Ineffective peripheral tissue perfusion related to sedentary lifestyle

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Definitions:

Exact Agreement

A situation or condition whereby all parties involved have a unanimous understanding or concordance on a specific matter or in the details of an arrangement.

Documenting

The process of systematically recording and organizing information for reference, compliance, or historical purposes.

Radiograph Studies

Imaging examinations that use X-rays to view the internal structure of the body, commonly known as X-ray tests.

Electronic Prescriptions

A technology that allows healthcare professionals to send prescriptions to a pharmacy electronically, improving accuracy and efficiency.