The Nurse Is Developing a Care Plan for a Client

question 22

Multiple Choice

The nurse is developing a care plan for a client with an open reduction and internal fixation (ORIF) of an open, displaced fracture of the tibia. Which of the following nursing diagnoses is priority?

• A)Activity intolerance related to physical deconditioning
• B)Risk for constipation as evidenced by electrolyte imbalance
• C)Risk for impaired skin integrity as evidenced by pressure over bony prominence
• D)Risk for infection as evidenced by invasive procedure

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Definitions:

Capsular Space

The capsular space, or Bowman's space, is the region in the kidney's nephron between the Bowman's capsule and the glomerulus, involved in the filtration of blood.

Glomerular Capsule

A cup-shaped structure in the kidney that encases the glomerulus and is involved in the filtration process of blood to form urine.

Podocyte Space

The space between the foot processes of podocytes in the glomerulus of the kidney, critical for filtration of blood into urine.

Renal Pyramid

Cone-shaped tissues of the kidneys, containing the tubules and blood vessels responsible for filtering blood and producing urine.