The Patient Is Confused,is Trying to Get Out of Bed,and

question 27

Multiple Choice

The patient is confused,is trying to get out of bed,and is pulling at the IV infusion tubing.These data would help to support which nursing diagnosis?

• A)Risk for poisoning.
• B)Knowledge deficit.
• C)Impaired home maintenance.
• D)Risk for injury.

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Definitions:

Stratum Lucidum

Clear layer of the epidermis found in thick skin between the stratum granulosum and the stratum corneum.

Epidermis

The outermost layer of skin, providing a waterproof barrier and creating skin tone.

Keratohyalin

Nonmembrane-bound protein granule in the cytoplasm of stratum granulosum cells of the epidermis.

Stratum Granulosum

A layer of the epidermis found beneath the stratum corneum and above the stratum spinosum, characterized by keratinocytes that start to undergo keratinization.