The nurse knows the most appropriate goal for a patient with a stage III pressure ulcer who has a nursing diagnosis of Impaired skin integrity is:
a. the wound will be completely healed in 72 hours.
b. the wound will show signs of healing within 2 weeks.
c. the patient will develop no new pressure ulcers.
d. the patient will ambulate twice a day.
ANS: B
A stage III pressure ulcer is a more extensive wound and will take time to heal, so the most appropriate goal will be to show signs of healing in 2 weeks. It will not heal in 72 hours. The goal of no new pressure ulcers is good, but not the most appropriate, and ambulating twice a day is more of an intervention.
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