The nurse plans care for the patient in acute care. Which is the priority nursing diagnosis for a patient with altered sensory perception?
a. At risk for injury
b. Deficient knowledge
c. Impaired communication
d. Impaired social interaction
A
The patient with a sensory impairment is at high risk for injury because many methods of com-munication with the patient cannot be used or need alteration to accommodate the impairment. The sensory impairment may render the patient unable to follow important directions, visualize hazards, or provide information to the healthcare team. However, the nurse's priority is to main-tain safety first and then to manage the communication impairment to prevent injury effectively. Deficient knowledge is a suitable nursing diagnosis for the patient who has a sensory impairment in acute care because the patient is likely to miss important information and is unaware of poten-tial solutions to the problem. The patient with a sensory impairment frequently has impaired so-cial interaction, so this is a reasonable nursing diagnosis. However, safety is always more impor-tant than psychosocial issues.
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