A 73-year-old client is admitted to the unit experiencing bruising, confusion, and decreased urine output. The medical diagnosis is a urinary tract infection. The most appropriate nursing diagnosis is:
1. Ineffective Breathing Pattern.
2. Activity Intolerance.
3. Impaired Memory.
4. Risk for Falls.
4. Risk for Falls
Rationale:
The client has bruising and is confused. A priority nursing diagnosis would focus on client safety. The bruising and confusion places the client at risk for falls. There is no evidence that the client is having difficulty breathing. Activity intolerance could be a problem; however, the nurse cannot assume that the client has intolerance to activity due to age. Since the client is exhibiting confusion, which is a typical symptom of urinary infection in the elderly, the nurse would choose falls as a priority over memory because it is not possible to assess the client's memory during confusion.
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