Choose the nursing diagnosis that would be most appropriate for a patient having ear surgery:
1. Disturbed body image
2. Risk for injury
3. Acute confusion
4. Ineffective protection
2
Patients who have had ear surgery are at risk for vertigo, fluid accumulation, or pressure in the operative ear. Because of the surgery and potential postoperative conditions, the patient may be at risk for a fall.
PTS: 1 DIF: Cognitive Level: Application REF: 1195-1196
OBJ: 6 TOP: Care Planning for Ear Surgery
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
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