The nurse is caring for a patient who has urinary frequency. Which nursing diagnosis is the highest priority for this patient?
a. Risk for compromised human dignity r/t occasional incontinence
b. Risk-prone health behavior r/t living alone at home with nocturia
c. Risk for contamination r/t urine contact with perineal area skin
d. Risk for falls r/t hurried trips to the bathroom during the day and night
ANS: D
Risk for falls is the highest priority diagnosis for this patient because rushing to the bathroom can lead to loss of balance and serious injury. Walking to the bathroom at night is even more dangerous because of low lighting conditions and sleepiness. Living alone with a history of nocturia does not demonstrate risk-prone health behavior. Risk for impaired skin integrity would be appropriate for the patient's potential skin breakdown caused by incontinence and skin contact with urine.
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