The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which is the priority diagnosis for this child?

1. Risk for Imbalanced Nutrition: Less Than Body Requirements
2. Risk for Impaired Skin Integrity
3. Risk for Altered Body Image
4. Risk for Activity Intolerance


Correct Answer: 2
Rationale: The highest priority problem is skin integrity. Nutrition, body image, and activity intolerance would not take priority over the integrity of the skin for this scenario.

Nursing

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