The nurse is caring for a patient with an intracranial pressure monitoring device. What is the priority nursing diagnosis (NDX) for this patient?
1. Risk for Infection
2. Ineffective Thermoregulation
3. Risk for Impaired Skin Integrity
4. Impaired Physical Mobility
1
Rationale 1: The priority NDX for this patient is related to infection. In some cases, such as this one, a risk diagnosis takes priority over actual diagnoses. This patient has an invasive monitoring device in the skull. Infection would be devastating.
Rationale 2: Ineffective Thermoregulation is a very important NDX for this patient, but it is not as important as another NDX.
Rationale 3: The patient does have a break in skin integrity, but this is not the priority NDX.
Rationale 4: The patient is likely to have impairment in physical mobility, but this is not the highest-priority NDX.
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