An appropriate goal for the patient who is postoperative day one from abdominal surgery and on bed rest with the nursing diagnosis Impaired skin integrity is:
a. the patient will ambulate twice a day.
b. the patient will eat 50% of meals.
c. the patient will have no further skin breakdown.
d. the patient will interact with others.
ANS: C
The patient already has a wound, so the goal is focused on no further skin breakdown as a result of the bed rest and immobility. Although nutrition is important to wound healing, it is not the focus of this nursing diagnosis. Ambulating and interacting with others are not goals for this diagnosis.
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