In developing a care plan for a patient with an open reduction and internal fixation (ORIF) of an open, displaced fracture of the tibia, the priority nursing diagnosis is
a. risk for constipation related to prolonged bed rest.
b. activity intolerance related to deconditioning.
c. risk for infection related to disruption of skin integrity.
d. risk for impaired skin integrity related to immobility.
Answer: c. risk for infection related to disruption of skin integrity.
You might also like to view...
A nurse is preparing a client for bronchoscopy. Which of the following instructions is most important for the nurse to teach the client?
A) Avoid taking food 3 hours before the procedure. B) Maintain a side-lying position after the bronchoscopy. C) Cough out the mucus secretions after the procedure. D) Start a soft, semisolid diet when the gag reflex returns.
Which is the definition of the term pharmacology?
A. the study of drugs B. the absorption of drugs C. the metabolism of drugs D. the body's response to drugs
The nurse's efforts in the reaching of treatment goals toward long-term sobriety are directed at what?
A) To assist the client in living a substance-free full and productive life as a member of society B) To assist the client and family in healing family differences C) To assist the client in setting long-term life goals D) To assist the client and family in functioning outside the previous codependent behaviors
There are several advantages for the use of external fixation for the immobilization of fractures. (Select all that apply.)
A. Minimal blood loss B. Allows for early ambulation C. Decreases the risk of infection D. Increases blood supply to tissues E. Provides visualization of bone ends F. Promotes healing