A client is having difficulty with transferring from the bed to the chair with assistance. Which nursing diagnosis should the nurse use in the plan of care?

Question

1. Immobility
2. Risk for injury
3. Activity intolerance
4. Alteration in activities of daily living

Answer 1

2
2. Risk for injury is a nursing diagnosis that applies to this client because the client has limited movement and is unlikely to provide a stable stance for bearing and shift weight and pivoting to the chair. This client is at risk for injury under many circums-tances, including if staff members use poor technique during the transfer, an insuffi-cient number of personnel assist with the transfer, or the client's condition deteri-orates during the transfer.
1. Immobility is not applicable because the client has limited mobility.
3. Insufficient data are presented to determine whether activity intolerance is appli-cable; this diagnosis implies that the client has mobility but becomes short of breath or has pain with exercise.
4. Insufficient evidence is presented to determine whether the client cannot perform activities of daily living.