The patient with jaundice has a nursing diagnosis for impaired skin integrity to:
1. sedate the patient.
2. apply mittens or socks to hands.
3. restrain hands.
4. distract with conversation.
2
Jaundice causes itching, which can result in scratching and create a break in the skin. Mittens provide some comfort without causing further skin impairment.
PTS: 1 DIF: Cognitive Level: Application REF: 807
OBJ: 1 TOP: Jaundice KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity
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