The nurse is interviewing an elderly client in the clinic that reports incontinence. Numerous attempts in the recent past have been unsuccessful in helping to control the problem
A priority nursing diagnosis to consider for this client is which of the following? 1. Skin integrity impairment
2. Self-care deficit
3. Self-esteem, situational-low
4. Infection
3
Rationale 1: Skin integrity impairment is of concern, but there is no data in this scenario to indicate that it is the highest priority nursing diagnosis.
Rationale 2: There is no data in this situation to indicate any self-care deficit issues.
Rationale 3: Since the client has had no success in controlling the incontinence after repeated attempts, this client is at a high risk for situational low self-esteem.
Rationale 4: There is no data in this scenario to indicate a risk for infection.
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