A client in skeletal traction has a nursing diagnosis of Impaired Tissue Integrity: Related to puncture wound; pins. What expected outcome would be appropriate for this client?
A) Assess pin sites daily.
B) Client will maintain maximum self-care.
C) Wounds heal without infection.
D) Clean the pin sites with prescribed cleaning solution.
C
Feedback:
An expected outcome for Impaired Tissue Integrity is that the client's wounds will heal without infection. The client maintaining maximum self-care does not relate to the pin sites and open wound. Options A and D are nursing interventions, not outcome statements.
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