A patient is admitted to the Neuro ICU with a C4 spinal cord injury. When writing the plan of care for this patient, what nursing diagnoses would the nurse document as a priority for this patient?
A) Risk for impaired skin integrity related to immobility and sensory loss
B) Impaired physical mobility related to loss of motor function
C) Ineffective breathing patterns related to weakness of the intercostal muscles
D) Urinary retention related to inability to void spontaneously
Ans: C
Feedback: A nursing diagnosis related to breathing pattern would be the priority for this patient. A C4 spinal cord injury will require ventilatory support, due to the diaphragm and intercostals being affected. The other nursing diagnosis would be used in the care plan but not designated as a higher priority than ineffective breathing patterns.
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