The nurse is writing a care plan for a patient admitted to the Emergency Department (ED) with an open fracture. The nurse will assign priority to what nursing diagnosis for a patient with an open fracture of the radius?
A) Risk for infection
B) Risk for activity intolerance
C) Risk for imbalanced nutrition: less than body requirements
D) Risk for powerlessness
Ans: A
Feedback: While all nursing diagnoses may be pertinent to the care of a patient with an open fracture of the radius, the nursing diagnosis that will receive the highest priority is "Risk for infection" related to the risks of osteomyelitis and tetanus. The objectives of management are to prevent infection of the wound, soft tissue, and bone and to promote healing. Another priority diagnosis for a patient with an open fracture would be "Risk for peripheral neurovascular dysfunction".
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