The nurse is caring for an ambulatory client who requires treatment for pernicious anemia on a medical unit. The client is weak and short of breath, and recently has become confused. Vital signs at rest are temperature 37.6.°C, pulse 98 BPM, respirations 22/minute, blood pressure 96/60, and pulse oximetry 95%. Which nursing diagnosis has the highest priority?

Question

Quizplus · Accepted Answer

The highest priority is the risk for falls due to the client's confusion, weakness, and unfamiliar environment, which could lead to injury.

The Nurse Is Caring for an Ambulatory Client Who Requires