A nurse is caring for an ambulatory elderly woman on a medical unit.The patient will be treated for pernicious anemia.The patient is weak and short of breath, and recently has become confused.The patient's vital signs at rest are temperature 98.0°F, 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 nursing diagnosis for an elderly patient who is weak, short of breath, recently confused, and in an unfamiliar environment is "Injury, risk for (falls)" due to the increased risk of falls from confusion, weakness, and unfamiliar surroundings, which can lead to serious injuries.

A Nurse Is Caring for an Ambulatory Elderly Woman on a Medical