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The Nurse Is Developing a Plan of Care for a Client

Question 1

Multiple Choice

The nurse is developing a plan of care for a client who was injured in a motor vehicle accident yesterday. The client is to be sedated for more than 2 weeks while breathing with the assistance of a mechanical ventilator. Which of the following would be an appropriate nursing diagnosis for him at this time?


A) Risk for Infection related to subcutaneous injuries
B) Risk for Impaired Skin Integrity related to immobility
C) Impaired Tissue Integrity related to ventilator dependency
D) Impaired Skin Integrity related to ventilator dependency

Correct Answer:

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