The nurse is caring for a child on bed rest who has severe edema in a left lower leg due to blocked lymphatic drainage. Which nursing diagnosis would take priority?
A)Risk for impaired skin integrity
B)Risk for altered body image
C)Risk for imbalanced nutrition: less than body requirements
D)Risk for activity intolerance

Question

Quizplus · Accepted Answer

The priority nursing diagnosis would be Risk for impaired skin integrity due to the severe edema in the left lower leg. The pressure from the edema can cause skin breakdown, which could lead to infection and other complications. Protecting the skin and minimizing pressure on the affected area is a top priority. The other options may also be applicable, but they are not the immediate priority.

The Nurse Is Caring for a Child on Bed Rest