All of the following may be considered expected outcomes for a nursing diagnosis of high risk for injury EXCEPT:
A)Patient will not fall or become injured throughout the perioperative process.
B)Patient's body will not retain foreign objects, such as sponges, following surgery.
C)Patient will retain adequate tissue perfusion to extremities after the procedure.
D)Patient's body will remain in the correct position during the recovery process.

Question

Quizplus · Accepted Answer

All of the above are considered expected outcomes for a nursing diagnosis of high risk for injury except the outcome that the patient will retain adequate tissue perfusion to the extremities after the procedure. This outcome may be more appropriate for a diagnosis of altered tissue perfusion related to the surgical procedure. Preventing the patient from falling reduces the chance for injury, as does ensuring the patient's body remains in the correct position during recovery to maintain alignment and avoid pressure sores. Ensuring that the patient's body is free from sponges or instruments after surgery prevents injury related to retained materials.

All of the Following May Be Considered Expected Outcomes for a Nursing