The nurse is admitting a client to the hospital who has an eye patch in place and tells the nurse "I had a recent eye injury, so I need to wear this patch for a few weeks." Which of the following nursing diagnoses will the nurse include in the plan of care?
A)Risk for falls as evidenced by impaired vision (decrease in stereoscopic vision)
B)Ineffective health maintenance related to impaired decision-making (inability to see surroundings)
C)Disturbed body image related to alteration in self-perception
D)Ineffective denial related to threat of unpleasant reality

Question

Quizplus · Accepted Answer

The loss of stereoscopic vision created by the eye patch impairs the client's ability to see in three dimensions and to judge distances. It also increases the risk for falls. There is no evidence in the assessment data for ineffective denial, disturbed body image, or ineffective health maintenance.

The Nurse Is Admitting a Client to the Hospital Who