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The Nurse Is Caring for a Client with Polymyositis and Has

Question 23

Multiple Choice
The nurse is caring for a client with polymyositis and has joint pain, an erythematosus facial rash with eyelid edema, and a weak, hoarse voice. Which of the following nursing diagnoses is priority?

The nurse is caring for a client with polymyositis and has joint pain, an erythematosus facial rash with eyelid edema, and a weak, hoarse voice. Which of the following nursing diagnoses is priority?


A) Acute pain related to biological injury agent (inflammation)
B) Risk for aspiration as evidenced by barrier to elevating upper body
C) Risk for impaired skin integrity as evidenced by excretions
D) Risk for dry eye as evidenced by insufficient knowledge of modifiable factors (eyelid swelling)

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