The nurse identifies the diagnosis Risk for Impaired Skin Integrity as applicable for a client with heart failure.Which assessment finding supports the use of this diagnosis for the client?

Question

Quizplus · Accepted Answer

A) Edema of the feet increases the client's risk for impaired skin integrity. Activity Intolerance would be a diagnosis applicable for shortness of breath with ambulation. Risk for Impaired Gas Exchange would be a diagnosis applicable for a productive cough. Risk for Impaired Perfusion would be a diagnosis applicable for a heart rate of 104 and regular.
B) Edema of the feet increases the client's risk for impaired skin integrity. Activity Intolerance would be a diagnosis applicable for shortness of breath with ambulation. Risk for Impaired Gas Exchange would be a diagnosis applicable for a productive cough. Risk for Impaired Perfusion would be a diagnosis applicable for a heart rate of 104 and regular.
C) Edema of the feet increases the client's risk for impaired skin integrity. Activity Intolerance would be a diagnosis applicable for shortness of breath with ambulation. Risk for Impaired Gas Exchange would be a diagnosis applicable for a productive cough. Risk for Impaired Perfusion would be a diagnosis applicable for a heart rate of 104 and regular.
D) Edema of the feet increases the client's risk for impaired skin integrity. Activity Intolerance would be a diagnosis applicable for shortness of breath with ambulation. Risk for Impaired Gas Exchange would be a diagnosis applicable for a productive cough. Risk for Impaired Perfusion would be a diagnosis applicable for a heart rate of 104 and regular.

The Nurse Identifies the Diagnosis Risk for Impaired Skin Integrity