The nurse identifies a nursing diagnosis of risk for impaired skin integrity for a patient with cirrhosis who has ascites and 4+ pitting edema of the feet and legs.What is an appropriate nursing intervention for this problem?

Question

Quizplus · Accepted Answer

Arranging for a special pressure-relieving mattress will help prevent pressure ulcers from developing on the patient's edematous feet and legs. Restricting dietary protein intake may be necessary for other reasons related to the patient's cirrhosis, but it is not directly relevant to preventing impaired skin integrity. Turning the patient every 4 hours and performing passive range of motion may also be important interventions, but they do not directly address the risk of impaired skin integrity related to edema and ascites.

The Nurse Identifies a Nursing Diagnosis of Risk for Impaired