Asked by Vansh Agarwal on Jul 02, 2024
Verified
A nursing assessment for a patient with a spinal cord injury reveals several pertinent problems that a nurse can treat.While the plan of care is developed,which nursing diagnosis is the highest priority for this patient?
A) Risk for impaired skin integrity.
B) Risk for infection.
C) Spiritual distress.
D) Reflex urinary incontinence.
Spinal Cord Injury
Damage to the spinal cord that results in a loss of function, such as mobility or sensation, below the level of injury.
Nursing Diagnosis
is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes, providing the basis for selection of nursing interventions.
Plan of Care
outlines a comprehensive, individualized strategy for medical and nursing interventions to address a patient's specific health needs and goals.
- Prioritize patient care effectively.
Verified Answer
MG
Monique Gonzalez6 days ago
Final Answer :
D
Explanation :
Reflex urinary incontinence is highest priority.If a patient's incontinence is not addressed,then the patient is at higher risk for impaired skin integrity and infection.Remember that the Risk for diagnoses are potential problems.They may be prioritized higher in some cases,but not in this situation.Spiritual distress is an actual diagnosis,but the adverse effects that could result from not assisting the patient with urinary elimination take priority in this case.Physiological problems do not always take priority,but urinary incontinence could cause the greatest harm if it is not addressed.
Learning Objectives
- Prioritize patient care effectively.