A man was involved in a motor vehicle accident yesterday. He is to be sedated for more than 2 weeks while breathing with the assistance of a mechanical ventilator. Which of the following would be an appropriate nursing diagnosis for him at this time?
a. Risk for Infection related to subcutaneous injuries
b. Risk for Impaired Skin Integrity related to immobility
c. Impaired Tissue Integrity related to ventilator dependency
d. Impaired Skin Integrity related to ventilator dependency
Question 2
What intervention would be most appropriate for a wound with a beefy red wound bed?
a. Mechanical debridement
b. Autolytic debridement
c. Dressing to keep the wound moist and clean
d. Removal of devitalized tissue and a sterile dressing