Author Question: The nurse correctly identifies which patient as having the highest risk for injury related to ... (Read 56 times)

chads108 · **on:** Jul 23, 2018

The nurse correctly identifies which patient as having the highest risk for injury related to temperature of water when bathing?

a. Patient with asthma
b. Patient with attention deficit hyperactivity disorder
c. Patient with a stroke
d. Patient with diabetes

Question 2

Excessively dry skin can lead to cracks and openings in the integumentary system. Based on this, what is the most applicable nursing diagnosis for a patient with excessively dry skin?

a. Imbalanced Nutrition: Less than body requirements
b. Deficient fluid volume
c. Risk for infection
d. Acute pain

mmj22343 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Patients with neurologic deficits such as peripheral neuropathy resulting from diabetes may not be able to identify extremes of hot and cold. Patients with attention deficit hyperactivity disorder and asthma are not likely to be injured by temperature extremes. Patients with a stroke may have some alteration in sensation on one side of their body but can compensate by using the other side, and they are at less risk than a patient with diabetes.

Answer to Question 2

ANS: C
Any interruption in the skin, which is the body's first line of defense, can potentially lead to infection. Both imbalanced nutrition and deficient fluid volume could have dry skin as a symptom. Acute pain is not appropriate.