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Which Outcomes Are Appropriate for the Patient with the Nursing

Question 25

Multiple Choice

Which outcomes are appropriate for the patient with the nursing diagnosis risk for impaired skin integrity related to immobility and muscle weakness?


A) The patient's skin will remain intact without redness or ulceration.
B) The nurse will assess the patient's skin daily for any sign of breakdown.
C) The patient will verbalize at least two methods to prevent skin breakdown.
D) The patient's wounds will be kept clean and will not develop signs of infection.
E) The nurse will reposition the patient every 2 hours and pad bony prominences.

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