Foundations and Adult Health Nursing Test Bank - Surgical Wound Care Related

Review Foundations and Adult Health Nursing Test Bank - Surgical Wound Care related questions and content

A patient with a diagnosis of insulin-dependent diabetes mellitus is being treated for a stage 2 foot injury. The patient refuses to follow an ADA diet as ordered by a health care provider and is morbidly obese. The nurse assesses the injury to be healing free from signs and symptoms of infection with a positive pedal pulse and warm to touch. What patient problem will be identified as a priority?

  • A. Infection
  • B. Altered nutrition: more than body requirements
  • C. Impaired skin integrity
  • D. Altered peripheral tissue perfusion
Correct Answer: B

Rationale: The nurse's assessment identifies no signs of infection, that the wound is healing with positive pedal pulse and skin warm to touch ruling out infection, impaired skin integrity, and altered peripheral tissue perfusion as priorities at this time. The priority patient problem for this patient is altered nutrition: more than body requirements related to diet noncompliance.