Question

Using a "patient preferences" framework, which of the following nursing diagnoses would probably have the highest priority for a patient who fractured his leg yesterday and now is wearing a cast?

1) Acute Pain
2) Disturbed Body Image
3) Ineffective Peripheral Perfusion
4) Impaired Physical Mobility

Answer 1

The nursing diagnosis that would have the highest priority for a patient who fractured his leg and is wearing a cast is Impaired Physical Mobility.

Step-by-step explanation:

Using a "patient preferences" framework, the nursing diagnosis that would probably have the highest priority for a patient who fractured his leg yesterday and now is wearing a cast is Impaired Physical Mobility. This diagnosis takes into consideration the patient's decreased ability to move and perform activities due to the leg fracture and cast. The patient's immobility during the healing process can lead to various complications such as blood clots, respiratory failure, and pressure sores, making it important to address and prioritize Impaired Physical Mobility to prevent these complications.

Answer 2

For a patient with a recent leg fracture wearing a cast, the highest priority nursing diagnosis is likely to be Acute Pain, considering the intense sensation following the injury and its implications for complications.

Step-by-step explanation:

Using a "patient preferences" framework, the nursing diagnosis with the highest priority for a patient who fractured his leg yesterday and is now wearing a cast would likely be Acute Pain. This diagnosis reflects the immediate and intense sensation likely experienced after such an injury and the application of a constrictive device like a cast. For many patients, especially the elderly, acute pain management is crucial as it can lead to complications such as immobility, which increases the risk for blood clots, pneumonia, pressure sores, and infections, all of which could be life-threatening. Moreover, effective pain management is typically a high priority for patient comfort and recovery quality.