Final answer:
Impaired skin integrity can be a relevant nursing diagnosis for poisoning, as some poisons can damage skin. The reluctance of doctors to recognize industrial poisoning relates to socio-economic factors. Treatment may include hydration and chelating agents, and prevention via safe water sources is crucial.
Step-by-step explanation:
Yes, impaired skin integrity can indeed be an appropriate nursing diagnosis in cases where poisoning has occurred, particularly if the poison has a corrosive effect or causes a rash or other skin reactions. For example, industrial poisons such as arsenic can cause skin changes. The overall reluctance of American doctors to admit that industrial poisoning was a problem may have been due to a lack of understanding, economic interests, or a reluctance to challenge industrial practices of that time.
For acute poisonings, the management of dehydration is important, as well as the use of chelating agents like dimercaptosuccinic acid (DMSA) or dimercaptopropane sulfonate (DMPS) in certain instances. However, dimercaprol (BAL) is not recommended, and in some cases, hemodialysis may be used. Prevention plays a key role, especially using water without high levels of arsenic, and might involve employing special filters or collecting rainwater.