Final answer:
The accurate goal for the nursing diagnosis 'Risk for impaired skin integrity' should be to prevent infection, as it addresses the immediate risk posed by the patient's poor skin turgor and irritation.
Step-by-step explanation:
When the nurse adds Risk for impaired skin integrity to Mr. Johnson's plan of care, an accurate goal to include for this nursing diagnosis would be to prevent infection. This goal is paramount since poor skin turgor and signs of irritation can make the skin more susceptible to breakdown and subsequent infection, potentially leading to more severe conditions such as necrotizing fasciitis. It is important to establish this goal early in the care plan to promote healing and prevent complications.
Prevent Infection: An Essential Nursing Goal
To achieve this goal, the nurse would focus on interventions that maintain intact skin as the first line of defense against pathogens. This includes keeping the skin clean and moisturized, repositioning the patient to avoid pressure ulcers, and possibly applying barrier creams to prevent further irritation or breakdown. Monitoring for signs of infection, such as increased redness, swelling, and pain, especially after a cut or abrasion has been cleaned and bandaged, is also crucial for early detection and treatment.