Question

Which is a nursing diagnostic statement related to skin integrity and wound care?

a) Impaired Physical Mobility related to pain during position changes, as evidenced by the patient's grimacing when turned in bed.
b) Acute Pain related to Stevens Johnson Syndrome, as evidenced by patient rating pain at 2 of 10 during burn wound care.
c) Disturbed Body Image related to change in appearance, secondary to surgical incision, as evidenced by patient looking at the incision.
d) Knowledge Deficit related to lack of familiarity with care products, as evidenced by correctly performing wound care.

Answer 1

A nursing diagnostic statement related to skin integrity and wound care is (b) Acute Pain related to Stevens Johnson Syndrome, as evidenced by patient rating pain at 2 of 10 during burn wound care.

Step-by-step explanation:

A nursing diagnostic statement related to skin integrity and wound care is (b) Acute Pain related to Stevens Johnson Syndrome, as evidenced by patient rating pain at 2 of 10 during burn wound care.

The diagnostic statement identifies the nursing issue (acute pain) and the cause (Stevens Johnson Syndrome) for the patient. The evidence of the pain rating during burn wound care further supports the diagnostic statement.