Certified Gastroenterology RN Exam Prep

Category - Basic Care

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A nurse is assessing a newly-admitted client. Assessment reveals that the client has muscle weakness, muscle spasticity, and an unsteady gait. Based on the findings, which of the following is the most appropriate nursing diagnosis?

Activity intolerance
Impaired physical mobility
Risk for impaired skin integrity
Self-care deficit

Explanation

Answer: B - Based on the assessment findings, the client's mobility is impaired; therefore, the nursing diagnosis of Impaired physical mobility is most appropriate. This diagnosis is given to clients with limited independent physical movements.

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