CNOR Operating Room Nursing

Answer: C-All of the above are considered expected outcomes for a nursing diagnosis of high risk for injury except the outcome that the patient will retain adequate tissue perfusion to the extremities after the procedure. This outcome may be more appropriate for a diagnosis of altered tissue perfusion related to the surgical procedure. Preventing the patient from falling reduces the chance for injury, as does ensuring the patient’s body remains in the correct position during recovery to maintain alignment and avoid pressure sores. Ensuring that the patient’s body is free from sponges or instruments after surgery prevents injury related to retained materials.