The nurse has formulated a nursing diagnosis of Impaired skin integrit

The nurse has formulated a nursing diagnosis of Impaired skin integrity related to poor hygienic practice, secondary to current living conditions. Which of the following data would support this diagnosis? (Select all that apply.)

______ Skin is dry, cracked
______ One large with several smaller open, ulcerated areas on right leg
______ Client does not drive
______ Client states that does not use alcohol or drugs
______ Clothes are soiled
______ Client has obvious body odor

ANSWER

Correct Answer: Skin is dry, cracked
One large with several smaller open, ulcerated areas on right leg
Clothes are soiled
Client has obvious body odor
Rationale : Data that support this problem are clustered around the condition of the client’s skin, clothes, and general appearance. The facts that the client does not drive and does not use alcohol or drugs do not play a part in this client’s skin condition.