The nurse is identifying diagnoses appropriate for a client recovering

The nurse is identifying diagnoses appropriate for a client recovering from cataract surgery who lives alone. Which diagnosis would be the priority for this client?

1. Social Isolation
2. Risk for Impaired Skin Integrity
3. Disturbed Sensory Perception
4. Risk for Injury

ANSWER

Correct Answer: 4
Rationale 1: Social Isolation would be appropriate for the client with long-term vision changes but not one with an acute change as in cataract surgery.
Rationale 2: Risk for Impaired Skin Integrity is used to describe clients who have altered tactile sensation.
Rationale 3: Disturbed Sensory Perception is used to describe clients whose perception has been altered by physiological factors such as pain, sleep deprivation, immobility, disease states such as CVA, or brain trauma.
Rationale 4: Because the client lives alone and is recovering from cataract surgery, the client’s risk for injury is great.