NCLEX-PN Practice Q 108

By | March 1, 2022

The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?
  
     A. Alteration in skin integrity
     B. Alteration in comfort
     C. Alteration in mobility
     D. Alteration in O2 perfusion
    
    

Correct Answer: C. Alteration in mobility

Option C: Retinal detachment occurs when the retina becomes separated from the nerve tissue and blood supply underneath it. The client with a detached retina will have limitations in mobility since the vision is affected.

Options A and D: These do not apply to the client with a detached retina.
Option B: A detached retina produces no pain or discomfort.

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