A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. The priority nursing diagnosis for this client should be:

A nurse is caring for a client who was admitted with pneumonia, has a history of falls, and has skin lesions resulting from scratching. The priority nursing diagnosis for this client should be:


a) Risk for falls.
b) Ineffective breathing pattern.
c) Ineffective airway clearance.
d) Impaired tissue integrity.


Answer: c) Ineffective airway clearance.


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