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Which nursing diagnosis takes highest priority in this clients plan of care?A female client is admitted in a disoriented and restless state after sustaining a concussion during a car accident.



A. Disturbed sensory perception (visual)
B. Self-care deficient: Dressing/grooming
C. Impaired verbal communication
D. Risk for injury

This question is part of NCLEX Practice Test for Neurologic System 2
Asked by RN pedia, Last updated: May 31, 2020

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rN pedia

RN pedia

Answered Feb 11, 2019

Risk for injury

Because the client is disoriented and restless, the most important nursing diagnosis is risk for injury. Although the other options may be appropriate, theyre secondary because they dont immediately affect the clients health or safety.
 

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