Difficulty: Medium
Average Score: 82%
Simulated
While performing an admission assessment for a client, the nurse notes that the client has varicose veins with ulcerations and lower extremity edema with a report of a feeling of heaviness. Which of the following nursing diagnoses should the nurse identify as being the priority in the client's care?
Correct answer
B
Rationale
Impaired tissue perfusion, due to varicose veins causing poor blood flow, is the priority, as it leads to ulcerations and edema, risking further tissue damage. Activity tolerance (A), skin integrity (C), and body image (D) are secondary to addressing perfusion.