Clinical Nurse Specialist CNS Adult Practice Test

Category - AACN Clinical Nurse Specialist Practice Test

A nurse is assessing a newly-admitted client. Assessment reveals that the client has muscle weakness, muscle spasticity, and an unsteady gait. Based on the findings, which of the following is the most appropriate nursing diagnosis?
  1. Activity intolerance
  2. Impaired physical mobility
  3. Risk for impaired skin integrity
  4. Self-care deficit
Explanation
Answer: - B - Based on the assessment findings, the client’s mobility is impaired; therefore, the nursing diagnosis of Impaired physical mobility is most appropriate. This diagnosis is given to clients with limited independent physical movements.
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