A nurse is writing a care plan for a patient admitted to the emergency department (ED) with an open fracture. The nurse will assign priority to what nursing diagnosis for a patient with an open fracture of the radius?

Correct Answer: A

Rationale: The patient has a significant risk for osteomyelitis and tetanus due to the fact that the fracture is open. Powerlessness and ineffective role performance are psychosocial diagnoses that may or may not apply, and which would be superseded by immediate physiologic threats such as infection. Surgical positioning injury is not plausible, since surgery is not likely indicated.

Correct Answer: D

Rationale: Chronic dermatitis often presents with rough, thickened, and irregularly shaped skin areas.

Correct Answer: C

Rationale: Metoclopramide is a prokinetic agent that reduces nausea by enhancing gastric emptying, suitable for burn patients with gastrointestinal distress.

Correct Answer: B

Rationale: Salicylic acid is a keratolytic that decreases scaling and softens plaques in psoriasis, aiding in the removal of dead skin cells.

Correct Answer: D

Rationale: Vitamin D is synthesized in the skin upon exposure to UVB rays, aiding in calcium absorption.