35 A 28-year-old HIV positive patient complains of burning pain and lesions over the face for one day. On physical examination, the patient has vesicles with erythematous base on the right face and eyelid. The patient is worried about the disfiguring of her body. What is the priority nursing diagnosis for this patient? a. Acute pain b. Impaired skin integrity c. Anxiety d. Body image disturbance

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35 A 28-year-old HIV positive patient complains of burning pain and lesions over the face for one day. On physical examination, the patient has vesicles with erythematous base on the right face and eyelid. The patient is worried about the disfiguring of her body. What is the priority nursing diagnosis for this patient? a. Acute pain b. Impaired skin integrity c. Anxiety d. Body image disturbance

Answer 1

The priority nursing diagnosis for this patient is b. Impaired skin integrity.The patient's symptoms of burning pain and lesions over the face, along with the physical examination findings of vesicles with an erythematous base on the right face and eyelid, indicate a potential case of herpes zoster (shingles). This condition can lead to further complications such as scarring and disfigurement, which can have a significant impact on the patient's physical and emotional well-being.While the patient may also experience acute pain, anxiety, and body image disturbance, the immediate priority is to address the impaired skin integrity to prevent further complications and promote healing. This can be achieved through interventions such as administering prescribed antiviral medications, providing wound care, and managing pain and discomfort.

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