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According to NANDA A.M.S is an 18-year-old female client with profound mental retardation. A.M.S mental age...

According to NANDA

A.M.S is an 18-year-old female client with profound mental retardation. A.M.S mental age is less
than 3 years old. She lives at Sea Side School and is admitted to the community hospital with

bilateral pneumonia.

2) Ms. A.M.S has severe contractures, cannot reposition herself, and can only lie on her sides. The nurse
recognizes the risk for skin breakdown. What nursing diagnosis can be formulated, including the
terms "related to" and "secondary to?"

1.

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Answer #1

(2) 1.Ineffective tissue perfusion is due to decrease in the oxygen resulting in failure to nourish the tissue at the capillary level.It occurs due to prolong immobility.

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