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학습 자료 둘러보기 →The nurse's priority is to establish the client's current level of independence in ADLs (bathing, dressing, ambulation, etc.). This functional baseline directly reveals immediate safety risks (e.g., falls, medication errors) and self-care deficits.
Diabetic retinopathy causes progressive vision loss, making previously automatic tasks hazardous. The care plan must be built upon identified self-care capabilities and deficits to prioritize interventions that prevent injury.
Do not prioritize isolated physiological measures like light perception or future-oriented skills like Braille over the immediate, holistic assessment of functional safety. Emotional support is crucial but secondary to physical safety in the initial evaluation.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.