[Solved]: The nurse is caring for a care facility resident…

The nurse is caring for a care facility resident who has dementia. The patient has generalized weakness, uses a walker for ambulation and currently takes lisinopril for hypertension and diphenhydrAMINE as needed for seasonal allergies. The patient also has a history of hoarding and has multiple items stacked around the room that sometimes must be moved to allow for maneuvering around the bed. Based on this information, what is the most appropriate nursing diagnosis for this patient? a. Ineffective airway clearance b. Pneumonia c. Risk for falls d. Risk for self-harm