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For this patient, the priority nursing diagnosis is for skin damage due to impaired circulation and prolonged immobilization. This is a priority because the patient’s immobility can lead to decreased circulation which can cause long-term damage to the skin, increase their risk of infection, and impair wound healing processes. The nurse should assess the patient’s skin regularly, monitor pressure points (elbows, heels, sacrum) closely, provide support surfaces such as pillows or mattresses that will allow better distribution of weight evenly over the body when lying down. A nurse must also offer appropriate intervention, such as repositioning the patient every 2 hours or more often if necessary; teaching range of motion exercises and good hygiene care.