A 25-year-old client is admitted to a healthcare facility with complaints of fever, vomiting, and watery diarrhea for 2 days. On examination, the client has dry skin, delayed skin turgor, and hypotension. What is the most likely nursing diagnosis?
A) Impaired urinary elimination
B) Acute gastroenteritis
C) Infective diarrhea
D) Deficient fluid volume
D
Feedback:
Deficient fluid volume related to vomiting and diarrhea as evidenced by hypotension, dry mouth, dry skin, and delayed skin turgor is the most likely nursing diagnosis. Impaired urinary elimination is a nursing diagnosis only if there is a change in urine volume, which is not mentioned in this case. Acute gastroenteritis and infective diarrhea are not nursing diagnoses.
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