The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. What is the priority nursing diagnosis?
A) Deficient fluid volume related to dehydration
B) Excess fluid volume related to edema
C) Deficient knowledge related to fluid intake regimen
D) Imbalanced nutrition, more than body requirements related to excess weight
Ans: A
The priority nursing diagnosis most likely would be deficient fluid volume related to dehydration, due to a deficiency in the secretion of antidiuretic hormone (ADH). Excess fluid would result from a disorder that leads to water retention, such as syndrome of inappropriate antidiuretic hormone (SIADH). Deficient knowledge related to fluid intake regimen is a nursing diagnosis for this child, but a secondary one. Imbalanced nutrition, more than body requirements related to excess weight would be inappropriate for this child since he probably has lost weight secondary to the fluid loss.
You might also like to view...
The nurse gathering physical assessment data on an infant will often find it best to begin the assessment with examination of:
1. Head, hair, and scalp. 2. Ears, nose, and throat. 3. Musculoskeletal function. 4. Heart and lung sounds.
Which dietary practice is followed by individuals of Swedish-American Protestant heritage to treat feeling run-down and tired?
A. Eating a head of lettuce B. Taking Geritol C. Taking Father John's Medicine D. Lying down and taking a nap
The nurse is assessing the patient and his family for probable familial causes of the patient's hypertension. The nurse begins by analyzing the patient's personal history, as well as family history and current lifestyle situation
Which of the following issues would be considered risk factors? (Select all that apply.) a. Obesity b. Cigarette smoking c. Recent weight loss d. Heavy alcohol consumption e. Low blood cholesterol levels
What are the vital signs?
What will be an ideal response?