Which nursing diagnosis would not be applicable when planning care for a patient with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS)?
1. Excessive fluid volume related to (RT) fluid shifts from hyperosmolarity
2. Imbalanced nutrition, less than body requirements RT inability to utilize glucose
3. Ineffective tissue perfusion RT hypovolemia and decreased peripheral blood flow
4. Risk for infection RT increased blood glucose and decreased peripheral blood flow
1
Rationale 1: The patient will have severe dehydration, not fluid overload. High osmolarity is present in HHNS; therefore, this diagnosis is incorrect.
Rationale 2: This diagnosis is applicable to patients with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS).
Rationale 3: This diagnosis is applicable to patients with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS).
Rationale 4: This diagnosis is applicable to patients with diabetic ketoacidosis (DKA) or hyperglycemic hyperosmolar nonketotic syndrome (HHNS).
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