Despite being admitted to the hospital yesterday for the treatment of complications of anorexia nervosa, a 19-year-old client continues to take food or fluids. Which of the following nursing diagnoses is paramount in this client's care?
A) Deficient fluid volume related to refusal to drink
B) Impaired social interaction related to aggressive behavior
C) Anxiety related to inadequate coping mechanisms
D) Imbalanced nutrition less than body requirements related to refusal to eat
Ans: A
The risk of dehydration posed by the client's refusal to drink likely supersedes the risk of imbalanced nutrition in the short term. Both diagnoses are more immediate concerns than the client's interactions. There is no evidence of anxiety.
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