The nurse is caring for a 7-year-old boy with diabetes insipidus. What will be the primary 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


A
Response:
The primary nursing diagnosis would be deficient fluid volume related to dehydration due to a deficiency in the secretion of the 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. Greater than required nutrition related to excess weight would not be appropriate for this child since he probably has lost weight.

Nursing

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