A 26-year-old primigravida has come to the clinic for her regular prenatal visit at 12 weeks. She appears thin and somewhat nervous. She reports that she eats a well-balanced diet, although her weight is 5 pounds less than it was at her last visit

Question

The results of la-boratory studies confirm that she has a hyperthyroid condition. Based on the available data, the nurse formulates a plan of care. What nursing diagnosis is most appropriate for the woman at this time? a. Deficient fluid volume
b. Imbalanced nutrition: less than body requirements
c. Imbalanced nutrition: more than body requirements
d. Disturbed sleep pattern

Answer 1

B

Feedback
A No clinical signs or symptoms support this nursing diagnosis.
B This patient's clinical cues include weight loss, which would support this nursing diagnosis.
C This patient reports weight loss, not weight gain. This nursing diagnosis is not appropriate.
D Although the patient reports nervousness, based on the patient's other clinical symptoms, the most appropriate nursing diagnosis would be imbalanced nutri-tion: less than body requirements.