A woman is at 7 weeks' gestation, and is diagnosed with hyperemesis gravidarum. Which nursing diagnosis would receive priority?

Question

1. Fluid volume deficit
2. Decreased cardiac output
3. Risk for injury
4. Alteration in nutrition: less than body requirements

Answer 1

1
Rationale:
1. The newly admitted client with hyperemesis gravidarum has been experiencing excessive vomiting, and is in a fluid-volume-deficit state.
2. Because no preexisting cardiac condition is present, the body has compensated for this fluid loss.
3. The risk for injury is present due to the symptoms of fluid volume deficit; however, it is not the priority.
4. The nutrition status of the client is compromised until the emesis and the fluid volume status are corrected. But it is not the first priority.