The nurse is participating in planning care for a patient with pemphigus. What nursing diagnosis should the nurse recommend be used to guide this patient's care?
a. Risk for Infection
b. Fluid Volume Excess
c. Self-Care Deficit: Skin Care
d. Imbalanced Nutrition: Less Than Body Requirements
ANS: A
The major complication of pemphigus is a secondary bacterial infection. C. D. Nutrition and self-care deficit would be determined based on assessment findings. B. Fluid volume deficit would be more likely than excess because of the oozing blisters.
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