A patient who has a diagnosis of diabetes mellitus says, "I am worried because my feet are swollen. You don't think my diabetes is getting worse, do you?" The nurse identifies that the patient is hypertensive and has albuminuria
These findings would help substantiate which priority nursing diagnosis? 1. Excess Fluid Volume related to compromised regulatory mechanisms
2. Anxiety related to illness
3. Risk for Infection related to chronic disease process
4. Ineffective Denial related to minimization of symptoms
1
Rationale 1: Diabetic nephropathy is a disease of the kidneys characterized by the presence of albumin in the urine, hypertension, edema, and progressive renal insufficiency.
Rationale 2: The patient does admit being worried, but anxiety is not the priority NDX.
Rationale 3: Infection may complicate diabetes management and can be implicated in kidney disease, but there are no strong indicators of infection in this scenario.
Rationale 4: There is some evidence of ineffective denial in this scenario, but this is not the priority NDX.
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