A nurse is planning care for a child with adrenal insufficiency (Addison's disease). Which of the following is the priority nursing diagnosis?
1. Risk for deficient fluid volume
2. Risk for injury secondary to hypertension
3. Acute pain
4. Imbalanced nutrition: more than body requirements
1
Rationale:
1. Adrenal insufficiency can cause fluid deficit. The goal of care is to maintain fluid and electrolyte balance while normal levels of corticosteroids and mineral corticoids are established.
2. A symptom of adrenal insufficiency is hypotension, not hypertension.
3. Adrenal insufficiency can cause fluid deficit. The goal of care is to maintain fluid and electrolyte balance while normal levels of corticosteroids and mineral corticoids are established. Therefore, acute pain is not a priority nursing diagnosis.
4. Adrenal insufficiency can cause fluid deficit. The goal of care is to maintain fluid and electrolyte balance while normal levels of corticosteroids and mineral corticoids are established. Therefore, imbalanced nutrition: more than body requirements is not a priority nursing diagnosis.
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