Which nursing diagnosis is the top priority for a patient complaining of dizziness and disequilibrium with head movements?

Question

1. Fluid Volume Deficit
2. Impaired Adjustment
3. Ineffective Coping
4. Risk for Injury

Answer 1

4
Rationale 1: Not enough information is given in the question to determine if the symptoms of dizziness and disequilibrium are due to a fluid imbalance.
Rationale 2: Impaired Adjustment is defined as a disability requiring a change in lifestyle, characterized by inadequate support system, impaired cognition, sensory overload assault to self-esteem, altered loss of control, or incomplete grieving. This NANDA diagnosis does not apply to the physical symptoms of dizziness and disequilibrium.
Rationale 3: Ineffective Coping is defined as an inability or incomplete ability to deal with stressors and/or to apply strategies to deal with stress or a perceived threat. This is not the priority diagnosis for this patient.
Rationale 4: Dizziness and disequilibrium, caused by changes within the vestibule and semicircular canals of the inner ear, create a risk for potential injury from falling from loss of balance. This is the top priority for this patient.