The nurse is caring for a patient with no history of diabetes who has a new laboratory finding of a glycosylated hemoglobin (A1C) level of 6.0%. Which nursing diagnoses should receive priority for this patient?
1. Deficient Knowledge regarding disease process
2. Risk for Deficient Fluid Volume
3. Risk for Impaired Skin Integrity
4. Ineffective Tissue Perfusion
1
Rationale 1: The normal range of hemoglobin A1C is 2% to 5% for a nondiabetic. This patient's level is elevated, so the patient may have prediabetes or diabetes. The nurse's priority is to ensure the patient obtains the information necessary to make healthful lifestyle choices.
Rationale 2: Changes in hemoglobin A1C levels are not associated with fluid volume changes.
Rationale 3: If the patient is diabetic, there is a risk for impairment of skin integrity. However, this is not the priority diagnosis.
Rationale 4: Ineffective Tissue Perfusion may occur in patients who are diabetic. There is no indication that this change has occurred in this patient. Prioritization would depend on symptomology.
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