A nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The priority nursing diagnosis would be:
A. High risk for deficient fluid volume
B. Deficient knowledge: disease process and treatment
C. Imbalanced nutrition: less than body requirements
D. Disabled family coping: compromised
Correct Answer: A. High risk for deficient fluid volume
Increased blood glucose will cause the kidneys to excrete the glucose on the urine. This glucose is accompanied by fluids and electrolytes, causing osmotic diuresis leading to dehydration. This fluid loss must be replaced when it becomes severe.
Option B: The focus of diabetes education should be patient empowerment to address changes in health behavior and self-care. Providing complete information and proper education to patients with diabetes can dramatically increase adherence to the treatment regimen.
Option C: Nutrition plays an important role in the management and treatment of diabetes. Diabetes requires a balance between the intake of nutrients, expenditure of energy, and timing and dose of insulin or oral antidiabetic agents.
Option D: Compromised family coping may be related to inadequate or incorrect information or understanding by primary persons, other situation crises or situations the SO’s may be facing, lifelong conditions requiring behavioral changes impacting the family.
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