o.k here was another question that I got stumped on...
Your patient has End Stage Renal Disease, with a 30 year HX of Type 1 DM. She has a 2-cm dry, ulcerated circular area on the lateral outer aspect of her right great toe and an AV fistula in the right forearm. You have adminisered her AM NPH insulin at 0730 and you are waiting for her dialysis treatment. At 1130 you do a fingerstick and the results are 236, According to the Sliding Scale you administered 10 units of Regular insulin.
Which of these Nursing Diagnosis is a priority at this time.
Risk for infection
Altered patterns of elimination
Fatique
Excess fluid volume
Deficient Fluid Volume
Imbalance Nutrition:Less than body requirements
I choose Fluid volume excess, because she is now hyperglycemic. Wouldn't there be a fluid shift from intracellular to intravascular because of the high concentration of glucose in the vascular system.
F&E confuses me...Anyone have any ideas. Thanks