rstudentrn. . .the answer to this is risk for infection. the patient has symptoms that fit the description for this nanda diagnosis (i.e.: inadequate primary defenses--broken skin, chronic disease). your knowledge of diabetes should also tell you that an elevated blood sugar in a diabetic is reason for concern of possible infection if the diabetes is supposed to be under control. the heart of this question is getting at the symptoms of each diagnosis. in actuality, the information given in the question only supports two of the diagnoses given: risk for infection and, surprise!, deficient fluid volume (the dry skin on her toe), and your knowledge of esrd tells you that can't be right! so, of all 6 nursing diagnoses listed, only one fits the symptoms given and can be your answer.
do you have a care plan book that lists the diagnoses in alphabetical order as well as the symptoms (defining characteristics) that go with each? this is what you need to be looking at with each of these nursing diagnoses. like a medical diagnosis, each nursing diagnosis has specific signs and symptoms that have to be present in the patient in order to use that particular nursing diagnosis
. if the symptoms aren't there, then you can't use the diagnosis. this is a concept that you must hammer in to your head about nursing diagnosis.
this is a link to a sticky thread entitled "desperately need help with careplans" in the nursing student assistance forum.
please check it out. there is a lot of information there to help you. you can also pm (private message) me if you have questions about this.
is there some reason why you are not posting your questions in the nursing student forums? no offense to my fellow licensed nurses. the only reason i happened to find this post of yours is because i did a search for the word "diagnosis".
- nursing student assistance forums
- the general nursing student discussion forum
in case i haven't responded to any of your other posts, welcome to allnurses!