Nursing Diagnoses Prioritization

[Daytonite, BSN, RN]

A "risk for" diagnosis almost never is sequenced first because it is not an actual problem. actual problems are always sequenced before potential problems.

second, poor tissue perfusion is not an official nanda diagnosis and i have no idea what you mean by it. poor tissue perfusion of what tissues? the diagnosis of decreased cardiac output covers the poor tissue perfusion of the heart. the edema is evidence of that.

third, if the patient is actively bleeding and hypovolemic then there is no risk for fluid volume deficit. there is already deficient fluid volume [decreased intravascular, interstitial, and/or intracellular fluid. this refers to dehydration, water loss alone without change in sodium. (page 84, nanda international nursing diagnoses: definitions and classifications 2009-2011)] if the symptoms are there. the evidence (assessment information) you have of the deficient fluid volume is the tachycardia, decreased urine output and hypotension. someone who has active gi bleeding would be pale and weak. when they try to get up they become diaphoretic and tachycardic and sometimes need help to get back to bed. they have low hemoglobin and hematocrit levels. if this patient had those symptoms then deficient fluid volume would be the diagnosis to use. this would be sequenced after decreased cardiac output.

please look at this thread for information on the construction of a care plan using the nursing process and how to determine diagnoses: https://allnurses.com/general-nursing-student/help-care-plans-286986.html- help with care plans