A patient is admitted with copious diarrhea.The patient is dizzy when standing,and skin assessment reveals abrasions around the perianal area.What assessment finding demonstrates that goals for the priority nursing diagnosis have been met?
A)Perianal skin abrasions are smaller in size.
B)Patient does not fall while hospitalized.
C)Patient sits up without dizziness.
D)Patient is able to tolerate oral fluids.

Question

Quizplus · Accepted Answer

The priority diagnosis for this patient is decreased cardiac output or fluid volume deficit,either of which is evaluated with the lack of dizziness.Falling indicates dehydration or weakness,both brought about by the cardiac output situation.Skin integrity is important but not the priority.Being able to tolerate fluids indicates treatment is going well.However,the priority diagnosis relates to cardiac output and fluid volume.

A Patient Is Admitted with Copious Diarrhea