Anita Gergen,an 83-Year-Old Woman Admitted for an Abdominal Perineal Resection

Anita Gergen,an 83-year-old woman admitted for an abdominal perineal resection for early sigmoid cancer,has a recent history of a 4% weight loss.On admission to the OR she is tachy-pneic,her tongue and mucous membranes of her mouth are dry,her speech is slurred,and she is confused.Her surgical unit nurse states that Anita's bowel prep the night before was successful.Anita states that she has to vomit.The anesthesia provider tries to find a good vein for an intravenous access and asks the perioperative nurse to look for a possible vein on Anita's other arm as the left arm veins are flat.Based on these conditions,what would be Anita's presenting nursing diagnosis?

A) Risk for Deficient Fluid Volume related to intraoperative blood loss
B) Deficient Fluid Volume related to age-associated total body water and plasma volume loss
C) High Risk for Deficient Fluid Volume related to NPO status and bowel prep
D) Deficient Fluid Volume related to NPO status and bowel prep