A nurse assesses a patient with cirrhosis who is experiencing hypertension, edema, and shortness of breath. Which of these nursing diagnoses will the nurse establish?

Question

Quizplus · Accepted Answer

The patient's presenting symptoms of hypertension, edema, and shortness of breath suggest fluid volume excess, which is characteristic of cirrhosis. Ineffective Tissue Perfusion may also be appropriate, but Fluid Volume Excess is the better choice based on the given assessment data. Fluid Volume Deficit and Impaired Skin Integrity are not appropriate given the patient's symptoms.

A Nurse Assesses a Patient with Cirrhosis Who Is Experiencing