The nurse is caring for a client who is diagnosed with nephrotic syndrome and has 3+ ankle and leg edema with ascites. Which of the following nursing diagnoses is a priority for the client?
A)Excess fluid volume related to low serum protein levels
B)Activity intolerance related to increased weight and fatigue
C)Disturbed body image related to peripheral edema and ascites
D)Altered nutrition: less than required related to protein restriction

Question

Quizplus · Accepted Answer

The client has massive edema, so the priority problem at this time is the excess fluid volume. The other nursing diagnoses also are appropriate, but the focus of nursing care should be resolution of the edema and ascites.

The Nurse Is Caring for a Client Who Is Diagnosed