Author Question: The patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has ... (Read 66 times)

jjjetplane · **on:** Jul 17, 2018

The patient admitted with a diagnosis of Alzheimer's disease is anxious and dehydrated, has reportedly not been eating, and has had a weight loss of 5 lb in 1 week. Which of the following nursing diagnoses is a priority?

a. Fluid volume deficit related to fluid loss
b. Altered nutrition: Less than body requirements related to anorexia
c. Fluid volume excess related to reduced urine output
d. Risk for impaired skin integrity

Question 2

The nurse is planning care for the patient with hypertension and obesity. Which of the following is a reasonable and measurable outcome for the nursing diagnosis noncompliance with treatment regimen related to side effects of medications?

a. Patient will state two lifestyle modifications for weight management by (date certain).
b. Patient will be compliant with treatment regimen by (date certain).
c. Patient will understand the disease process by (date certain).
d. Patient's blood pressure will never increase.

kiamars2010 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

A
Replacing fluids is the priority. Anorexia is common in the elderly and can be related to many conditions, including dementia. Fluid volume excess is not present. Risk for impaired skin inte-grity is not the priority.

Answer to Question 2

A
Option a is reasonable and measurable. Option b is vague. Option c does not state how the effec-tiveness of teaching will be measured (e.g., by return demonstration or verbalization). Option d is not reasonable.