- Alterations in mental state.
- Patient complaints of weakness and thirst that may or may not be accompanied by tachycardia or weak pulse.
- Weight loss (depending on the severity of fluid volume deficit)
- Concentrated urine, decreased urine output.
- Dry mucous membranes, sunken eyeballs.
- Weak pulse, tachycardia.
What is one nursing diagnosis for this client with anorexia?
Nursing Diagnosis Nursing diagnoses for clients with eating disorders include the following: Imbalanced nutrition: less than body requirements related to purging or excessive use of laxatives. Ineffective coping related to inability to meet basic needs. Disturbed body image related to being excessively underweight.
What nursing intervention will you provide for a patient with fluid imbalance?
Restriction of sodium or water decreases extracellular fluid retention. Administer diuretics as indicated: Loop diuretics such as furosemide (Lasix). Potassium-sparing diuretics such as spironolactone (Aldactone).
Is deficient fluid volume a nursing diagnosis?
Fluid volume deficit also known as dehydration can be a common occurrence and nursing diagnosis for many patients. Dehydration is when there is a loss of too much fluid from the body. This leads to a lack of water in the body’s cells and blood vessels.
What is an appropriate goal for a client with anorexia nervosa?
The first goal of treatment is getting back to a healthy weight. You can’t recover from anorexia without returning to a healthy weight and learning proper nutrition. Those involved in this process may include: Your primary care doctor, who can provide medical care and supervise your calorie needs and weight gain.
Which medical complications are associated with the diagnosis of bulimia nervosa?
Bulimia nervosa can lead to a variety of general medical complications, including metabolic alkalosis, dehydration, constipation, and cardiac arrhythmias.
How do you write a nursing diagnosis?
A nursing diagnosis has typically three components: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics or risk factors (for risk diagnosis). BUILDING BLOCKS OF A DIAGNOSTIC STATEMENT. Components of an NDx may include problem, etiology, risk factors, and defining characteristics.
Is dehydration a medical diagnosis?
Your doctor can often diagnose dehydration on the basis of physical signs and symptoms. If you’re dehydrated, you’re also likely to have low blood pressure, especially when moving from a lying to a standing position, a faster than normal heart rate and reduced blood flow to your extremities.
What are clinical manifestations of dehydration?
Signs of dehydration include: Headache, delirium, confusion. Tiredness (fatigue). Dizziness, weakness, light-headedness.
Is fluid overload a nursing diagnosis?
Nursing Diagnosis: Fluid Volume Excess related to excessive fluid and sodium intake, and renal insufficiency as evidenced by edema, oliguria, shortness of breath, increased heart rate, elevated blood pressure, and electrolytes imbalances.
How does electrolyte imbalance cause fluid imbalance?
An electrolyte imbalance is caused when you lose a large amount of body fluids. For example, if you are sweating or vomiting too much, it can lower the levels of some electrolytes in the body. In fact, when you’re sweating, you lose 2% to 6% of your body weight.
Can dehydration cause electrolyte imbalance?
An electrolyte imbalance can happen if a person becomes dehydrated or if they have too much water in their body. Electrolyte imbalances are most often due to: vomiting. diarrhea.
What are the nursing interventions for fluid volume deficit?
Fluid Volume Deficit Nursing Interventions Supportive management may be employed to maintain the patient’s body temperature to normal, such as by giving tepid sponge bath and giving antipyretic medications. Restore the patient’s body fluid homeostasis.
Is fluid volume deficit the same as dehydration?
Although often used interchangeably, dehydration and volume depletion are not synonyms. Dehydration refers to loss of total-body water, producing hypertonicity, which now is the preferred term in lieu of dehydration, whereas volume depletion refers to a deficit in extracellular fluid volume.
What indicates fluid volume deficit?
Decreased blood pressure with an elevated heart rate and a weak or thready pulse are hallmark signs of fluid volume deficit. Systolic blood pressure less than 100 mm Hg in adults, unless other parameters are provided, should be reported to the health care provider.
What is the ultimate goal of nutrition therapy for individuals with anorexia nervosa?
Key goals in nutritional therapy for anorexia nervosa include: Weight restoration and body-weight maintenance. A development of neutrality toward food through re-developing intuitive understandings of hunger, fullness, and satiety.
Which of the following is one of the main characteristics of people suffering from anorexia nervosa?
Anorexia (an-o-REK-see-uh) nervosa — often simply called anorexia — is an eating disorder characterized by an abnormally low body weight, an intense fear of gaining weight and a distorted perception of weight.
What are the characteristics of people with anorexia nervosa?
According to the DSM, anorexics 1) refuse to maintain body weight at or above a minimally normal weight for their age and height, 2) experience intense fear of gaining weight or becoming fat, even though they are underweight, 3) misunderstand the seriousness of their weight loss, provide undue influence of body weight …
Which medical complication is possible with the diagnosis of anorexia nervosa?
Anorexia nervosa is associated with numerous general medical complications that are directly attributable to weight loss and malnutrition [1,2]. The complications affect most major organ systems and often include physiologic disturbances such as hypotension, bradycardia, hypothermia, and amenorrhea.
Which of the following is a diagnostic criterion for anorexia nervosa?
To be diagnosed with anorexia nervosa according to the DSM-5, the following criteria must be met: Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
Which is a focus for the acute phase of treatment for a client diagnosed with anorexia nervosa?
Anorexia nervosa: In acute stage of anorexia nervosa, weight restoration through nutritional rehabilitation should be the focus of treatment and nursing supervised oral refeeding of normal food for this purpose is recommended.
What are 5 nursing diagnosis?
- Activity Intolerance.
- Impaired Gas Exchange.
- Excessive Fluid Volume.
- Caregiver Role Strain.
- Ineffective Coping.
Which is the best example of a nursing diagnosis?
Which is the best example of a nursing diagnosis? Ineffective Breastfeeding related to latching as evidenced by non-sustained suckling at the breast. The formulation of nursing diagnoses is unique to the nursing profession.
What is Nanda approved nursing diagnosis?
A nursing diagnosis is defined by NANDA International (2013) as a clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response, by an individual, family, group, or community.
What are 5 common causes of dehydration?
- Diarrhea, vomiting.
- Excessive sweating.
- Increased urination.