What is the most appropriate nursing diagnosis for the client with acute pancreatitis()
A. Deficient fluid volume.
B. Excess fluid volume.
C. Decreased cardiac output.
D. Ineffective gastrointestinal tissue perfusion.
参考答案:A
解析:
Clients with acute pancreatitis commonly experience deficient fluid volume, which can lead to hypovolemic shock. The volume deficit may be caused by vomiting, hemorrhage (in hemorrhagic pancreatitis), and plasma leaking into the peritoneal cavity. Hypovolemic shock would cause a decrease in cardiac output. Tissue perfusion would be altered if hypovolemic shock occurred, but this wouldn’t be the primary nursing diagnosis.