For a client with anorexia nervosa, which nursing diagnosis is the priority?

In the context of a client with anorexia nervosa, the priority nursing diagnosis of deficient fluid volume is crucial due to the potential for life-threatening complications associated with malnutrition and dehydration. Anorexia nervosa often leads to severe calorie restriction, which can result in significant physical manifestations including electrolyte imbalances, dehydration, and heart-related issues. Given that inadequate fluid intake can quickly escalate to acute health crises such as renal failure and cardiac dysrhythmias, addressing fluid volume deficiency becomes the primary concern for ensuring the client’s safety.

While other nursing diagnoses, such as disturbed thought process or disturbed body image, are relevant to the comprehensive care of patients with anorexia nervosa, they do not take precedence over the immediate physiological need for adequate hydration and nutrition. Similarly, while deficient knowledge about nutrition and health might be significant in the long term, the acute physical needs of the client must be prioritized to prevent serious complications. Thus, focusing on correcting deficient fluid volume is essential in stabilizing the client and laying the groundwork for further therapeutic interventions.