A client is taking a diuretic that increases her urinary output. What would be an appropriate nursing diagnosis on which to base an educational plan?

Choice A reason: Encouraging food choices supports autonomy, not directly integrity, unlike accurate assessment recording, which reflects honesty. Assuming food encouragement shows integrity risks misidentifying the value, potentially undervaluing truthfulness, critical to avoid in upholding professional nursing standards in clinical practice settings.

Choice B reason: Cultural care reflects respect, not primarily integrity, unlike accurate assessment recording, which ensures honesty. Assuming cultural concern is integrity risks mislabeling the value, potentially overlooking truthful documentation, critical to prevent in maintaining professional nursing integrity in patient care delivery.

Choice C reason: Accurate assessment and recording demonstrate integrity, ensuring truthful documentation, critical for patient safety and trust in nursing practice. This upholds professional standards, prevents errors, and supports ethical care, essential for maintaining accountability and reliability in clinical assessments across diverse healthcare settings.

Choice D reason: Even time division reflects fairness, not integrity, unlike accurate assessment recording, which prioritizes honesty. Assuming time management is integrity risks misidentifying the value, potentially neglecting truthful documentation, critical to avoid in ensuring professional integrity in nursing care and documentation practices.

Choice A reason: Informed refusal of chemotherapy reflects autonomy, needing less advocacy than an uncertain, isolated client. Assuming this client needs most advocacy risks overlooking vulnerable clients, potentially neglecting those with greater decision-making support needs, critical to avoid in ensuring equitable nursing advocacy.

Choice B reason: Choosing alternative treatments after education shows autonomy, unlike an uncertain, family-less client needing advocacy. Assuming this client needs most advocacy risks misprioritizing, potentially neglecting vulnerable clients, critical to prevent in ensuring targeted advocacy for those with decision-making challenges in medical care.

Choice C reason: An older adult without family, uncertain about assisted living, benefits most from advocacy to navigate options and ensure informed decisions. This is critical for protecting vulnerable clients, supporting autonomy, and ensuring access to resources, essential in nursing advocacy on medical units for isolated clients.

Choice D reason: A client with prior procedure experience is less vulnerable than an uncertain, isolated client needing advocacy. Assuming this client needs most advocacy risks misdirecting support, potentially overlooking those with greater needs, critical to avoid in ensuring effective advocacy in medical care planning.