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: Confirming nurse practice act and agency policy ensures legal and safe delegation of topical medication administration to UAPs, a critical first step. This protects clients, ensures compliance, and guides delegation decisions, essential for maintaining standards, preventing errors, and supporting safe care in nursing practice settings.

Choice B reason: Supervision availability is secondary to confirming legal delegation per practice acts and policies for UAP medication administration. Assuming supervision is the first question risks bypassing regulatory compliance, potentially leading to unsafe delegation, critical to avoid in ensuring safe nursing practice and client care.

Choice C reason: UAP training is important but follows confirming legal delegation per practice acts and policies for topical medications. Assuming training is the first question risks non-compliant delegation, potentially compromising safety, critical to prevent in ensuring legal, safe task assignment in nursing practice settings.

Choice D reason: Evaluating past client response is part of care planning, not the first step in delegation legality for UAPs. Assuming evaluation is primary risks overlooking regulatory compliance, potentially leading to unsafe delegation, critical to avoid in ensuring safe, legal task assignment in nursing care.

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.