For a woman using prednisone to treat an inflammatory skin disorder, what nursing diagnosis should be prioritized?

In the case of a woman using prednisone for an inflammatory skin disorder, the prioritized nursing diagnosis should be "Risk for infection." Prednisone is a corticosteroid, which is well-known for its immunosuppressive effects. When taken, especially over prolonged periods, it can significantly dampen the body's immune response, making an individual more susceptible to infections.

Corticosteroids like prednisone can alter the function of white blood cells, ultimately compromising the body’s ability to combat pathogens. This is particularly critical in someone with an inflammatory condition who may already be under stress from their disorder. As infections can complicate skin conditions and lead to further health issues, monitoring for signs of infection is paramount in this context.

While fluid volume excess could be a concern associated with corticosteroid use due to possible sodium retention and water retention side effects, the immediate risk of infection due to the immunosuppressive nature of prednisone takes precedence, particularly in the context of skin integrity which is often a concern for patients with skin disorders. Pain management is also important, but again, it falls behind the pressing need to monitor and ensure the patient does not develop an infection, as this could lead to more severe complications.