What potential nursing diagnosis should the nurse prioritize for a client treated with prednisone for an inflammatory skin disorder?

In the context of a client treated with prednisone for an inflammatory skin disorder, the most appropriate nursing diagnosis to prioritize is the risk for infection. Prednisone, a corticosteroid, has immunosuppressive properties that can inhibit the body’s ability to mount an effective immune response. This means that a client taking prednisone is at an increased risk for infections, as the drug can reduce inflammation but also decrease the body's natural defense mechanisms.

While fluid volume excess might be a concern due to the potential side effects of corticosteroids, particularly in long-term use where sodium retention and fluid retention can occur, the immediate concern when a client is receiving prednisone is their susceptibility to infections. Corticosteroids can alter the normal functioning of the immune system, making it essential to monitor for signs of infection closely.

Additionally, impaired skin integrity is certainly relevant in clients with inflammatory skin disorders, particularly when corticosteroids are used. However, the concern here would be more related to the skin condition itself rather than a direct consequence of prednisone. Anxiety may also be an issue for some patients, particularly due to the stresses associated with their condition and treatment; however, this is not as immediately critical as the need to address the heightened risk of infection.

Therefore, prioritizing the risk for infection