When providing care for a client on prednisone, which nursing diagnosis should be prioritized?

Prioritizing fluid volume excess for a client on prednisone is appropriate due to the medication's effects on the body's electrolyte balance and fluid retention. Prednisone is a corticosteroid that can cause sodium retention and promote water retention, leading to increased blood volume and subsequently fluid volume overload. This condition can result in symptoms such as edema, hypertension, and even heart failure in severe cases.

Monitoring for signs of fluid overload is essential, particularly in populations at risk, including elderly clients and those with pre-existing heart or renal conditions. Early identification and intervention can prevent complications associated with excessive fluid volume.

While the other diagnoses are certainly important and warrant attention, fluid volume excess takes precedence in this scenario due to the direct and significant impact that prednisone can have on fluid status, requiring proactive management to safeguard client health.