Justin has several nursing diagnoses including imbalanced nutrition due to insufficient calorie intake from anorexia and nausea preventing him from meeting his metabolic demands. He is also at risk for deficient fluid volume from vomiting and diarrhea causing excessive fluid losses. Additionally, Justin experiences fatigue likely from decreased energy production and discomfort from his condition, as well as impaired skin integrity due to bile salt accumulation in his tissues causing irritation. Lastly, Justin has deficient knowledge about his condition which nurses can address by providing education and resources.

1. Justin V Sebastian

41. Nursing Diagnosis
1. Imbalanced Nutrition: Less Than Body
Requirements related to
• Insufficient intake to meet metabolic demands:
anorexia, nausea/vomiting
• Altered absorption and metabolism of ingested
foods: reduced peristalsis (visceral reflexes), bile
stasis
• Increased calorie needs/hyper metabolic state

42. Nursing Diagnosis
2. Risk for Deficient Fluid Volume related to
• Excessive losses through vomiting and diarrhea,
third-space shift
• Altered clotting process

43. Nursing Diagnosis
3. Fatigue related to
• Decreased metabolic energy production
• States of discomfort
• Altered body chemistry (e.g., changes in liver
function, effect on target organs)

44. Nursing Diagnosis
4. Impaired Skin Integrity related to bile salt
accumulation in the tissues.

45. Nursing Diagnosis
5. Deficient Knowledge related to
• Lack of exposure/recall; information
misinterpretation
• Unfamiliarity with resources