What is the priority outcome statement for a client with diabetes mellitus experiencing polyphagia?

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The selection of adequate cellular nourishment as the priority outcome statement for a client with diabetes mellitus experiencing polyphagia is appropriate due to the fundamental challenges associated with glucose metabolism in diabetes. Polyphagia, which means excessive hunger, occurs in individuals with diabetes when the body’s cells are not able to effectively utilize glucose for energy due to either insulin deficiency or insulin resistance.

In this context, ensuring adequate cellular nourishment addresses the primary issue at hand - the cells are starved for energy despite the presence of glucose in the bloodstream. When cells cannot access glucose properly, they signal hunger (polyphagia), leading to further complications if not effectively managed. Therefore, the focus should be on facilitating the cells' access to glucose, either through controlling blood sugar levels or improving insulin efficacy, which directly enhances cellular nourishment and combats the effects of polyphagia.

The other outcome statements, while important in the overall management of a client with diabetes, do not address the immediate concern related to polyphagia as directly. For example, fluid and electrolyte balance, prevention of water toxicity, and reduced glucose in the urine are more secondary and may not effectively resolve the primary issue of inadequate nourishment at the cellular level resulting from diabetes. Thus, adequate cellular nourishment stands out as the most relevant

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