1. deficient fluid volume related to osmotic diuresis-a serum glucose level of 618 mg/dl indicates hyperglycemia, which causes polyuria and deficient fluid volume. in this client, tachycardia is more likely to result from deficient fluid volume than from decreased cardiac output because his blood pressure is normal. although the clients serum glucose is elevated, food isnt a priority because fluids and insulin should be administered to lower the serum glucose level. therefore, a diagnosis of imbalanced nutrition: less then body requirements isnt appropriate. a temperature of 100.6f isnt life threatening, eliminating ineffective thermoregulation as the top priority.