NCP1 Er

ASSESSM EXPLANATION OF OBJECTIV NURSING RATIONAL EVALUATI
ENT THE PROBLEM ES INTERVEN E ON

TIONS
OBJECTI Fluid volume deficit STO: Dx Dx STO

VE (FVD) is a state or Within 8  Monitore  Decrease GOAL
condition where the hours of d vitals in MET:
fluid output exceeds consistent and circulating Within 8
 Decrea the fluid intake. It nursing recorded blood hours of
sed occurs when the body interventions according volume consistent
skin loses both water and , the patient ly can cause nursing
turgor electrolytes from the will be able hypotensi interventions
 Sunken ECF in similar to have good on and , the client
eyeball proportions. FVD can skin integrity tachycardi had good
s be due to decreased and maintain a skin integrity
 Alterati intravascular, regularity in and maintain
on in interstitial, and/or vitals as well regularity in
mental intracellular fluid. The as display no  Indicators vitals as well
status patient is experiencing signs of of as display no
 Decrea a fluid volume deficit alterations in  Assessed adequacy signs of
sed due to vomiting mental skin of alterations in
urine episodes as well as status. turgor, peripheral mental
output insufficient knowledge capillary circulation status.
about fluid needs. LTO refill and and
Within 24-72 mucous cellular
hours of membran hydration LTO
nursing es GOAL
NURSING interventions MET:
DIAGNOS , the patient  Decreasin Within 24-72
IS: will be able g output hours of
Risk for to: of nursing
fluid  Demonst concentrat interventions
volume rate  Monitore ed urine , the patient
deficit lifestyle d input with was able to:
related to changes and increasing  Demonst
pre- Reference: to avoid rate
output, gravity
operative https:// progressi lifestyle
urine suggests
vomiting nurseslabs.com/fluid- on of changes
color, dehydratio
electrolyte- dehydrat to avoid
concentrat n and
imbalances-nursing- ion progressi
ion and need for
care-plans/  Verbaliz on of
gravity increased
e fluids. dehydrat
awarenes ion
s of  Verbaliz
causative e
 Weight is
factors awarenes
the best
and s of
assessmen
behavior causative
t data for
s factors
possible
essential fluid and
to volume behavior
correct  Weighed imbalance s
fluid client . An essential
volume daily with increased to
loss as the same in 2lbs a correct
well as scale week is fluid
describe consider volume
symptom normal loss as
s that well as
indicate describe
the need Tx symptom
to  Oral fluid s that
consult a replaceme indicate
health nt is the need
care indicated to
provider. for mild consult a
fluid health
Tx deficit and care
 Urged the is a cost- provider
client to effective
drink method
prescribed for
amounts replaceme
of fluid nt
treatment
 Dehydrate
d patients
may be
weak and
 Assisted unable to
clients meet
with prescribed
activities intake
of daily independe
living ntly
such as
feeding
 Dehydrati
on results
in drying
and
painful
 Assisted cracking
in of lips and
frequent mouth
oral care
 Planning
conserves
 Planned patient’s
patients’ energy
daily
activities
 Drop situa
tions
 Provided where
a patient
comfortab can
le experienc
environm e
ent by overheatin
covering g to
patient prevent
with light further
sheets fluid loss
 To help in
circulating
 Administe blood
red IV volume
fluids and and fluid
electrolyt and
es electrolyte
balance
Edx
 Fluid
deficit can
cause a
dry, sticky
mouth.
Attention
to mouth
care
promotes
interest in
drinking
and
reduces
discomfor
Edx
t of dry
 Emphasiz
mucous
ed the
membrane
importanc
s.
e of oral
hygiene
to the
patient  Increasing
the
patient’s
knowledg
e level
will assist
in
preventing
and
managing
the
problem.
 An
 Emphasiz accurate
ed the measure
relevance of fluid
of intake and
maintain output is
proper an
nutrition important
and indicator
hydration of
patient’s
fluid
status.
 Early
detection
 Instructed of risk
patients factors
Significan and early
t others interventi
on how to on can
monitor decrease
both the
intake and occurrenc
output at e and
home severity of
complicati
ons from
deficient
fluid
volume.
 Educated  An
patient accurat
and e
significan measur
t others e of
on fluid
possible intake
cause and and
effect of output
fluid is an
losses importa
nt
indicato
r of
patient’
s fluid
status
 Continu
ity of
care is
facilitat
ed
 Educated through
s/o how to the use
monitor of
input and commu
output at nity/
home home
resourc
es.
 Refer
patient to
home
health
nurse or
private
nurse to
assist
patient as
appropriat
e

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ASSESSM EXPLANATION OF OBJECTIV NURSING RATIONAL EVALUATI

ENT THE PROBLEM ES INTERVEN E ON

OBJECTI Fluid volume deficit STO: Dx Dx STO

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