Write and submite a nursing care plan; 1) one from any of the renal diagnosis

Write and submite a nursing care plan;

1) one from any of the renal diagnosis

Expert Solution

1Chronic Renal Failure

Nursing Diagnosis:Excess fluid volume related to decreased urinary output,dietary excess and retention of sodium and water.

Goal:Maintenance of ideal body weight without excess fluid.

NURSING INTERVENTIONS	RATIONALE	EXPECTED OUTCOMES
1Assess fluid status a Daily weight. b Intake and output balance. c Skin turgor and presence of edema, d Distention of neck veins. e Blood pressure ,pulse rate,and rythm fRespiratory rate and effort.	1 Assessment provides bSaseline and ongoing database for monitoring changes and evaluating interventions.	Demonstrates no rapid weight changes. Maintains dietary and fluid restrictions. Exhibits normal skin turgor without edema. Exhibits normal vital signs. Exhibits no neck vein distention. Reports no diffficulty breathing or shortness of breath. Performs oral hygiene frequently. Reports decreased thirst. Reports decreased dryness of oral mucous membranes
2 Limit fluid intake to prescribed volume.	2 Fluid restriction will be determined on basis of weight,urine output and response to therapy.
3 Identify potential sources of fluid. a Medications andfluids used to take or administer medications. b Foods.	3 Unrecognized sources of excess fluids maybe identified.
4 Explain to patient and family rationale for fluid restriction.	4 Understanding promotes patient and family cooperation with fluid restriction
5 Assist patient to cope with the discomforts resulting from fluid restriction.	5 Increasing patient comfort promotes compliance with dietary restrictions.
6 Provide or Encourage frequent oral hygiene	6 Oral hygiene minimizes dryness of oral mucous membranes.

Nightingale answered 1 year ago

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