XII. Nursing Care Plan Assessment Subjective Cue Konti lang yung iniinom niyang tubig.

Kahit painumin namin siya ayaw pa din niya eh As verbalized by the clients relative. Objective Cue Vital Signs BP: 90/60 PR: 95 RR: 25 Temp: 37.0 Degree Celsius I/O Oral: 615 cc/day Urine: 315 cc/day Stool: BM (1x) per day

Diagnosis Deficient Fluid Volume r/t Inadequate Fluid Intake

Planning Short-Term Goal After 30 minutes of nursing intervention, the client will be able to verbalize understanding of condition and treatment. Long-Term Goal After 1 hour of nursing intervention, the client will be able to perform necessary procedures correctly and explain reasons for the actions.

Pale Appearance Dry Skin

Implementation Rationale Independent Independent Monitor Vital Obtain baseline signs. data. Monitor and To monitor record I/O. fluid status. Emphasize Increases urine fluid intake. production. . Mmmm nni Flushes miih niogg nhogb bacteria out of the mihfnikfngfknng urinary system. cajbjda idahfnosf Prevent bhathhd. dehydration Note Help increase preferences, and fluid intake. provide beverages Fhkglbb jfjfh and foods with high kgugjfvh vfhvjkv fluid content. jvukgkujvjmugkug Instruct client to A salt-rich diet decrease intake of increases risk for salty food. Jsdhjka kidney stones by djnd jbas jsjd increasing the jhkjinidaudhas calcium content of jdijis your urine. Assist client to a To provide stand position. functional position Kjans jnsajb. of voiding. Use running water Stimulate in sink or warm urination.kda water over skljdnsa jsdiaklnds perineum. ildkjsailk lkjdlak. Advise client Increase the intake of vitamin acidity of urine. C and drinking 2 Jgdiufgkids to 3 glasses of khfhasif kihhdsas cranberry juices ihidsihsd

Evaluation Short-Term Goal After 30 minutes of nursing intervention, the client was able to verbalize understanding of condition and treatment. Long-Term Goal After 1 hour of nursing intervention, the client was able to perform necessary procedures correctly and explain reasons for the actions.

daily. Weigh client daily. Jhdsiuhdas uhsduhsd

hihidsojidfs Indicator of overall fluid and nutritional status. Collaborative Alternative fluid replacements.

Collaborative Administer parenteral fluids as indicated.