NURSING CARE PLAN Deficient Fluid Volume

1478 UNIT X / Promoting Physiologic HealthEvaluatingUsing the overall goals identified in the planning stage of main-taining or restoring Fluid balance , maintaining or restoring pul-monary ventilation and oxygenation, maintaining or restoringnormal balance of electrolytes, and preventing associated risksof Fluid , electrolyte , and acid base imbalances, the nurse col-lects data to evaluate the effectiveness of interventions. Exam-ples of desired outcomes for the identified goals are found inIdentifying NURSING Diagnoses, Outcomes, and Interventions onpages 1451 and desired outcomes are not achieved, the nurse, client, andsupport person if appropriate need to explore the reasons beforemodifying the care plan . For example, if the outcome Urineoutput is greater than 1,300 mL per day and within 500 mL of in-take is not achieved, questions to be considered might include Have other outcome measures for the goal of achieving fluidbalance been met?

CHAPTER 52 / Fluid, Electrolyte, and Acid–Base Balance 1479 NURSING CARE PLAN Deficient Fluid Volume continued NURSING INTERVENTIONS*/SELECTED ACTIVITIES RATIONALE

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