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PATIENT NURSING CARE PLAN - eccdl.dcccd.edu

NAME: _____ PRIORITY # 3 PATIENT NAME: NURSING care plan NURSING Diagnosis Definition: The state in which an individual who is not NPO experiences or is at risk of experiencing vascular, interstitial or intracellular dehydration. DATA NURSING DIAGNOSIS NURSING Diagnostic Label Risk for fluid volume deficit MEASURABLE EXPECTED PATIENT OUTCOMEThe PATIENT will: Not develop a fluid volume deficit NURSING INTERVENTION Assess number of pads used and fluid loss every shift NURSING INTERVENTIONA ssess vital signs Q4H NURSING INTERVENTIONA ssess skin temp, turgor and color, mucous membranes every shift SUBJECTIVE: PATIENT reports leakage of light pink fluid.

NURSING CARE PLAN . Nursing Diagnosis Definition: The state in which an individual who is not NPO experiences or is at risk of experiencing vascular, interstitial or intracellular dehydration. DATA . NURSING DIAGNOSIS . Nursing Diagnostic Label . Risk for fluid volume deficit . MEASURABLE

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