IN CREATING A NURSING CONCEPT MAP, ANSWER (CREATE FICTITIOUS) THE FOLLOWING FOR A 65 YEAR OLD...

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IN CREATING A NURSING CONCEPT MAP, ANSWER (CREATE FICTITIOUS) THE FOLLOWING FOR A 65 YEAR OLD...

IN CREATING A NURSING CONCEPT MAP, ANSWER (CREATE FICTITIOUS) THE FOLLOWING FOR A 65 YEAR OLD FEMALE PATIENT WHO'S DIAGNOSIS IS RENAL FAILURE:

(ANSWER THE FOLLOWING, DO NOT GIVE THE DEFINITIONS)

1. Priority nursing diagnosis #2

2. Outcome/Goal

3. Interventions

4. Assessment/ Evaluation

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Answer 1

Answer #1

1. Fluid volume excess related to decreased glomerular filtration rate and sodium and water retention as evidenced by weight gain, edema

2. Imbalance nutrition less than body requirement related to anorexia, nausea, vomiting

Outcome

1. Patient maintain normal fluid volume status as evidenced by stable weight, normal vital sign and balanced intake and output.

2.Patient maintain adequate nutritional intake.

Intervention

Monitor vital signs
Check weight daily
Monitor intake and output
Assess the nutritional status
Limit fluid intake to prescribed volume
Encourage high calorie, low protein, low sodium, low potassium snacks
Monitor breath sound for presence of crackles
Monitor blood value such as BUN, creatinine and serum electrolyte.
Provide diet modifications
Provide oral care
Administration of medication as prescribed

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Answer 2

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