Question

1. An elderly patient has just been admitted to the Emergency Department with symptoms of confusion and muscle tremors. When taking his history, it is revealed he had been discharged from the hospital 2 days ago. He has been on IV therapy for a stomach virus, but could not keep down fluids after he was discharged.

a. Develop one care plan for this case study.. It should contain a NANDA nursing diagnosis, one goal, and at least four nursing interventions. Nursing interventions are not doctor’s orders

Answer 1

Nursing diagnosis :-

Fluid volume deficit related to stomach virus

Goal :-

Patient will maintain adequate fluid volume as evidenced by stable vital signs , adequate urine output .

Nursing interventions :-

Assess the changes in level of confusion.

Evaluate the client's ability to manage own hydration.

Monitor vital signs . Observe for temperature elevation and orthostatic hypotension.

Maintain intake -output chart.

Administer iv fluids.

Encourage foods with high fluid content.