Implementatio
Assessment Diagnosis Planning Evaluation
n
Urinary output
has a normal
Dependent:
The client will specific
administer
maintain fluid gravity (1.010
Hypotonic
volume at a – 1.030) and
solution or
functional with a normal
lactated ringer’s
Subjective: “I level as volume of
or .9 NaCl as
am experiencing evidence by approximately
prescribed
excessive thirst” individually or not less
Independent:
adequate than 30ml/hr;
Fluid Volume Assess input
Subjective: urinary output the vital signs
Deficit and output,
Water like urine with normal are in normal
weight, vital
with a specific specific range (Temp-
signs, CVP;
gravity of 1.001 gravity, stable 36.5-37.5; BP
Monitor skin and
to 1.005 vital signs, 120-80mmHg;
tongue turgor
moist mucous PR 60-
Collaborative:
membranes, 100bpm); has
Determine and
and good skin a normal skin
eliminate the
turgor turgor and
causative factor
moist mucous
membrane