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Care Plan Exercise: Cristi Day RN, MSN, FNP-C Texas A&M University - Corpus Christi
Care Plan Exercise: Cristi Day RN, MSN, FNP-C Texas A&M University - Corpus Christi
CP
8/10
RR
24
SOB
Fees like
he going to
die
1.
2.
CP
8/10
RR
24
Fees like
he going to
die
SOB
1.
2.
CP
8/10
RR
24
Fees like
hes going
to die
SOB
Assess for signs of decreased tissue perfusion: CP,
clammy skin, dyspnea, feelings of impending doom.
RA: Indicative of inadequate blood supply to
myocardium (A&L p269)
1.
knowledge of treatment
regimen including lifestyle
modifications, medical
nutrition therapy, and
medication regimen
actions and possible side
effects before discharge
from acute care.
Activity Intolerance
Definition:
Insufficient physiological or
psychological energy to endure or complete
required or desired daily activities.
Defining Characteristics (AEB): Verbal report
of fatigue or weakness, abnormal heart rate or
blood pressure response to activity, exertional
discomfort or dyspnea, electrocardiographic
changes reflecting arrhythmias or ischemia.
Activity Intolerance
Nursing Diagnosis Statement
c/o
fatigue
Exertional
dyspnea
1.
2.
c/o
fatigue
Exertional
dyspnea
1.
(A&L 152)
Client will
demonstrate
increased activity
intolerance
(decrease report of
fatigue and decreased
exertional dyspnea by
time of discharge.
2.
1.
2.
10
10
10
Carative Factors/Interventions:
Contain what, how much, where, when
Related to goals and outcomes
Could be completed by another nurse for the client
10
Rationale:
Based on Valid Theory; States what the nursing action modifies
within the body to accomplish the desired outcome
Refers to interventions, References (page and source)
10
Evaluation:
States how goal was met or not met
Recommended changes
Based on outcome criteria
10