NURSING SCIENTIFIC NURSING

ASSESSMENT OBJECTIVES RATIONALE EVALUATION

DIAGNOSIS EXPLANATION INTERVENTION
S> O Ineffective tissue The ability of the Short term: > Assess the > To be able to Short term:
O> perfusion related kidney to After 5 hours of patient’s establish a The patient shall
Patient to decreased produce nursing condition baseline data have to
manifested: hemoglobin erythropoietin on interventions, the demonstrate
• Hgb concentration in the patient with patient will be > Note > Provides behaviors to
results the blood as chronic kidney able to customary comparison with improve
(123-153) evidenced by low disease is demonstrate baseline data current findings circulation as
• 11/13/19 hemoglobin level altered. Making behaviors to evidenced by
– 102 the RBC to improve > Note level of > May be altered relaxation
• 11/16/19 function lesser circulation as consciousness/m due to increasing techniques
– 99 compare to their evidenced by entation BUN/creatinine
• 11/18/19 normal function. relaxation Long term:
- 104 techniques > Auscultate BP, > Decreased The patient shall
• 11/21/19 ascertain usual GFR may have to
– 95 Long term: client range increase renin demonstrate
• 11/25/19 After 3 days of release and false increased
nursing BP perfusion as
– 112
interventions, the individually
• 11/29/19
patient will be > Useful in appropriate as
– 110 > Measure the
able to evidenced by the
• Abnormal circumference of identifying
demonstrate edema in the client's vital signs
ABG gas: extremities as
increased involved within the normal
• 11/13/19 indicated
perfusion as extremities range.
– individually
metabolic appropriate as
acidosis evidenced by the
• 11/15/19 client's vital > Review results > To determine
of diagnosis location or
– signs within the severity of
metabolic normal range. condition
acidosis
 • 11/14/19 > Administered > To treat
- medication as underlying
• respirator indicated condition
y
alkalosis > Provide diet > Restriction of
• 11/16/19 restriction protein helps
– limit BUN
respirator
y > Elevate head > To promote
alkalosis of bed circulation
• 11/24/19
– > Treatment of > To improve
respirator underlying case tissue perfusion
y
alkalosis

Patient may
manifest:
>oliguria
>altered mental
status
>behavioral
changes
>hypoactive
bowel sounds
>altered skin
characteristic
>altered
sensation
>edema
Problem no. 3: Ineffective tissue perfusion related to decreased hemoglobin concentration in the blood as
evidenced by low hemoglobin level