Cues Nursing Analysis Goals and Implementation Rationale Evaluation

Diagnosis Objective

Subjective cues: Stem: SCIENTIFIC Short-term Goal: 1. Independent  Not getting 1. Met
ANALYSIS Development: enough
 The client  Risk for  After an hour physical (a) The client knows
states “I high  High blood of health care  The nurse activity as how to balance
am happy blood pressure intervention, should guide part of your her food.
to see the pressure. occurs when the patient the patient on lifestyle (b) The client blood
doctor. I your blood should know how to use increases pressure is
am proud to Related to: pressure the importance automatic your risk of normal.
be 81 and increases to of taking care blood getting high (c) The client
still  Lack of unhealthy of herself by pressure and blood laboratory result
walking!” healthy levels. Your eating healthy how to take pressure. A is normal.
and “I am food blood foods. her own diet that is
glad I am pressure blood too high in 2. Met
not taking AEB: measuremen Long-term Goal: pressure. salt
any t takes into consumption, (a) The client can
medication  She states account how  After how as well as now avoid the
and still that she much blood many month, 2. Collaborative- calories, unhealthy food.
able to eat eats what is passing the client will Developmental: saturated and (b) The client is
anything I she wants through your be healthy and trans fat and now prioritizing
want.” to eat. blood has a normal  The nurse sugar, carries and taking care
vessels and laboratory should share an additional of herself.
 "I am glad I  Abnormal the amount results. her risk high (c) The client is
am not laboratory of resistance knowledge blood now eating
taking any results the blood about healthy pressure. healthy foods.
medications meets while Objectives lifestyle and Being (d) The client knows
and still the heart is on how to overweight how to manage
able to eat pumping. Cognitive: maintain or obese. her blood
anything I (Judith normal blood (heart.org pressure.
want!" Marcin, MD.  After 30 pressure. 2020)
2020) minutes, the
client will be  To control
Objective cues: able to learn on your high
SITUATIONAL of how blood
The client vital signs ANALYSIS: important to pressure you
are: take healthy need to
 The patient foods to exercise
-BP: 120/90 has a family prevent her because
-PR: 81 history of high blood it is the most
-RR: 17 hypertension pressure. effective way
-Temp.: 36.5 and she also
to lower your
-BMI: 22.2 states that
blood

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 she pressure.
Client’s Laboratory sometimes Psychomotor: Being
results are: loses physically
balance.  After 30 active at
-Low hemoglobin minutes, the least 30
-High sodium client should minutes a
-High uric acid able to know on day most
-Normal blood sugar how to use days of the
-Low calcium automatic week goes a
-Low potassium blood pressure long way
monitor. toward
-Client shows no keeping or
signs of distress and Affective: getting your
is cheerful during the blood
interview.  At the end of pressure
- Client’s urinalysis the session, the under
reveals 9 -10 WBC. client will be control.
able to share (Megan N.
her experience Brown,
of having PharmD,
unhealthy habit RPh. 2019)
and how she
improved her
health.

List 5 identified problems

 Risk of digestive disorders associated in having low potassium
 Risk of uncontrolled diabetes and kidney disease associated in having high sodium
 Risk of heart disease associated in having high cholesterol
 Risk of fatty liver disease associated in having high uric acid
 Increased risk of death associated in having low hemoglobin

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