Advanced Nurse Clinical

Care plan

Nursing Diagnostic PES (the student will create two nursing diagnostics one needs to be acute or
actual and the other one could be risk for)

Nursing diagnostic PES/PE:Adrenal hypofunction

Outcome/Goals:Pa#ent experiences adequate fluid volume and electrolyte balance as evidenced

by urine output greater than 30 mL/hr, normotensive blood pressure (BP), heart rate (HR) less than
100 beats/min, consistent weight, and normal skin turgor.

Diagnostic 1:Risk For Deficient Fluid Volume

Diagnostic 2:Risk for Decreased Cardiac Output

Interventions Assess vital signs, especially noting BP and HR for orthostatic changes.Assess
color, concentration, and amount of urine.Assess additional indicated laboratory tests.

Diagnostic 1:Imbalanced nutrition

Diagnostic 2:Risk for Decreased Cardiac Output

Evaluation

Diagnostic 1:Muscle weakness

Diagnostic 2:
Patient Report

The student will write his or her patient report and share it with the nurse coming in. Please very
descriptive.