Assessment Diagnosis Scientific Planning Implementation Rationale Evaluation

Rationale
Subjective: Risk for fluid  Fluid Volume Short-Term Independent  Comfortable Short-Term
volume deficit Deficit or Goal: After 1 environment for Goal: Patient is
Fever for 3 days related to Hypovolemia is hour, patient  Provide a the patient to able to
at home inadequate fluid a state or will be able to comfortable cope with the demonstrate
intake as condition where take normal and sterile situation Sterile normal intake of
manifested by the fluid output amounts of environment environment fluids
poor oral intake exceeds the fluids for the reduce chances
Objective: fluid intake.  patient of infectious Long-Term
Presence of scab Long-Term agent Goal: Patient is
Presence of Goal: After 8  Monitor contaminate the able to maintain
vesiculopustular hours of area and patient fluid intake
Vital Signs
lesions intervention
Presence of old
patient will be  Encourage  Vital Signs gives
crusted lesions
Red Skin able to continue fluid intake data of the
Poor oral intake fluid intake (provide patient’s
Irritable but alert straw if condition
patient has
weak hand  Increasing fluid
dexterity) intake will
prevent the
Dependent occurrence of
fluid volume
 Administer deficit
IV fluids as
per doctor’s
order
 Rehydration to
counter fluid
volume deficit