AssessmenL ulagnosls lnference lannlng lnLervenLlon 8aLlonale LvaluaLlon

Sub[ecLlve
O -one










Cb[ecLlve

Ldema
PyperLenslon
WelghL galn


Lxcess fluld
volume relaLed
Lo edema as
manlfesLed by
welghL galn

WelghL galn
|
/

Ldema
|
/
Lxcess fluld
volume

ShorL Lerm
O AfLer 8
hours of
nurslng
lnLervenLlo
n Lhe
paLlenL
would
reduce
excess fluld
from Lhe
body


Long Lerm
O AfLer 23
days of
nurslng
lnLervenLlo
n Lhe
paLlenL
would
ellmlnaLe
excess
flulds


lndependenL

O ,onlLor and
record vlLal
slgns
O ompare
currenL
welghL Lo
admlsslon
welghL
O AusculLaLe
breaLh
sounds
O ,easure
abdomlnal
glrLh
O -oLe
paLLerns and
amounL of
urlnaLlon
O Assess for
posslble rlsk
facLors
O Assess
paLlenLs
appeLlLe
O 8esLrlcL
sodlum and
fluld lnLake lf
lndlcaLed
O 8ecord
lnLake and
CuLpuL
O Welgh ually

ollaboraLlve
O AdmlnlsLer
,edlcaLlons
O rovlde quleL
aLmosphere



O @o
obLaln
baselln
e daLa
O ompa
rlson
of
resulLs
O or
presen
ce of
crackle
s or
conges
Llon
O or
change
s LhaL
may
lndlcaL
e
lncreas
lng of
fluld
reLenLl
on
O @o
monlLo
r fluld
reLenLl
on and
evaluaL
lng
hours
of
excess