NR-304 Health Assessment II
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NR304 Health History Part II Assignment Renal Calculi (in the Right Kidney or Ureter) Medical Diagnosis #1 Nursing Diagnosis: Impaired comfort related to inflammation and smooth muscle spasms related to renal calculi Supporting Data: Sudden lower right quadrant discomfort, patient also takes OTC medications to control occupation related pain #2 Nursing Diagnosis: Risk for fluid volume deficit related to insufficient fluids for weather conditions Supporting Data: Occupation as a construction worker, environmental considerations such as temperature when working outdoors #3 Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to insufficient nutrient intake, as evidence by a high-fat diet and alcohol intake. Patient’s Diet: Supporting Data: patient consumes alcohol regularly, intake of caffeine, regularly consumes junk food, eats fast food regularly #4 Nursing Diagnosis: Risk-prone health behavior related to unhealthy lifestyle choices Supporting Data: Patient drinks a 6 pack of beer on weekends, smoking 1-1.5 packs of cigarettes daily with extensive family history of cardiovascular diseases, patient perception of vaccine safety, elicit drug use, eats junk food regularly, fast food regularly consumed
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NR304: Health History Part II Assignment Nursing Diagnosis #1: Risk for fluid volume deficit related to insufficient fluids for weather conditions Outcome : Patient will ingest suggested quantity of fluids daily to ensure adequate hydration. Nursing Interventions: 1. Explain the need to increase fluids during periods of hot weather 2. Stress the need to hydrate before and during strenuous work outdoors that will cause diaphoresis.
NR-304 Health Assessment II
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