NSG. DX.

OBJECTIVE OF
CUES W/SCIENTIFIC CARE NSG. ACTION RATIONALE EVALUATION
BASIS
S: Risk for Electrolyte After 8 hours of nursing INDEPENDENT: After 8 hours of nursing
Imbalance related to shift the patient will be shift the patient was able
renal dysfunction able to improve and  Established rapport  To gain the to improve his electrolyte
maintain a normal patient's trust and levels.
electrolyte levels. cooperation during
O: the entire - Partially Met
When there is a procedure.
-Restless and Irritable malfunction of the
-Nauseous kidneys, the balance of  Assess vital signs  Electrolyte
-Muscle weakness fluid and electrolytes can routinely abnormalities can
be altered, leading to an lead to arrhythmias
imbalance of certain and respiratory
electrolytes. This can, failure
NEED therefore, affect the
transmission of impulses  Assess mental  Severe electrolyte
Safety needs of the nerves and status abnormalities can
(Health) muscles throughout the cause a change in
body, which can have mentation and
serious implications confusion
(Yolanda Smith, 2019);
 Monitor intake and  Excessive fluid
output intake or insufficient
fluid intake can
cause abnormalities
in electrolytes
 Assess laboratory  Patients at risk of
values electrolyte
imbalances should
have routine lab
work completed to
monitor for any
changes so that
treatment and
supplements are not
 Weigh patient delayed
 daily  Regular monitoring
of patient’s weight
will indicate if there
is fluid volume
excess which could
cause changes in
electrolyte levels.
 Educate patient
and family on signs
and symptoms of  This will help to
electrolyte provide the patient
with more
abnormalities. independence at
home in managing
their care and
preventing further
complications or
episodes of
electrolyte
abnormalities
DEPENDENT:
DEPENDENT:
 Administer pain
medication as  Electrolyte
appropriate abnormalities may
cause discomfort
and patients may
need treatment for
pain

 Supplement
electrolyte levels as  If patients’
appropriate and as electrolyte levels
ordered by the are low additional
healthcare provider supplements may
be needed orally or
intravenously to
maintain
appropriate levels,
administer these as
 ordered by the
healthcare provider
 Administer oxygen
as needed  Electrolyte
imbalances can
cause respiratory
distress/failure –
monitor closely and
if needed supply
supplemental
oxygen therapy
COLLABORATIVE:
COLLABORATIVE:
 Educate patient and
family member on the  This will help patients
importance of a to understand how
balanced nutritional their nutritional status
state and importance affects their
of hydration electrolyte levels

 Educate patient and