Page 17 - INTRODUCTION OF NURSING 1.4 The Nursing Process (PART 2)
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Nursing Assessment
Assessment Rationales
Decreased output may
indicate dehydration or poor renal perfusion.
Monitor fluid intake
Avoid fluid overload to prevent pulmonary
and urine output (and/or central
edema, pneumonia, and taxing an already
venous pressure).
compromised cardiac and renal status.
Check for electrolytes,
Acidosis may emerge from hypoventilation
arterial blood gases, and oxygen and hypoxia.
saturation by pulse oximetry.

