A nursing diagnosis of Risk for Deficient Fluid Volume related to excessive fluid loss,secondary to diarrhea and vomiting was implemented for a home health client who began with these symptoms 5 days ago.A goal was that the client's symptoms would be eliminated within 48 hours.The client is being seen after a week,and has had no diarrhea or vomiting for the past 5 days.What should the nurse do?
A)Keep the problem on the care plan,in case the symptoms return.
B)Document that the problem has been resolved and discontinue the care for the problem.
C)Assume that whatever the cause was,the symptoms may return,but document that the goal was met.
D)Document that the potential problem is being prevented because the symptoms have stopped.

Question

Quizplus · Accepted Answer

The goal of eliminating the client's symptoms within 48 hours has been met, as the client has not had diarrhea or vomiting for the past 5 days. Therefore, the nurse should document that the problem has been resolved and discontinue the care for the problem. Keeping the problem on the care plan or assuming that the symptoms may return, while also documenting that the goal was met, are not necessary or appropriate given the situation. Documenting that the potential problem is being prevented because the symptoms have stopped is also not the best answer, as the focus should be on resolving the problem that was initially identified.

A Nursing Diagnosis of Risk for Deficient Fluid Volume Related