Question

Pleaase help

Please help me about this care map for 3 problem

Patient Problem #1 Risk for Falls (highest priority) includes:
1. Nursing diagnosis 

2. Supporting evidence (subjective and objective data) 3. One SMART* goal. 

4. Minimum of 3 EB* interventions.

Patient Problem #2 Risk for Electrolyte imbalance  (highest priority) includes:
1. Nursing diagnosis 

2. Supporting evidence (subjective and objective data) 3. One SMART* goal. 

4. Minimum of 3 EB* interventions.

Patient Problem #3 Impaired Memory  (highest priority) includes:
1. Nursing diagnosis 

2. Supporting evidence (subjective and objective data) 3. One SMART* goal. 

4. Minimum of 3 EB* interventions.

Answer 1

e plon for thc Rick of beéred Outome Patient doent fae fall Does not have ay all related inju Emlement sha reen b Subjectve Dala ltered Mobilitg Confusion Disoientaton Oljectve dlala Malnuhntion Heanng cliffhulhes Impaireo balonce Nusing Interventions Rationale 」. Assess Condition that can\ Probe assessment helなdetermine a precoutons increase the batients level heodec chonge in ment for fachos thaton mboer placement ol egupmen mental Stafus ek Unjaar environment and Can Increh se patients rsk o 2. Asses he patents eni increase kau risk 3. Thorouphly assess the atient This enables the usse to Oblai Curent hyncal achwig baseline dlata and mo b D bil 2 needtect, provide The ute of adabtive eguipmenh adabt hive equupment forC enable the paient auhnhe Dail athieve doing sell-work and livin Care

Nuxsing Caue Plan for Rick for Elechaly te Imbalon Deuized Dutiomes Undeschanding the need of elecholyte ng the need of echilyle balance Demonshaton of stable fluid volume o evidlence by sable vital signs p) Subjective Data Hatique Diorhoe Weakness ) Objeclive Data Tachy cardlia Elevduted CvP Rationale ypertension and Tachyca rdia are common maoestation Elevated CUP may be hoted praa The retention of water oh I tihes qual to height Nuxing Intervention l. Monitor vital sign a weli as cenbal venous pressure ' tea elore d 2 hWeight the patent daily 3 Monifor intate and ecreared renal perfucion, Output,Urnna Cardiac insuttidenyand luid Shilts may cause decreasedt Urinay output orming edem nchons 4, Monitos inusron rateo parenteral İluids dRabid jluid bolus or polongea excescive administration increa yolume and increaser rick o cardvac decompensahion

Nuing Cave plan or Impaired Memo esatis chon koith Impovement Relate factoys and sell-case pnlechon Subjecive clata- Inabilkt to remember or recall injorrotion TrabiliH to perlorm task. Objevtive datiHaad Iru atique DiscasedConalitons Nuxing Intervention Rationalo 1. Discuss the pahenth beels Evidance and authethc about memory eInjommahon can be oktainad 2. Use short andl simple This will demons. decrease anxiety and increased leel sipposhive environment Maintains maximum dogree 3. Assess the nt abili ent to ornentzaton and sey-Ca perorm ADL and engunge in deusrion oithin level ol abi maki