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 Goal:
-The Client states
 After 2 days of nursing
that, ͟Nauuhaw ako, intervention the client
pwede bang will have adequate and
makahingi ng tubig?͟ improved fluid hydration
-The client says that
she doesn͛t have the Objectives:
energy to stand up. 1. The Client will -Administer -IV therapy is the Was the client͛s skin
-͞Madalas ako have improved appropriate IV fastest way to turgor improved?
inaantok.͟ skin turgor. therapy counter Fluid volume __Yes __No
- The client broke a deficit.
glass cup while
drinking on it, she 2. The Client will -Monitor I & O hourly -I & O determines the -Was the client͛s I &
said she cannot hold have normal balance of fluid in the O balanced?
it properly. Intake and body, Input should be __Yes __No
Output balanced with


 Output.
-VS BP= 110/70, PP=
61, RR= 12, Temp= -Monitor the Weight -Weight monitoring is
36.7 of the client needed because it
-I & O= 850mL can also determine
-Affect is sleepy fluid that is lost or
-thirsty gained, 1kg is equal
-Cannot tolerate to 1000cc lost or
minimal activity like gained.
hold a cup
-poor skin turgor 3. The Client can -Advise client to drink -Drinking 8-10 glasses _Can the Client
tolerate minimal 8-10 glasses of water a day is adequate for tolerate minimal
activity a day, client can use a the daily fluid needs activity?
drinking straw of the body. Using a __Yes __No
straw would be
helpful since it makes
drinking with ease.