3. Client is no longer exhibiting hyperactive behaviors. Outcome Criteria[Lack of appetite][Refusal or inability to sit still long enough to eat meals]Possible Etiologies (“related to”)needs Defi●[Excessive physical agitation]^ 12. As agitation decreases, assess client’s readiness for restraint 2. There is no evidence of violent behavior to self or others. 1. Client is able to verbalize anger in an appropriate manner.[Physical exertion in excess of energy produced through caloric^152 IMBALANCED NUTRITION, LESS THAN BODY REQUIREMENTS^ nition:institutions may require continuous one-to-one monitoring injury. assessing client’s response. of restrained clients, particularly those who are highly agi-risk of injury to client and staff.tated, and for whom there is a high risk of self- or accidental removal or reduction. Remove one restraint at a time, while ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONClient safety is a nursing priority. Intake of nutrients insuffi cient to meet metabolic This procedure minimizes the^
2 2506_Ch07_145-160.indd 0152 506 Ch 07 145 - 160 .ind[Amenorrhea]Client will consume suffiShort-term GoalGoals/Objectives[Electrolyte imbalances][Anemias][Poor skin turgor]Long-term GoalPoor muscle tonePale mucous membranesLoss of weight[Lack of interest in food]Defisnacks to meet recommended daily allowances of nutrients.Client will exhibit no signs or symptoms of malnutrition.d 0 intake] 1 ning Characteristics (“evidenced by”) 52 cient fi nger foods and between-meal 1 10/1/10 9:34:50 AM 0 / 1 / 10 9 : 34 : 50 AM