11. As nutritional status improves and eating habits are estab-^224 9. Do not discuss food or eating with client, once protocol has 2. Vital signs, blood pressure, and laboratory serum studies are 1. Client has achieved and maintained at least 85% of expected Outcome Criteria 10. Client must understand that if, because of poor oral intake, 3. Client verbalizes importance of adequate nutrition.● DEFICIENT FLUID VOLUME body weight.within normal limits.^ issues must be resolved if maladaptive responses are to be been established. Do, however, offer support and positive fitiated proach regarding the tube insertion and subsequent feedings.nutritional status does not improve, tube feedings will be ini-lished, begin to explore with client the feelings associated with his or her extreme fear of gaining weight. reinforcement for obvious improvements in eating behav-iors. eliminated.for maladaptive behaviors. rm with this action, using a matter-of-fact, nonpunitive ap-●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONDiscussing food with client provides positive feedback to ensure client’s safety. Staff must be consistent and Emotional
2506_Ch12_218-235.indd Sec1:224 2506 Ch 12 218 - 235 .indIncreased body temperatureDefi[Abnormal fllular fl uid. This refers to dehydration, water loss alone without [Excessive use of laxatives or enemas][Excessive use of diuretics][Electrolyte or acid-base imbalance brought about by malnour-change in sodium.[Decreased flPossible Etiologies (“related to”)Decreased urine output[Output greater than intake]Increased urine concentrationElevated hematocritDecreased blood pressureIncreased pulse rateDefid ished condition or self-induced vomiting]Se nition: ning Characteristics (“evidenced by”)c 1 : 224 Decreased intravascular, interstitial, and/or intracel- uid loss caused by self-induced vomiting] uid intake] 1 10/1/10 9:36:00 AM 0 / 1 / 10 9 : 36 : 00 AM