Nursing Diagnosis: Outcome Evaluation

Nursing Care Plan
Student Name/Date: __Nicole Reinke/ Week 5_____________

| Nursing Diagnosis |Expected Outcomes |Nursing Interventions/Rationale |Outcome Evaluation |
|(Dx, related to, & as evidenced by) |(Short term (8-48 hr.) reasonable expectations |List all interventions for each nsg. dx (include patient/family |(Patient outcome noted as met or unmet/responses |
| |stated in measurable, behavioral terms, i.e., |teaching) |described)
|hospital. |that the client does not have to be concerned about not knowing |I was at the hospital. Everytime I went into the |
| | |where the call light is when needing help. |room I made sure the call light was on her table
Client also |
| | |that any person that comes into the room to help assist is aware |reported no falls. |
| | |of the safety measures that need to be taken. | |
| | |Nurse will determine risk for falls using the evaluation tool | |
| | |which includes client history of atrial fibrillation. | |
| | | |