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Nursing
Diagnoses
(NANDA)
Expected
(complete before assessment)
Found
(complete after assessment)
1. Infection
2. Impaired elimination
3. Fatigue
Focus of physical
assessment
Need more
information
from
patient/family/
doctor about:
Diagnostic Findings
UA/dipstick
Blood cultures
Family/lifestyle dynamic- wife & children
Spiritual findings
Top three
priorities (goals)
for patient care
Nursing
Interventions
Teaching
needed/provided
1.
2.
3.
4.
Discharge
planning