Mrs. Smythe, age 79, has had vomiting and diarrhea for 1 week, resulting in an 11-pound weight loss. She is pale, she has dry skin and poor skin turgor, and her lips are cracked and red. She appears to be very weak and states that she is very dizzy when she gets out of bed

Describe the steps in planning nursing care.


The first step is priority setting to determine if any of the diagnoses represent life-threatening situations. Determine the overall expected outcome. Prioritize the problems based on Maslow's hierarchy of needs. List the problems and identify the cause of each. Include others in the plan. Collaborate with family to identify any suggestions or interventions they may have noted in the past that were helpful. Meet with other members of the health care team for suggestions on planning the nursing care.

Nutritional Science

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