A community health nurse is taking care of a client in the community who has severe diarrhea. A nursing diagnosis of fluid volume deficit related to active fluid loss as manifested by diarrhea has been identified for this client
What is an appropriately written measurable goal for this diagnosis?
A) The client will understand the importance of drinking more fluids by tomorrow.
B) The client will have fewer episodes of diarrhea in 24 hours.
C) The client will be aware that moist mucous membranes indicate resolution of fluid volume deficit.
D) The client will increase fluid intake to at least 1,500 mL within 1 day.
Ans: D
The written goal must be specific with observable outcomes in order for the community health nurse to evaluate progress. Modifiers such as know, aware, and realize are less precise terms that have many interpretations. To increase or decrease by a specific percentage is a more precise term that has fewer interpretations. Each goal and objective should include a time frame for attaining the change (e.g., "By June 15th …"); the direction and magnitude of the change (e.g., "Increase immunization levels to 95%"); the method of measuring the change (e.g., "After the session, each participant will demonstrate ___").
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