NUR 110 NURSING PLAN EXAM QUESTIONS WITH COMPLETE SOLUTION 2026,100%CORRECT

NUR 110 NURSING PLAN EXAM QUESTIONS WITH COMPLETE SOLUTION 2026 Nursing Process Focus: Patients Receiving Hydrochlorothiazide Assessment Prior to administration: • Obtain complete health history including allergies; cardiac, pulmonary, renal, and biliary disorders including blood studies: CBC, BUN, creatinine, electrolytes, PT, PTT, liver enzymes, etc. • Obtain patient’s drug history to determine possible drug interactions and allergies • Obtain vital signs, including blood pressure • Auscultate chest sounds for crackles indicative of pulmonary edema. • Assess lower limbs for edema; note character/level (e.g. "++ pitting") Potential Nursing Diagnoses • Fluid volume excess, related to early stages of drug therapy • Fluid volume, Risk for deficient, related to excessive drug effect • Urinary elimination, Impaired related to frequent urinary output • Fatigue, related to excessive fluid loss • Health maintenance, Ineffective related to disease process Planning: Patient Goals and Expected Outcomes The patient will: • Exhibit a reduction in systolic/diastolic blood pressure. • Demonstrate electrolyte levels within normal limits during drug therapy. • Demonstrate understanding of the drug's action by accurately describing drug side effects and precautions. • Demonstrate urinary output within normal levels