Nursing care plan

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NM 222 Clinical Nursing I Name

Herzing University BSN Program Care Plan Assignment

Assessment

Nursing Diagnoses

Outcome / Goals

Plan

Rationale

Implementation

Evaluation

Subjective Data:

Pt. started he has SOB at the Casino when he went out.

Pt. started he is on fluid restriction.

Pt. started he preferring to sit in recliner in high Fowler’s position than lying in bed.

Objective Data:

Pt. lung sound was wheezing his V.S. BP-98/49, T-98.4%, P-75, R-18. O2-94.

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Nursing care plan for patient with heart failure form NANDA each should have three sources: