CUES/DATA NURSING RATIONALE GOALS AND NURSING RATIONALE EVALUATION

DIAGNOSIS OBJECTIVES INTERVENTION

Activity A state in After 8 hours INDEPENDENT: After 8 hours
SUBJECTIVE intolerance which a of nursing of nursing
related to person has interventions - Evaluate -provides comparative interventions
generalized insufficient the patient client’s actual baseline and provides the patient
weakness physical or will be able and perceived information about was able to:
OBJECTIVE psychological to: limitations/degre needed - identify
Dyspnea energy to -identify e of deficit in light education/interventions techniques to
endure or techniques to of usual status regarding quality of life enhance
BP: 100/60 perform enhance activity
RR: 25 desired activity -assess -adequate energy tolerance
PR: 91 physical tolerance nutritional status reserves are required -participate
activities. -participate for activity willingly in
willingly in necessary or
necessary or -encourage -to maintain muscle desired
desired active ROM strength and joint activities
activities exercises range of motion