NURSING BACKGROUND GOALS OF

ASSESSMENT INTERVENTION RATIONALE EVALUATION

DIAGNOSIS KNOWLEDGE CARE
Subjective Data Acute pain Reaction to Within 1 hour of After 1 hour of
related to onset of dialyzer nursing nursing
The patient started chills and intervention the intervention the
to develop onset of unexplained patient will be patient was able
chills and abdominal pain Acute Unexplained able to: to:
unexplained due to allergic Abdominal Pain
abdominal pain reaction to - Verbalize - Verbalized
and Onset of Chills
about ½- 1 hour dialyzer. decrease in decrease in
into the dialysis abdominal abdominal
session. pain. pain.
- Demonstrate - Demonstrated
temperature temperature
Objective Data: within normal within
range and free normal range
- (+) Diabetes from onset of and free from
- (+) chills. onset of
Hypertension chills.
- Ongoing
dialysis
- (+) Renal
disease
- Temperature
below
normal range