Scenario 3A: Mr. Fraser's Hypervolemia - Nursing Assessment and Plan

This assignment presents a detailed nursing care plan for Mr. Ron Fraser, focusing on a scenario of altered fluid balance (hypervolemia). The solution begins by identifying abnormal cues from the patient's assessment, including imbalances in electrolytes (sodium, potassium, chloride), elevated urea and creatinine levels, decreased urine output, and abnormal eGFR and albumin rates, alongside abnormal respiratory rate, oxygen saturation, blood pressure, and pulse rate. Risk factors and contributing factors are discussed, highlighting the potential for seizures, coma, and multiple organ failure due to electrolyte imbalances and kidney dysfunction. The pathophysiology is explored, linking symptoms like crackles in the lungs, electrolyte imbalances, and low urine output to kidney and lung issues. A SMART goal is established to improve electrolyte balance, reduce vital signs, improve renal output, and enhance overall health outcomes. Priority nursing actions include electrolyte administration, diuretic medication, patient observation, and supplementary oxygen, each supported by detailed rationales and references to evidence-based literature. The assignment provides a comprehensive analysis of the patient's condition and a structured approach to nursing interventions.