CUES

NURSING
DIAGNOSIS

Subjective
cues:

Knowledge Deficit

Objective
cues:

related to

Lack of
exposure/recall;
information
misinterpretation
Unfamiliarity with
information
resources
Possibly
evidenced by

Questions;
request for
information,
statement
of
misconcepti
on

Inaccurate
followthrough of
instructions/
developme
nt of
preventable
complicatio
ns

SCIENTIFIC
RATIONALE

GOAL

INTERVENTION PLAN

Verbalize
o Review disease
understanding of
process and
disease
prognosis and future
process/prognosis
expectations.
o Stress importance of
, potential
complications.
avoiding alcohol.
Give information
Correlate
about community
symptoms with
services available to
causative factors.
aid in alcohol
rehabilitation if
Identify/initiate
indicated.
necessary
lifestyle changes o Inform patient of
altered effects of
and participate in
medications with
care.
cirrhosis and the
importance of using
only drugs
prescribed or cleared
by a healthcare
provider who is
familiar with
patients history.
o Assist patient
identifying support
person(s).
o Emphasize the
importance of good
nutrition.
Recommend
avoidance of highprotein/salty foods,
onions and strong

RATIONALE
o Provides knowledge
base from which
patient can make
informed choices.

o Alcohol is the
leading cause in
the development
of cirrhosis.
o Some drugs
are hepatotoxic In
addition; the
damaged liver has
a decreased
ability to
metabolize all
drugs,
potentiating
aggravation of
bleeding
tendencies.
o Important
maintaining
behavior
modifications.
o Proper dietary
maintenance and
avoidance of foods
high in sodium and
protein aid in
remission of
symptoms and help
prevent ammonia
buildup and further

EVALUATION

liver damage.
cheeses. Provide
o Provides
written dietary
opportunity for
instructions.
evaluation of
o Stress necessity of
effectiveness of
follow-up care and
regimen.
adherence to
therapeutic regimen.
o Minimizes ascites
and edema
o Discuss sodium and
formation.
salt substitute
restrictions and
necessity of reading
o Adequate rest
labels on food and
decreases
OTC drugs.
metabolic
o Encourage
demands on the
scheduling activities
body and
with adequate rest
increases energy
periods.
available for
tissue
regeneration.
o Decreased
o Recommend
resistance,
avoidance of persons
altered
with infections,
nutritional status,
especially URI.
and immune
response
potentiate risk of
o Identify
infection.
o
Can precipitate
environmental
recurrence.
dangers: exposure to
hepatitis.
o Instruct patient/SO
of signs and
o Prompt reporting
symptoms that
of symptoms
warrant notification
reduces risk of

of health care
provider: increased
abdominal girth;
rapid weight
loss/gain; increased
peripheral edema;
increased dyspnea,
fever; blood in stool
or urine; excess
bleeding of any kind;
jaundice.

further hepatic
damage and
provides
opportunity to
treat
complications
before they
become lifethreatening.