your outcome(s) are going to be based on what the patient's problem is with the decreased fluid volume. look first to your cause of the fluid deficit. outcomes will either result in the improvement, stabilization or support the deterioration of the fluid loss that is the focus of this nursing diagnosis.
i do, however, have a problem with the construction of your nursing diagnosis. your fluid volume deficit is not from vomiting, but from the loss of fluids
. based on what you have written, the scenario does not ascribe vomiting as the cause of the dehydration. that would be a medical decision. the official nanda definition of the diagnosis of deficient fluid volume is "decreased intravascular, interstitial, and/or intracellular fluid. this refers to dehydration, water loss alone without change in sodium." (nursing diagnoses: definitions & classification 2005-2006
published by nanda international, page 79.) i would re-word your nursing diagnosis as: deficient fluid volume r/t loss of fluids aeb decreased urine output and dry mucous membranes
i would place vomiting in it's own nursing diagnosis of nausea if it's that serious and handle it that way. the problem you would have with that, however, is that you don't know a related factor, or cause, for the vomiting. you could address the problem of the vomiting when you list interventions for the deficient fluid volume, i suppose. if you look at the official nic (nursing interventions classification) interventions that are paired by nanda with the diagnosis of deficient fluid volume you will not find any interventions for vomiting listed. in fact, many of the interventions focus on fluid replacement. however, you will find nic interventions for vomiting for the nursing diagnosis of nausea.
to get back to your outcomes for deficient fluid volume, you need to focus on hydration, fluid intake or restoring electrolyte/acid-base balance. and, remember, that outcomes are based on the independent nursing actions that you take. so, getting a patient rehydrated by giving iv fluids as ordered is a goal because it is a collaborative action (depends on a doctor's order) and not an outcome. however, through your independent monitoring efforts of checking skin turgor and the dryness or moisture of mucus membranes you can list an outcome of maintaining elastic skin turgor and moist mucous membranes with this diagnosis. another outcome is to have a urine output of more than 1300ml per 24 hours. this is a noc outcome linked specifically with this nursing diagnosis. you achieve it through your independent nursing interventions of monitoring the patient's intake and output every 8 hours. you must understand that monitoring
is a valid and legitimate type of independent nursing intervention.
here are online links to nursing diagnosis information from the gulanick and ackley/ladwig care plan constructor sites that are similar to what is in their care plan books. they have information about the definition of each diagnosis, the related factors (causes), defining characteristics (symptoms), noc outcomes, nic interventions and teaching.
deficient fluid volume