TULAWIE, ZSHAREENA A NURSING CARE PLAN
Assessment: Nursing Desired Intervention: Rationale: Evaluation:
Diagnosis Outcomes:
Auscultate May be able to
After 8 hours of bowel sounds limit or control After 3 days
nursing or noting exposure to of Nursing
Subjective: intervention the absence and situations or interventions
“Nahihilo at Nutrition client will be hyperactive take medication the client will
nagsusuka ako” imbalanced: able sounds. prophylactically. be able to
Verbalized by Less than Eliminate maintain
the patient. body Short Outcome: smells from - Marilyn usual
requirements 1. State if his environment. Doenges, weight.
Complains sour related to nausea is Avoid foods Nurses Identify
taste in mouth. nausea and potentially self- that might pocket situations
vomiting. limiting or mild cause or guide 12th that
Objective: or severe. exacerbate edition. perceive as
abdominal Suggests distasteful,
>Hyperactive Long outcome cramping. severity of anxiety.
bowel sounds. 2. After 3 days Like effect on fluid
Pale of nursing chocolates, and electrolyte
conjunctiva and interventions orange juice. balance and
mucus the client will be nutritional
membrane. able to maintain status.
T: 37.2 usual weight. Collaborative:
P: 98 Monitor BUN, -Marilyn
R:18 protein, Doenges. Nurses
BP: 110/90 Albumin, pocket guide 12th
>Increased glucose. edition.
salivation. Advance diet
>Client has as tolerated.
delayed gastric
emptying.