Nursing Care Plan 106
Nursing Care Plan 106
Nursing Care Plan 106
IMFLAMMATION
Provide Sensory
alternative stimulation
comfort measures can activate
(e.g. back rub), pancreatic
encourage enzymes,
relaxation increasing
techniques (e.g. pain.
guided imagery,
visualization),
quite diversional
activities (e.g. TV,
radio) and keep
environment free
of food odors.
Collaborative:
Administer Meperidine is
medication as usually
needed: Narcotics, effective in
Analgesics e.g. relieving pain
Meperidine and may be
preferred
over
morphine
NURSING CARE PLAN FOR PRESSURE ULCERS
Emphasize To avoid
principles of possible
asepsis, infection thus
especially hindering the
hand wound healing
washing and process.
proper
methods of
handling
used
dressings.
To provide the
Demonstrate patient on the
wound care correct
technique procedures and
such as techniques of
wound wound caring.
cleansing
and dressing
changing.
- Monitor - To promote
visitors/caregivers. wellness. Goal met
- Review individual
nutritional
needs, appropriate
exercise
program, and need
for rest.
- To reduce existing
Dependent: risk factors.
- Assist with medical - To determine
procedures.
effectiveness of
therapy
- Administer and
and presence of side
monitor
effects.
medication regimen
and note
client’s response
NURSING CARE PLAN FOR INFECTION
Weight loss
Facilitative
Loss of appetite Have a doctor
countercheck the
Observation compatible blood
with the nurse
The client is To prevent any
currently on Observe any problem in relation
blood transfusion untoward signs and to transfusion
and IV infusion symptoms Kozier, et al.
(2008).Fundamental
We noticed that s of Nursing.8th
the client is in a Independent Edition.Pearson.pp1
difficult situation Supplemental 402 – 1420.
to move at the Explain the purpose
time of interview and the benefits of
the treatment to the
The client looks client
weak
Encourage client’s
Pale Skin cooperation and
decrease anxiety of
The client’s skin the client.
is slightly dry. Developmental Kozier, et al.
Pale nail beds Encourage mild (2008).Fundamental
exercise such as s of Nursing.8th
Cold in walking in the Edition.Pearson.pp1
extremities corridor and active 402 – 1420.
range-of-motion
Delayed capillary
refill > 3 secs Stress out the Enhances venous
importance of return
The client has having someone to Doenges, et. al,
pale conjunctiva. assist her in walking (2008). Nurse’s
Pocket Guide. 11th
Lips are pale. Caution client to Edition. F.A. Davis
avoid activities that Company. p. 711.
The inner lips increase cardiac
and buccal workload To prevent injury.
mucosa is slightly Doenges, et. al,
dry and pale (2008). Nurse’s
Pocket Guide. 11th
Measurement Explain the Edition. F.A. Davis
procedure to the Company. p. 609.
V/S: client
BP: 200/100 To maximize tissue
mmHg perfusion
PR: 98 bpm; Doenges, et. al,
weak (2008). Nurse’s
RR: 21 cpm Pocket Guide. 11th
T: 36.3 ˚C Edition. F.A. Davis
Company. p. 710.
Creatinine: Developmental
169.17nmol/L Provide opportunity Encourage client’s
for client to express cooperation and
feelings. decrease anxiety of
the client.
Encourage SOs to Kozier, et al.
express support for (2008).Fundamental
the client. s of Nursing.8th
Edition.Pearson.pp1
402 – 1420.
Black, et.al.
(2005).Medical
Surgical Nursing. 7th
Edition.Elsevier
PTE LTD.p 1861.
NURSING CARE PLAN FOR CARBON MONOXIDE POISONING
Creativity may
enhance flavor
and intake,
especially when
protein foods
Review with taste bitter.
patient the
importance of
maintaining Improves
optimal consistency of
nutritional stool and
status stimulates
peristalsis.
Encourage diet
variations and
experimentation Early
in meal recognition of
planning and problems early
food intervention,
preparation. minimizing
Recommend complications
increased fluid that may impair
intake and fiber oral intake and
in diet, as well provide routine
as routine avenue for
exercise. systemic
Instruct patient infection.
to assess oral
mucous
membranes
routinely
NURSING CARE PLAN FOR ACUTE BIOLOGIC CRISIS