Nursing Care Plan

Assessment Nursing Scientific Goal and Nursing Scientific Evaluation

Diagnosis Rationale Objectives Intervention Rationale
Subjective: Nausea Nausea is a Goal: After the Independent • Helps to • Maintain
Patient verbalized: related to subjective nursing • Note determine weight as
pregnancy unpleasant, intervention, the systemic appropriate appropriate.
“ Kapag associated by wavelike patient will be conditions interventions • Able now to
nagbibiyahe ako o headache. sensation in the free of nausea. that may of underlying know ways
nasa labas, back of the result in condition. to avoid/
nahihilo ako, tapos throat, Objectives: nausea. • Indicates manage it.
parang naduduwal epigastrium, or After the 2 hours • Determine if degree of • Be free of
ako lagi, kaya abdomen that of nursing nausea is effect on nausea.
naman lagi akong may lead to the intervention the potentially fluid/
dumudura at urge or need to patient will be self- limiting electrolyte
kumakaen ng vomit. able: and/ or mild balance and
candy ”. • To know the or is severe nutritional
cause of and status.
Client experienced nausea. prolonged • As they may
headache • To provide • Provide stimulate or
associated with necessary clean, worsen
nausea. information peaceful nausea.
for client to environment
Objective: manage her and fresh air
• Increased own care w/ fan or
swallowing. • To limit open
• Increase dwelling on window.
salivation. unpleasant Avoid
• Increased sensation. offending
perspiration. odors, such
as cookins
 smells,
smoke,
perfumes,
mechanical
emissions. • Provides
• Review necessary
individual information
factors/ for client to
triggers manage own
causing care
nausea and
ways to
avoid it.