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Inigo Miguel E.

Dulay N213/Group 2 Dagum Nursing Care Plan


Assesment Subjective: Nanghihina ang katawan ko as verbalized by the pt. Objective: T: 36.2 C P: 81 Bpm R: 25 Cpm BP: 110/70 Decrease Muscle Strength AAT with assistance Diagnosis Risk for injury rt body weakness as manifested by decrease muscle strength. Analysis The pt is experiencing body weakness because he has electrolyte imbalance as shown in his lab results with a decrease in normal value of potassium and calcium. Planning Intervention Independent: - Assist client to reduce or correct individual risk factors.

C.I. Mam Xyza

Evaluation

- Observe patients behavior during routine nursing care. - Frequently orient client to reality and surrounding. -

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