VIII. NCP Proper 1.

Diarrhea related to infectious process S and O data S: watery parin naman yung tae niya as stated by the mother O: >defecated thrice within the shift characterized as watery brownish stools >normal skin turgor >firm and globular abdomen >vital signs T=35.8C, CR=126bpm, RR=40cycles/min A: Diarrhea related to infectious process Goals After nursing intervention, the patient will be defecating regularly with semisolid stool. Objectives After nursing intervention: A. the patient will be increasing his fluid intake Explanation of the Problem The patient is experiencing diarrhea due to an infectious process in the gastro-intestinal area. The mucus membrane lining of the large intestine is irritated causing it not to absorb excess water so the feces move through it quickly causing watery stool.

B. the abdomen will return to normal size and shape.

C. the mother will practice correct hand washing technique

interventions rationale criteria evaluation .

y Take and record vital signs y Palpate abdomen y Change soiled diapers y Regulate I. -This is to check for abnormality in the abdominal area. Goal partially met: if The client will defecate with semi-solid stool. -this is to check and prevent the occurrence of dehydration. -this is to monitor if there are complications manifested by the increase in vital signs.y Assess characteristics off stool -this is to know if there is improvement in the consistency and color of the stool. -This is to divert the y Assess hydration status Goal met: if the client will have a regular bowel movement with solid stools. -This is to help give the patient proper electrolyte and fluid which is lost by ongoing diarrhea. y Play with child to divert attention .V.F. Goal not met: if the condition of the client has not changed. -This is to prevent the buttocks from skin irritations and rashes.

child s attention from the discomfort he feels. y Encourage increase in fluid intake -increasing fluid intake will sustain the body s fluid and electrolyte which is being lost due to the diarrhea. y Emphasize proper hand washing . -This is to prevent another contamination which may aggravate the child s condition.

. the patient will be increasing his fluid intake. S: watery parin naman yung tae niya as stated by the mother O: >defecated thrice within the shift characterized as watery brownish stools >moist mucus membrane >normal skin turgor >firm and globular abdomen >drinks lactose free milk. >vital signs T=35.8C. CR=126bpm. the mother will know the importance of increasing body fluids. S and O data Goals Objectives Explanation of the Problem The patient is experiencing diarrhea due to an intestinal irritation so the body is loosing much water and electrolyte through the stool. B. Risk for deficient fluid volume related to diarrhea. A. RR=40cycles/min A: Risk for deficient fluid volume related to diarrhea. If there will be less water and electrolyte in the body it will cause fluid volume deficit.2. C. After nursing After nursing intervention. the mother will regularly offer fluid drink to the child. the patient intervention: will have sustained fluid volume in the body.

interventions rationale criteria Evaluation .

y Assess characteristics off stool -this is to know if there is improvement in the consistency and color of the stool. y Assess hydration status y Take and record vital -this is to monitor if there are complications Goal not met: if the signs manifested by the increase client will have fluid in vital signs. y Encourage increase in -increasing fluid intake fluid intake will sustain the body s fluid and electrolyte which is being lost due to the diarrhea. Goal met: if the client will not have fluid volume deficit Goal partially met: if The client will show early signs of fluid volume deficit.F. .V. -This is to help give the patient proper electrolyte and fluid which is lost by ongoing diarrhea. volume deficit y Regulate I. -this is to check and prevent the occurrence of dehydration.

NURSING CARE PLAN Submitted to: Sir Gilbert Marzan Submitted by: Bangilan. Efzell Dean .

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