Noah Kent Mojica

BSN 2-D
Nursing Care Plan

Cues/Nursing Dx Objective Care Nursing Intervention Rationale Implementation Evaluation

The patient can Evaluate actual and Provides comparative Monitor vital signs After hours of nursing
Subjective Cues: verbally express her perceived limitations baseline and provides intervention, the
Ø feelings about her of deficient considering information about Encourage patient patient’s vital sings
fatigue and be able to unusual status needed interventions high-calorie, low- have return to normal
Objective Cues: cooperate during the regarding quality of protein, low-sodium, range and manifested
Weakness or fatigue nursing intervention. Monitor vital signs, time. and low-potassium decreased
watch for changes of snacks. physiological sign of
Exertional discomfort The patient can blood pressure, Provides baseline data activity intolerance.
or dyspnea verbally express why temperature, heart to detect the changes Promote intake of high
does she need to sleep and respiratory rate; due to intolerance biologic volume
Abnormal pulse rate in and take a rest not for presence of protein foods.
response to activity regularly. confusion. Prevents the patient’s
overexertion Assist patient in
Nursing Diagnosis: Adjust activities, performing activities if
Activity intolerance r/t reduce intensity level Preserves conservation fatigued.
Enforced bed rest of activity or energy
during pregnancy. discontinue activities Encouraging
that cause undesired Helps minimize alternating activity
physiological changes. frustration and with a rest.
rechanneled energy.
Provide positive Encouraging patient to
atmosphere while Protect clients from sleep regularly and
acknowledging injury. take rest.
difficulty of the
situation of the client