ASSESSMENT NURSING DIAGNOSIS PATHOPHYSIOLOGIC DESIRED OUTCOME NURSING INTERVENTION RATIONALE EVALUATION

Anovulatory
Subjective: The patient Risk for deficient fluid | After 8 hours of nursing 1. Monitor vital signs 1. To monitor the blood
verbalizes, “gina dugo ko volume r/t active fluid Progesterone deficiency intervention the patient 2. Check for capillary refill and ob- flow to tissue
gyapon, gaka puno gid loss due to corpus luteal fail- will be able to: scene nail beds 2. To identify severity of
ang napkin mag iris ko” ure 3. Monitor active loss from bleed- the patient’s condition
| ing by weighing perineal pads 3. Fluid loss from bleed-
Continuous estrogen 1. Demonstrate im- taken ing cause decreased
Definition stimulation provement in fluid 4. Administer prescribed Irons sup- blood volume and can
Risk for deficient fluid | balance as evidenced plements lead to hypovolemic
Endometrium prolifera- by good capillary refill shock
volume- Susceptible to
tion and skin turgor 4. Iron supplements aids
experiencing decreased
Objective: | in blood production
Observable signs: intravascular, intersti- Blood supply outgrows, 2. Normal physiological
- Pallor tial, and/or intracellular breaks down and slack response such as
- Limited movement fluid volumes, which off in a irregular pattern capillary refill and ab-
due to perineal dis- may compromise health | sence of facial pallor
comfort Risk for deficient fluid
volume
 ASSESSMENT NURSING DIAGNOSIS PATHOPHYSIOLOGIC DESIRED OUTCOME NURSING INTERVENTION RATIONALE EVALUATION

Subjective: The patient Ineffective coping r/t After 8 hours of nursing 1. Set a working relationship with 1. Establishing rapport is
verbalizes, “Daw kakapo possible lass of ability to intervention the patient the patient through continuity of essential to a thera-
sang Jawas ko, wala ko conceive aeb, 3rd con- will be able to: care and provide chances to ex- peutic relationship and
kabalo kung ngaa sa secutive abortion press concerns, fears, feelings supports the client in
kulba langguro bras kay - Patient communicates and expectations to the nurses self-reflection. Recog-
operahan ko.” needs & negotiates and others with the use of empa- nizing problems and
with others to meet thetic communication sharing feelings is best
needs 2. Assist the patient with accurately brought about in an at-
Definition - Patient describes posi- evaluating the situation and their mosphere of warmth
tive results from new own accomplishments then help and trust.
Ineffective Coping- Ina-
behavior the patient describe positive re- 2. To provide the patient
bility to form a valid - Patient makes deci- sults from new behavior positive reinforce-
Objective: appraisal of the stress- sions and follows 3. Encourage patient to make deci- mentis. It is a practical
Observable signs: ors, inadequate through with appro- sions and participate / follow the way to put psychologi-
- Pallor choices of practiced re- priate actions to plan of care to change provoca- cal principles to work
- Weakness sponses, and/or inabil- change provocative tive situations in the personal en- in everyday life for
Vital Signs: ity to use available re- situations in the per- vironment. Eliminate stimuli in great results.
T: 36 C sources. sonal environment an environment that could be 3. Enhances a sense of
P: 92 bpm - Patient uses available misinterpreted as threatening control, personal
R: 17 bpm resources and support 4. Help patient to recognize already achievement, and self-
BP: 120/80 mmhg systems available resources and support esteem.
- Patient verbalizes feel- systems and use them for their 4. Social support can re-
ings related to emo- own advantage duce depression and anx-
tional state 5. Continue communicating with iety. The goal of so-
the patient until she verbalizes cial support is to de-
her feeling related to emotional crease stress.
state and proved emotional care 5. Open, nonthreatening
discussions facilitate the
identification of causa-
tive and contributing fac-
tors.