Nursing Diagnosis: Imbalanced Nutrition: Less than Body Requirements r/t altered absorption of nutrients secondary to acute gastritis,
vomiting, aversion
from eating
Assessment Planning Intervention
Subjective Data: After my 8 hour duty, the Independent:
 “dili na siya kahurot sa client will demonstrate 1. Encourage bedrest or
iyang isa ka plato nga progressive gain toward goal limited activity during acute
pagkaon,” stated by of decreasing the signs of phase of illness.
the client’s guardian malnutrition as evidenced by:
2. Recommend rest before
Objective Data: 1. Patient intakes adequate
meals.
 decreased amount of food for the day
subcutaneous fat and 2. Decreased occurrences of 3. Provide oral hygiene.
muscle mass, vomiting
 poor muscle tone 4. Provide small, frequent
 Pale conjunctiva and meals.
mucous membranes
5. Avoid or limit foods that
might cause abdominal
cramping. (Milk, chocolate,
high fiber food.)
6. Encourage client to
verbalize feelings concerning
resumption of diet.
Dependent:
1. Administer or ensure
compliance to medications as
indicated:
 Ranitidine 20 mg IVTT
q8h
 Metoclopramide 3mg
IVTT q8h
 Simethicone 200 mg prn
Rationale Evaluation
Decreasing metabolic needs Child Was Discharged
aids in preventing caloric
depletion and conserves
energy.
To help increase available
energy for eating.
A clean mouth can enhance
the taste of food.
To prevent aggravation of
vomiting while still ensuring
adequate intake of needed
calories.
To prevent the occurrence of
abdominal pain.
Aversion to eat may be the
result of fear that food will
cause exacerbation of
symptoms.
 Ranitidine – H2 Receptor
antagonist; decreases
stomach acid production
helping prevent epigastric
pain so that the child will
be encouraged to eat.
 Metoclopramide –
reduces incidence of
nausea and vomiting.
 Simethicone - anti-
foaming agent used to
reduce, discomfort or pain
caused by excessive gas in
stomach