ASSESMENT NSG. DIAGNOSIS NSG.

GOAL AND INTERVENTION RATIONALE EVALUATION

OBJECTIVES
1) Obtain baseline 1) Fluid and electrolyte 1) Vital signs will
“Nagtatae at nag Potential for Prevent the spread of vital signs and monitor imbalances can alter return to normal limits
susuka ang anak ko infection the infection every 2–4 hours. vital body functions. for age.
ng mga 6 na beses Risk factors:
na” as verbalized by Presence of 2) Observe stools for 2) Aids in the 2) The child’s bowel
the mother. infectious amount, color, diagnosis and in function will returns
organisms consistency, odor, and monitoring the child’s to normal.
frequency. status.
-Weak in Appearance
-Watery stools 3) Test stools for 3) Frequent defecation 3) Infection will not
-(+) sunken eyeballs occult blood. and some infectious spread to others
--(+) Vomiting organisms can cause
-(+) sunken 4) Monitor results of bleeding. 4) Stool culture will
fontanelle stool culture and 4) Rapid notification of negative after nursing
sample for ova and implementation.
the physician will
Vital Signs: parasites. facilitate treatment.
BP: 100/80
PR: 87 bpm 5) Educate the family 5) Family will
5)Helps prevent
RR: 22 bpm about hand washing demonstrate and
transmission of
Temp: 37°C before and after understand child’s
microorganisms.
contact with the child. care and management.

6) Isolate the child 6) Families will

6) Prevents exposure
until the cause of the comply with
of other patients and
diarrhea is determined. staff. instructions.

7) Apply diaper snugly 7) The child may be

to reduce likelihood of weak, incontinent,
fecal spread physically impaired, or
anxious and require a
8) Administer
child in a comfortable,
prescribed oral warm and well-
rehydration and protected manner.
intravenous solutions.
8) Provides necessary 8) Child will take
9)Notify the physician fluids and nutrients. prescribed
if diarrhea nourishment.
persists, stool
characteristics
change, or other 9) Ensures early
symptoms of intervention.
dehydration/electrolyt
e imbalance
occur