No Nursing Diagnoses Objectives and Intervention Rational Day/Date Nursing actions Evaluation

outcome criteria
Acute pain associated Nursing action has 1.Assess the 1.Know the Rabu 1.Assess the
1 with biological injury been carried out level of pain level of 03/03/20 level of pain.
agents for 15 minutes,it pain 21 Result:pain S:Patient says pain is reduced
Ds: is expected that scale 3
P:Vein dilation the pain is 2.Give a 2.Relieves 2.Provides a O:The client looks relaxed
Q:Pricked reduced until it comfortable pain comfortable
R:Testicles disappears with position position. A:Problem is resolved
S:3 (0-10) the outcome Result:The
T:Disappear Arises criteria: patient appears P:Stop intervening
1.Pain decreased comfortable in
Do: from scale 3 to 1 the given
Vital sign 2.Face relaxed position
Blood pressure : 3.Vital sign within
120/80 mmhg normal limits
-Pulse :88x/mnt
-Temperature :36,8
-Respiration :20x/mnt 3.Teach 3.Relieves 3.Teaches
relaxation pain relaxation
techniques techniques.
Result: Patient
was able to
follow
relaxation
techniques
4.Observing 4.Know the 4.Observing
vital signs progress of vital sign
the Result:Vital
patients signs within
health normal limits
 Anxiety related to Nursing action has 1.Assess 1.Knows 1.Assess the
2 surgical prosedures been carried out level of the level of level of anxiety
DS: for 15 minutes,it anxiety anxiety Result:the
The patient says he is is expected that patient appears S:The client said anxiety was
anxious the pain is Rabu out of focus reduced
DO: reduced until it 03/03/20
The patient appears disappears with 21
worried and the outcome 2.Use 2.Builds 2.Using O:The client looks relaxed
unfocused criteria: therapeutic teraupetic teraupetic
1.The Client communicati communication A:Problem is resolved
seemed calm on Result:Client
2.Being able to appears P:Stop intervening
reveal reducing cooperative
the causes of -Educate the
anxiety process that will
be carried out
during the
operation
-Explain any
suggestions
after surgery
3.Explain the 3.Reduces 3.Describes the
operating the level of operating
procedure anxiety procedure
Result:client will
be sedated
-Will be
unconscious
-Announce any
action after the
patient is
conscious