C.

NURSING CARE PLAN

 ASSESSMENT DIAGNOSIS BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION
STUDY

Subjective: Diarrhea Introduction of bacteria After 8 hours of Nursing Independent: Goal met
into the GI tract
related to Intervention, client will
“Namin uppat >Monitor I/O. >These assessments After 8 hours of
physiological Release of be able to reestablish and
nga timmaki bacterial toxins are used to monitor Nursing Intervention,
factors maintain normal pattern
manipod di bigat. volume status. client will be able to
(parasites) of bowel functioning.
Medyo Nadanum reestablish and
jy takki na. Disrupts the
maintain normal pattern
mucus lining of
Nagsarawa pay the stomach >To allow for bowel of bowel functioning.
naminsan ti >Restrict solid food rest/ reduced intestinal
aldaw.” as intake. workload
verbalized by the Release of HCl
cause gastric > To ensure adequate
patient’s mother. irritation amt. of fluid is taken by
> Increase oral fluid
Objective: the pt.
intake and return to
>Hyperactive Increase gastric normal diet as
bowel sounds motility/peristalsis tolerated.
> To decrease
>vomiting Dependent: gastrointestinal
motility and minimize
>BM (4x), Increase gastric > Administer
motility fluid loses
watery and antidiarrheal
greenish in color medications as
indicated.
Frequent
ASSESSMENT      DIAGNOSIS BACKGROUND STUDY
defecation PLANNING INTERVENTION RATIONALE EXPECTED
OUTCOME
(DIARRHEA)
Subjective: Risk for Digestive and absorptive After 2 hrs of Independent Goal Met
deficient fluid malfunction nursing
“Nabasa latta jy >Monitor I/O balance, >To ensure accurate picture of After 2 hrs of nursing
volume r/t intervention the ct
takki na, ken being aware of altered fluid status. intervention the ct
excessive loss with the help of
nagsarwa intake or output. with the help of the
of fluids and Increased secretion of fluid the "SO" will be
manen” as stated "SO" was able to
electrolytes. and electrolytes in the lumen able to >Offer fluids between
by the patient’s >To prevent occurrence of demonstrate
demonstrate meals & regularly
mother deficit behaviors to prevent
behaviors to throughout the day.
development of fluid
Objective: Increased water content of the prevent
> Promote intake of volume deficit.
stools acompanied by development of
>watery stool high-water content foods
vomiting fluid volume
and/or electrolyte
>vomiting deficit.
replacement drinks.

Imbalanced fluid and Dependent:

electrolytes
>Provide supplemental
fluids as indicated. >To facilitate hydration

Risk for deficient fluid volume >Administer medications > Fluids may be given if the ct.
is unable to take oral fluid, or
(antidiarrheals. when rapid fluid resuscitation
Reference:
antiemetics) as indicated. is required.
MSN, LeMone and Burke, pp
> To decrease gastrointestinal
754, 757 motility and minimize fluid
loses