NURSING CARE PLAN

Name: Juan Dela Cruz Date Admitted: Sept. 1 2021

Age: 55y.o Chief Complaints: Right lower quadrant
Sex: Male Diagnosis: ABO Incompatibility
Civil Status: Married Attending Physician: Dr. Macapolot
Address: Jagna, Bohol Ward/Area: Ward 10

Assessment Nursing Backgroun Nursing Nursing Rationale Evaluation

Cues Diagnosi d of Objectives Interventions
s Knowledg /Goal
e
Subjective: Acute A ruptured After 4 *Monitor the *serve as Goal met:
abdomin appendix hours of vital sign. baseline
“Sakit kaayu al pain happens nursing data. After 4 hours
akong kuto- related to when interventio of intervention
kuto og diri Obstruct within n, the *Give solace *Advance the patient,
kilid sa ubos sa ed your patient measure like s was able to
may too sa appendix addendum will be back rubs, unwinding demonstration
akong tiyan and loss is able to deep breathing. and may utilization of
nga maoy naka of fluid impeded. Forestallin Teach in improve relaxation
cause pud nako secondar A ruptured g liquid unwinding or patient's abilities,
og suka” as y to appendix volume representation adapting different
verbalized by vomiting might be deficiency works out. capacities techniques to
the patient. . brought and by advance solace
about by Relieving refocusing Forestalled
different pain. attention. Fluid volume
diseases *Monitor the deficiency and
like surgical site. relieved pain.
infection, *To aware
microscop the
ic excessive
Objective: organisms, yellowish
or nasty
BP: parasites, drainage
120/80mmhg in your and
HR : 88bpm gastrointes extreme
RR: 20bpm tinal *Give fluid redness.
T: 36.5 system. Or gradually
d.celcius on the however *To
other hand regularly. minimize
Physical it might the loss of
assessment: happen fluid.
*Rebound when the
tenderness in cylinder
the Right that joins
Lower your
Quadrant internal
noted organ and
*(+) addendum
McBurney’s is
sign obstructed
*(+) Psoas or caught
sign. by stool
* WBC count