NCP: NAUSEA

CUES NURSING PROBLEM NURSING RATIONALE EVALUATION

DIAGNOSIS STATEMENT INTERVENTION EXPECTED/OUTCOME
(GOAL)

SUBJECTIVE: Risk for deficient Fluid During pregnancy, >Monitor intake and >Decreased urine  Be free of nausea.
“Nahihilo po ako” as Volume women may urine output and output and  Manage chronic
verbalized by the patient experience nausea concentration. concentration will nausea, as
and vomiting. improve the evidenced by
OBJECTIVE: Morning sickness sensitivity / acceptable level of
-Fatigue may be caused by sediment as one dietary intake.
-Certain odors hormonal changes suggestive of  Maintain or regain
-Vitamin or Mineral that occur during dehydration and weight as
Deficiencies pregnancy. require increased appropriate.
fluids
>Vital signs taken as GOAL:
follows: -The patient will >Give fluid little by >To minimize loss
report relief from little but often. of fluid
BP= 60/80mmHg nausea.
RR= 12-20bpm
Temp= 36.5 degree >Provide clean, >The may stimulate
Celsius peaceful or worsen the
environment and nausea
fresh air with fan or
open window.
Avoid odors such as
smoke, perfumes
etc.