DEFINING AND NURSING OUTCOME NURSING RATIONALE EVALUATIO

CHARACTERISTIC DIAGNOSI IDENTIFICATIO INTERVENTIO N

S S N N
Subjetive: Worst Long term: Independent: -To Goals met
“Worst abdominal After 8 hours establish as
pain and
abdominal pain of nursing - Establish trust and evidenced
shoulder
and shoulder pain intervention rapport promote by
pain complained the patient nurse- decreased
complained by by the will - Assess the client abdominal
the patient.” patient experience vital signs relationshi pain
related to
ectopic
decreased p and
Objective: abdominal - Maintain - To shoulder
pregnancy.
Uncomfortable, Rationale: pain, and accurate establish pain.
Left Adnexal The pain shoulder pain. intake and baseline
Tenderness, may Short term: output data and
be described
Closed Cervix, After 4 hours determine
as
and Scant Blood sharp, dull, of if the
in the Vaginal or nursing patient is
crampy. Pain intervention under
may the shock.
also spread
to the
patient will be -To
shoulder if able to establish
bleeding verbalize the
into the the rate of pain patient’s
abdomen in her renal
has
occurred.
abdomen function
Severe and shoulder.
bleeding
may
result in a
fast
heart
rate ,
fainting ,
or shock .
With
very rare
exceptions
the fetus is
unable
to survive.