STUDENT NURSE’S NAME: Mixcy Mabatid
Client’s Name: Therese
NURSING CARE PLAN
ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTIONS
Subjective: -- Risk for dehydration Within 6 hours of nursing 1. Assess client’s condition.
related to g-tube intervention the patient will have 2. Assess the client’s skin
Objective: feeding dependence. adequate intake & electrolyte integrity turgor.
- Food not levels will remain within normal 3. Encourage the mother to
taking by range. give the child more fluid.
mouth. 4. Advise the mother to
include high protein, CHO &
vitamins in diet.
5. Administer IV fluids as per
doctor’s order.
6. Ensure accurate intake and
output monitoring.
7. Educate the mother about
benefits and importance of
adequate fluid intake and
drug supplements.
8. Assess color and amount of
urine. Report urine output
less than 30 ml/hr for two
(2) consecutive hours.
Date: March 7,2022
Age: 8 year old
RATIONALE EVALUATION
1. To monitor for other signs After 6 hours of nursing intervention
and symptoms. the client is able to have adequate
2. To obtain baseline data for intake & electrolyte levels has
planning care. remained within normal range.
3. To minimize the risk of
dehydration.
4. To maintain optimal Mabatid, Mixcy, S.N.
nutritional status.
5. To maintain fluid and
electrolyte balance.
6. Accurate records are
important in assessing
client’s fluid.
7. Education allows the
mother to understand the
benefits and adequate fluid
intake and drug
supplements.
8. Normal urine output is
considered normal, not less
than 30ml/hour.
Concentrated urine denotes
fluid deficit.