NURSING CARE PLAN

Identified Problem: Vomiting, LBM

Nursing Diagnosis: Disturbed sleep pattern related to urinary tract infection as evidenced by nocturia, unintentional waking, and patient reports of dissatisfaction with sleep. 

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Subjective: Short term objectives: Short term:
1. Instruct the mother of the patient to avoid
1. Instruct the mother of the patient to
“My child vomits and have a
large volumes of fluid prior to going to
The client will be able to avoid large volumes of fluid prior to Client should verbalize
diarrhea” as verbalized by the
sleep.
verbalize understanding of the going to sleep. understanding of urinary tract
mother of the patient.
condition and participate in infection, factors contributing to
2. Administer pain medication ordered by the
doing measures to 2. Administer pain medication ordered it, and how to manage the
physician.
compensate for alteration in by the physician. illness; participate in measures
elimination. preventing reinfection.
3. Monitor vital signs, noting age-appropriate
3. Changes of autonomic response
Objective:
normal variations.
 Facial grimace with may indicate increased pain.
pain Temperature will identify infection.
4. Monitor urine output to changes in color,
Temp: 36.4℃
and odor.
BP: 70/60 4. To modify indications of progress or
PR: 128 Long term objectives: deviations from the expected results.
Long term:
5. Educate the mother of the patient to avoid
RR: 76
The client will be able to foods with caffeine like chocolate.
O2 Sat: 98 5. Caffeine is a diuretics that may
Client should have achieved a
achieve a normal elimination increase urinary frequency.
normal elimination pattern as
pattern as evidenced by 6. Ask the mother of the patient to document
evidenced by decreased
decreased in episodes of how long they sleep and how often they
6. Assessing the sleep/wake patterns
episodes of urgency,
urgency and frequency in wake up during the night.
of the patient are an important tool to
frequency, burning sensation,
voiding and reduction in make sure that interventions are
and other discomforts in
discomforts in voiding. 7. Assess the patient’s urinary elimination
appropriate and effective.
voiding.
patterns.

7. Determining a baseline of the

8. Encourage the patient to rest.
patient’s current elimination patterns
will help determine appropriate

Patient’s Name / Room No. | 1

 9. Reduce sleep disturbance in the interventions and evaluate their
environment such as room temperature, effectiveness.
noise, and light.
8. Resting reduces metabolic
demands on the body that may
10. Monitor urine cultures and blood studies.
increase body temperature.

9. To provide a sleep-conducive
environment.

10. It is to monitor the presence of

bacteria to determine the presence of
infection.

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 2

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 3

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 4

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 5

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 6

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 7

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 8

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 9

 Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

NURSING CARE PLAN

Identified Problem:

Nursing Diagnosis:

CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION

Patient’s Name / Room No. | 10

Subjective: Short term objectives: Short term:

Objective:

Long term objectives:

Long term:

Patient’s Name / Room No. | 11