NUR2349 Professional Nursing I

Module 03 Written Assignment - Care Plan

Student Name: __________________________

Date: ______________________

Client Gender: ____________ Client Age: ________

Client Diagnosis: __________________________________________________________________________________________________

Assessment Data for Nursing Diagnosis Expected Nursing Evidence-based Evaluation

Nursing Diagnosis (3) Outcomes with Interventions Rationale for each (How do you know it

Indicators (2 per Expected Nursing worked?)

(1 per Nursing Outcome) Intervention

Diagnosis) (Cited/referenced)

-Lower abdominal 1. Lower -Reduction of the -To minimize muscle - According to - For the acute pain

pain abdominal acute onset tension, administer Queremel Milani & evaluation, ask the

-Nausea pain as a abdominal pain the prescribed Davis, 2021, patient to rate the

-Vomiting result of within the first analgesics per T- analgesics are severity on a scale of

-Confusion urinary tract twenty-four hours, sheet and warm medications 1-10 and assess for

-Urinary infection and characterized by compresses for administered to pain behaviours

Incontinence inflammation verbal reporting of abdominal pain. minimize pain. Their improvement.
 NUR2349 Professional Nursing I
Module 03 Written Assignment - Care Plan

-Odorous urine 2. Probability decreased pain, a - For the increased use in this patient will - For nutritional

-Intravenous infusion of lower scale score risk of nutritional be essential in evaluation, reassess the

of 50ml/hour of developing and reduced imbalance, assess the reducing the patient's current weight

Ringer’s lactate imbalanced abdominal guarding patient's ability to abdominal pains and the amount of food

nutrition due on palpation of the tolerate feeds and - In a study by Kesari intake with the ability

to nausea, abdomen. encourage oral & Noel (2022), to retain.

vomiting and - Maintenance of the feeding in small nutritional -For confusion,

use of a clear client’s nutritional quantities while assessment is evaluate the patient’s

liquid diet status with proper closely monitoring essential in patients ability to provide

3. Risk of nutrition and their intakes with nausea and accurate responses and

confusion of dehydration - For the confusion, vomiting because sober judgement.

acute onset prevention, keep orienting the most cannot feed or

due to indicated by stability patient frequently to retain a nutritional

metabolic or minimal change their surroundings standard diet.

imbalances in the patient’s total and ensure a calm -in another study by

and weight, with reduced surrounding to Heerema (2018), the

infection. episodes of minimize confusion. reality orientation of

 NUR2349 Professional Nursing I
Module 03 Written Assignment - Care Plan

vomiting. patients with

-The patient is also confusion has been

expected to show proven successful in

improvement in patients with

orientation and dementia, thus

cognitive function applicable to this

within twenty-four patient.

hours, indicated by

the ability to

appropriately

identify people, time

and place.

Respond to this critical thinking question:

Describe how altered urinary elimination can affect the integumentary system.
 NUR2349 Professional Nursing I
Module 03 Written Assignment - Care Plan

Alteration of the urinary elimination can lead to skin irritation after prolonged exposure, especially when there is incontinence. The skin

regions most likely to be affected include the perineal region. It can also precipitate pressure sores due to excess moisture, especially in bedridden

patients. Excess moisture on the skin is likely to precipitate the growth and thriving of bacterial infection because they thrive well in a moist and

warm environment. Fungal infections, including yeast infections, thrive well in moist skin areas, especially with folds and other inflammatory skin

conditions such as intertrigo (Nobles & Miller, 2020).

References

Nobles, T., & Miller, R. A. (2020). Intertrigo. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK531489/

Queremel Milani, D. A., & Davis, D. D. (2021). Pain Management Medications. PubMed; StatPearls Publishing.

https://www.ncbi.nlm.nih.gov/books/NBK560692/

Kesari, A., & Noel, J. Y. (2022). Nutritional Assessment. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK580496/

Heerema, E. (2018). The Benefits of Reality Orientation in Alzheimer’s and Dementia. Verywell Health. https://www.verywellhealth.com/treating-

alzheimers-disease-with-reality-orientation-98682

‌
 NUR2349 Professional Nursing I
Module 03 Written Assignment - Care Plan