PHINMA University of Pangasinan

College of Health Sciences

NURSING CARE PLAN

Patient’s Initials: M.B. Chief Complaint: Fever, N/V Name of Student: Ballesteros, Lorainne D.
Age & Gender: 17 y.o./F Admitting Diagnosis: Dengue fever Level/Block: 4BSN-4
Birthdate: 03/20/2006 Date of Confinement: 10/09/23 Hospital/Area: CHI/MEDICAL WARD
Address: Dagupan, Pangasinan Clinical Instructor: Sir Cris Adrian Laforteza

ASSESSMENT NURSING ANALYSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective: Dengue fever is an Short term: Independent: Short term:
“Wala talaga akong acute febrile disease
gana kumain, nahihilo caused by infection After 12 hours of nursing Assess the patient’s Facilitates in planning for After 12 hours of nursing
ako tapos sinusuka ko with one of the interventions, the perceptions regarding meals that are appropriate interventions, the
lang mga kinakain ko." serotypes of the patient will eat according food intake and food for the patient’s condition. patient eats according to
as verbalized by the dengue virus. The to appropriate preferences. appropriate nutritional
patient. infection presents nutritional needs and needs and demands.
with flu-like symptoms demands. Allow the patient to Allowing the patient to select GOAL MET
Objective: such as fever. select food preferences her menu based on the
Nausea and vomiting Long term: from the approved food approved list allows her to Long term:
V/S as follows: are also among the list for her condition choose options that are
BP: 110/70 symptoms of dengue, After 3 days of nursing (excluding dark-colored palatable to her. After 3 days of nursing
PR: 112 bpm as they affect the interventions, the food; food containing interventions, the
RR: 22 bpm intestinal wall and gut patient will verbalize the colorants, etc.) patient verbalizes the
T: 37.5°C health therefore puts importance of taking importance of taking
SaO2: 96% the patient at risk for food and nutrients Encourage the patient to Eating smaller meals spaced food and nutrients
an imbalanced according to prescribed have small frequent throughout the day according to prescribed
- Lethargic nutrition: less than needs. feedings, eating at least encourages the patient to eat needs. GOAL MET
- Lack of appetite body requirements. once every 3-4 hours. according to the
 recommended caloric intake
NURSING without overwhelming her.
DIAGNOSIS
Present the food in a Allows the patient to think
Imbalanced visually attractive and that the food tastes good,
palatable manner. thereby stimulating appetite
nutrition: less than
and increasing food intake.
body requirements
related to nausea, Instruct the patient to Helps stimulate appetite by
vomiting, and lack of brush teeth regularly, removing plaque and
appetite. refraining from strong unpleasant taste and
mouthwash solutions. sensation that may be in the
mouth due to intake of
medications or after
vomiting.

Dependent:

Include supplements in Help meet daily

the patient’s dietary requirements of essential
intake as prescribed by nutrients.
the physician.

Administer anti emetics Prevent regurgitation of

as prescribed by the ingested food.
physician.