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    Assessment Diagnosis Background Study Planning Intervention Rationale Evaluation

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    ahz_kerian2
    > To allow for bowel rest and reduced intestinal workload. > To ensure adequate fluid intake and return to normal bowel functioning. > Nursing interventions were aimed at monitoring fluid status and promoting hydration to prevent fluid volume deficit.

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    Assessment Diagnosis Background Study Planning Intervention Rationale Evaluation

    Uploaded by

    ahz_kerian2
    562 views4 pages
    > To allow for bowel rest and reduced intestinal workload. > To ensure adequate fluid intake and return to normal bowel functioning. > Nursing interventions were aimed at monitoring fluid status and promoting hydration to prevent fluid volume deficit.

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    NCP

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    > To allow for bowel rest and reduced intestinal workload. > To ensure adequate fluid intake and return to normal bowel functioning. > Nursing interventions were aimed at monitoring fluid status and promoting hydration to prevent fluid volume deficit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    562 views4 pages

    Assessment Diagnosis Background Study Planning Intervention Rationale Evaluation

    Uploaded by

    ahz_kerian2
    > To allow for bowel rest and reduced intestinal workload. > To ensure adequate fluid intake and return to normal bowel functioning. > Nursing interventions were aimed at monitoring fluid status and promoting hydration to prevent fluid volume deficit.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    ASSESSMENT DIAGNOSIS BACKGROUND PLANNING INTERVENTION RATIONALE EVALUATION

    STUDY

    Subjective: Diarrhea Introduction of After 8 hours of Independent: Goal met


    bacteria into the GI
    related to Nursing Intervention,
    tract >Monitor I/O. >These assessments After 8 hours of
    physiological client will be able to
    are used to monitor Nursing Intervention,
    Objective: factors reestablish and
    volume status. client will be able to
    (parasites) Release of bacterial maintain normal
    >Hyperactive toxins reestablish and
    pattern of bowel
    bowel sounds maintain normal
    functioning. >Restrict solid food
    >To allow for bowel pattern of bowel
    >vomiting intake.
    Disrupts the mucus rest/ reduced functioning.
    lining of the stomach
    >BM (4x), intestinal workload
    watery and
    > Increase oral > To ensure
    greenish in
     Release of HCl fluid intake and adequate amt. of
    color cause gastric
    irritation return to normal fluid is taken by the

          diet as tolerated. pt.

    Dependent:
    Increase gastric
    motility/peristalsis
    > Administer > To decrease
      antidiarrheal gastrointestinal

    Increase gastric medications as motility and minimize


    motility indicated. fluid loses
    Frequent defecation

    (DIARRHEA)

    ASSESSMENT DIAGNOSIS BACKGROUND PLANNING INTERVENTION RATIONALE EXPECTED


    STUDY OUTCOME

    Subjective: Risk for Digestive and After 2 hrs of nursing Independent Goal Meet
    deficient fluid absorptive intervention the ct with
    >Monitor I/O >To ensure accurate After 2 hrs of nursing
    Objective: volume r/t malfunction the help of the "SO" balance, being picture of fluid status. intervention the ct
    excessive will be able to aware of altered with the help of the
    >watery stool
    loss of fluids demonstrate behaviors intake or output. "SO" was able to
    >vomiting and Increased secretion to prevent >To prevent demonstrate
    >Offer fluids
    electrolytes. of fluid and development of fluid occurrence of deficit behaviors to prevent
    between meals &
    electrolytes in the volume deficit. development of fluid
    regularly
    lumen volume deficit.
    throughout the day.

    > Promote intake of


    >To facilitate
    Increased water high-water content
    hydration
    content of the stools foods and/or
    acompanied by electrolyte
    vomiting replacement drinks.

    Dependent:

    Imbalanced fluid and >Provide


    > Fluids may be
    electrolytes supplemental fluids
    given if the ct. is
    as indicated.
    unable to take oral
    fluid, or when rapid
    Risk for deficient fluid
    fluid resuscitation is
    volume
    required.
    Reference:
    MSN, LeMone and >Administer > To decrease
    Burke, pp 754, 757 medications gastrointestinal
    (antidiarrheals. motility and minimize
    antiemetics) as fluid loses
    indicated.

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