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Nursing Care Plan

Mendoza, Miguel Martin E.


BSN121 Group 82

Cues Nursing Diagnosis Goal/ Objectives Interventions Rationale


Subjective: Diarrhea related to Goal: 1. Auscultate 1. For presence,
The client’s mother infectious processes; The client will abdomen. location, and
verbalized that: parasites reestablish and 2. Restrict solid characteristics of
• “May fever siya maintain normal food intake, as bowel sounds.
nung Friday pa. pattern of bowel indicated. 2. To allow for bowel
“ functioning. 3. Provide for rest/reduced
• “Hindi siya changes in intestinal workload.
kumakain.” dietary intake. 3. To avoid
• “Kahapon 4. Weigh infant’s foods/substances
cheeseburger at diapers. that precipitate
hot fudge lang 5. Administer diarrhea.
ang kinain niya.” antidiarrheal 4. To determine
• “Yung dumi niya medications as amount of output
parang paste na indicated. and fluid
color black, 6. Provide prompt replacement needs.
tatlong beses na diaper change 5. To decrease
ganun ang and gentle gastrointestinal
dumi.” cleansing. motility and
7. Discuss possible minimize fluid
• “Nagsuka siya
change in infant losses.
ng 2 beses nung
formula. 6. Because skin
Saturday, 1
8. Increase oral breakdown can
beses kagab.i”
fluid intake and occur quickly when
• “Masaki tang
return to normal diarrhea is present.
tiyan.”
diet, as 7. Diarrhea may be
• “Nagkaron siya tolerated. result of intolerance
ng sipon at to specific formula.
rashes sa braso
kagabi”
Objectives:
• Febrile
• Rashes (arms)
• T= 39.6
• PR= 126

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