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    NCP Risk For Bleeding 3

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    Jayson Olile
    This nursing diagnosis addresses a client at risk for bleeding. The client has recently undergone cesarean section surgery and mentions insufficient knowledge of bleeding precautions. Expected short-term outcomes within 2 hours include the client discussing precautions to prevent bleeding complications and explaining actions to take if bleeding occurs. Within 3 weeks, the goal is for the client to maintain normal vital signs and urine output. Nursing interventions focus on closely monitoring the client for signs of bleeding and educating on appropriate hygienic measures and when to apply pressure.

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    NCP Risk For Bleeding 3

    Uploaded by

    Jayson Olile
    3K views2 pages
    This nursing diagnosis addresses a client at risk for bleeding. The client has recently undergone cesarean section surgery and mentions insufficient knowledge of bleeding precautions. Expected short-term outcomes within 2 hours include the client discussing precautions to prevent bleeding complications and explaining actions to take if bleeding occurs. Within 3 weeks, the goal is for the client to maintain normal vital signs and urine output. Nursing interventions focus on closely monitoring the client for signs of bleeding and educating on appropriate hygienic measures and when to apply pressure.

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    NCP risk for bleeding 3

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    This nursing diagnosis addresses a client at risk for bleeding. The client has recently undergone cesarean section surgery and mentions insufficient knowledge of bleeding precautions. Expected short-term outcomes within 2 hours include the client discussing precautions to prevent bleeding complications and explaining actions to take if bleeding occurs. Within 3 weeks, the goal is for the client to maintain normal vital signs and urine output. Nursing interventions focus on closely monitoring the client for signs of bleeding and educating on appropriate hygienic measures and when to apply pressure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views2 pages

    NCP Risk For Bleeding 3

    Uploaded by

    Jayson Olile
    This nursing diagnosis addresses a client at risk for bleeding. The client has recently undergone cesarean section surgery and mentions insufficient knowledge of bleeding precautions. Expected short-term outcomes within 2 hours include the client discussing precautions to prevent bleeding complications and explaining actions to take if bleeding occurs. Within 3 weeks, the goal is for the client to maintain normal vital signs and urine output. Nursing interventions focus on closely monitoring the client for signs of bleeding and educating on appropriate hygienic measures and when to apply pressure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Nursing Diagnosis: Risk for Bleeding

    Defining Expected Outcomes Nursing interventions Rationale Evaluation


    Characteristic
    s

    Subjective Short term goals Independent: 1 Clients at increased 1 After 2 hours of


    cues: 1 After 2 hours, client 1 Monitor the client closely for risk for bleeding may health teachings,
    Patient will be able to discuss hemorrhage, especially in those at may include the client utilizes
    mentions that precautions to prevent increased risk for bleeding. Watch for intrapartum and appropriate
    she has bleeding complications any signs of bleeding, including postpartum women. hygienic measures
    insufficient 2 After 2 hours, client bleeding of the gums, blood in sputum, 2 Nonpharmacological such as
    knowledge of will be able to explain emesis, urine or stool, bleeding from a means, such as handwashing, oral
    bleeding actions that should be wound, bleeding into the skin with application of care, and perineal
    precautions. taken if bleeding petechiae, and purpura. pressure, may reduce care.
    happens.   2 If bleeding develops, apply pressure bleeding. 2 After 2 hours of
    over the site or appropriate artery as 3 Recommendations instruction, the
    3 After 3 week, the needed. Apply pressure dressing if for bleeding risk client is
    Objective client will maintain a indicated. prevention and demonstrating
    Cues: mean arterial pressure Dependent: management carefully appropriate care of
    Patient has above 70 mmHg, a 3 Collaborate on an appropriate weigh the risks and infection-prone
    recently heart rate between 60 bleeding management plan, including benefits of sites
    undergone and 100 bpm with a nonpharmacological and nonpharmacological 3 After 3 days, the
    surgery via normal rhythm, and pharmacological measures to stop and pharmacological client shows no
    cesarean urine output greater bleeding based on the antithrombotic interventions symptoms of
    section. than 0.5 mL/kg/hr used. 4 New oral infection.
    There is a Collaborative: anticoagulants often
    horizontal 4 Monitor coagulation studies, have no requirement
    surgical incision including prothrombin time, INR for routine coagulation
    on her activated partial thromboplastin time studies, however,
    abdomen. (aPTT), fibrinogen, fibrin vigilance is still
    degradation/split products, and warranted in that risk
    platelet counts as appropriate for bleeding without
    benefit of reversal
    agents exists.

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