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    Assessment Explanation of The Problem Planning Nursing Intervention Rationale Evaluation

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    Rodolfo Bong Semanero
    The patient is experiencing nausea, vomiting, increased urination and other symptoms of dehydration due to hyperglycemia caused by a lack of insulin production. The nurse will assess the patient's condition, monitor for other symptoms, check vital signs and glucose levels. Fluid intake will be encouraged and IV fluids administered to rehydrate the patient. The goals are for the patient to understand diabetes management, maintain proper hydration and comply with their treatment plan to prevent further health issues. Progress will be evaluated over three days.

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    © All Rights Reserved
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    Assessment Explanation of The Problem Planning Nursing Intervention Rationale Evaluation

    Uploaded by

    Rodolfo Bong Semanero
    99 views2 pages
    The patient is experiencing nausea, vomiting, increased urination and other symptoms of dehydration due to hyperglycemia caused by a lack of insulin production. The nurse will assess the patient's condition, monitor for other symptoms, check vital signs and glucose levels. Fluid intake will be encouraged and IV fluids administered to rehydrate the patient. The goals are for the patient to understand diabetes management, maintain proper hydration and comply with their treatment plan to prevent further health issues. Progress will be evaluated over three days.

    Original Title

    NCP_Ketoacidosis_Deficientfluidvolume

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    The patient is experiencing nausea, vomiting, increased urination and other symptoms of dehydration due to hyperglycemia caused by a lack of insulin production. The nurse will assess the patient's condition, monitor for other symptoms, check vital signs and glucose levels. Fluid intake will be encouraged and IV fluids administered to rehydrate the patient. The goals are for the patient to understand diabetes management, maintain proper hydration and comply with their treatment plan to prevent further health issues. Progress will be evaluated over three days.

    Copyright:

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

    Assessment Explanation of The Problem Planning Nursing Intervention Rationale Evaluation

    Uploaded by

    Rodolfo Bong Semanero
    The patient is experiencing nausea, vomiting, increased urination and other symptoms of dehydration due to hyperglycemia caused by a lack of insulin production. The nurse will assess the patient's condition, monitor for other symptoms, check vital signs and glucose levels. Fluid intake will be encouraged and IV fluids administered to rehydrate the patient. The goals are for the patient to understand diabetes management, maintain proper hydration and comply with their treatment plan to prevent further health issues. Progress will be evaluated over three days.

    Copyright:

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

    ASSESSMENT EXPLANATION PLANNING NURSING RATIONALE EVALUATION

    OF THE INTERVENTION
    PROBLEM
    SUBJECTIVE: Due to the lack STO: DX: STO:
    -“Naka ilang production of Within the shift -assess patients -To monitor for Within the shift
    suka napo siya insulin in the patient will be: conditions other signs and patient is:
    mula kaninang body, increase - Able to symptoms - Able to
    umaga” production of maintain fluid -Check blood -To determine maintained
    -“at ilang beses glucose volume glucose the effectivity of fluid volume
    na din po siya occurred. - Able to gain the treatment - Able to Gained
    umihi ng Glucose understanding understanding
    madami” contributes to the importance -Determine the -To determine the importance
    damage the of fluid intake weight of the fluid balance or of fluid intake
    OBJECTIVE: functionality of - Able to cope up patients fluid adequacy - Able to cope
    -Pale skin the liver which with ADLs up with ADLs
    -Dry skin causing/lead to -Check for blood -To determine
    -High glucose hyperglycemia. LTO: pH changes in the
    >250 mg/dL During this time, After 3 days of treatment regime LTO:
    -Abdominal Pain hyperglycemia effective nursing and determine After 3 days of
    -pH<7.30 causing body to intervention patient any effective nursing
    -increase urine secretes fluid by will be able to: complications intervention patient
    concentration excessive - Gain is able to:
    -Hypotension urination knowledge on TX: - Gain
    -Increase causing body to how to maintain -Encourage -To maintain fluid knowledge on
    temperature deprive fluid. As fluids in the increase fluid hydration how to
    -decreased skin consequences, body to prevent intake and maintain fluids
    turgor causing further administer IV in the body
    -Elevated hypovolemia or complications -Encourage to eat -To maintain fluid - Understand
    Hematocrit rapid loss of fluid - Understand the foods with high hydration and the importance
    in the body that importance of fluid content, decrease of insulin
    NURSING Dx: leads to deficient insulin foods low on occurrence of administration
    -Deficient fluid fluid volume. administrations sugar and hyperglycemia s
    volume r/t to - Verbalize carbohydrates - Verbalize
    nausea, understanding understanding
    vomiting, and of the treatment -Ensure accurate -To determine of the
    increase regimen intake and output patients fluid treatment
    urination as monitoring volume and urine regimen
    evidence by concentrations of
    poor skin whether alkalotic
    integrity or acidotic

    EDx:
    -Educate the -To prevent
    importance of another
    maintaining fluids occurrence of
    dehydration

    -Educate the -To maintain


    importance of proper dosage of
    complying with medication given
    the prescribe
    regimen

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