Student Name: Date: February 25‚ 2006 Nursing Diagnosis Outcome Criteria (Goal) Evaluation of Outcome Criteria (Goal) PC: Postpartum Hemorrhage Patient will develop no complications related to excessive bleeding‚ will maintain normal vital signs of express understanding of her condition‚ its management‚ and discharge instructions‚ identify and use available support systems. R/T‚ RTRF and secondary to: Pathophysiology Supporting Nursing Diagnosis Statement (cite source) Uterine atony
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Left Knee Mass Related to Gouty Arthritis | Date(s) of Care: 11/10/11- 11/12/11 | Age: 46 | | Date of Admission: 11/10/11 | Gender: Male | | Marital Status: Married | Room #: 507 | Code Status: Full Code | Occupation: Electrician | Race: Hispanic | Isolation Type: | Religion: Roman Catholic | | Allergies: No Known Allergies | History of Present Illness: The patient is a 46-year-old male diagnosed with right and left knee gouty arthritis. The patient in the past has undergone
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Cues Nursing Problem Scientific Reasoning Planning Implementation Evaluation Subjective: >”Nay‚ kelan po tayo uuwi?” as verbalized by the patient >”Nag-aaya na nga syang umuwi.” as verbalized by the caretaker Objective: >Patient is silent when hospital staff is around >Patient does not have eye contact with the hospital staff Fear related to hospitalization as manifested by alteration in behavior. Hospitalization is usually perceived as a threat that is consciously
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NURSING DIAGNOSIS GOAL INTERVENTIONS RATIONALE EVALUATION impaired Gas Exchange R/T STG: 3/17/2014 throughout shift 1. Auscultate breath sounds 1. Abnormal breathing STG: PT O2 saturation on admission abnormal breathing AEB PT will maintain O2 saturation noting areas of decreased sounds are indicative was 87%. Measured at 1602 with a Objective: use of wall oxygen of 95 or higher AEB breathing sounds of numerous problems reading of
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treatment in order to maximize therapeutic effect and facilitate healing. When a patient and their family are educated about illness‚ medications‚ and other treatments‚ they are more likely to be interested in their healthcare and comply with the plan. An infection of the lungs triggers an inflammatory response‚ which results in edema in the alveoli. As a result of pulmonary edema‚ gas exchange becomes impaired leading to decreased activity tolerance. At the end of the shift‚ pt’s pulse oximetry
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Cues Nursing diagnosis Nursing objective Planning Nursing intervention Rationale Subjective Cues: “Nahihirapa n akong umihi‚‚ madalas sya pero pakonti konti lang » as verbalized by the client. Objective Cues: Distended abdomen Frequency Hesitancy T-38.3 P-105Bpm R-24 bpm BP-130/90 mmHg Impaired Urinary Elimination r/t Inflammatio n of bladder mucosa As evidence by the objective cues. __________ _ Scientific Explanation : Disturbance in urine elimination. After 8 hrs of
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Nursing Care Plan As soon as the history and head-to-toe assessment were completed nursing priorities focused on alleviating pain‚ preventing infection and urinary obstruction‚ and providing information about disease process and treatments. Physical assessment data included: vital signs B/P 87/51‚ HR 110‚ T 99.7 F; weight 160lb‚ height 5’8”. MK presented to the ED with acute severe right colicky flank pain that radiated into the abdomen and lower back‚ guarding his abdomen‚ and moaning. MK rated
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A payment status of IN PROCESS means your payment is still being processed. A payment status other than PAID indicates that the Department of State has not received your payment. If you receive a notice that your case has entered termination do not attempt to pay any fees. You must contact the NVC immediately to resume processing of your petition. NVC contact information can be found at http://travel.state.gov/visa/immigrants/info/info_3177.html. Next Steps 1. When the IV fee payment status is
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tonsillectomy. Objective: PERLA‚ hearing intact‚ nasal patency X2‚ mucous membranes are moist and pink. Gag reflex intact. Thyroid is not enlarged. Pain Status: (Level of pain; location‚ intensity‚ characteristics‚ activities which cause/worsen pain; activities which alleviate pain) Subjective: patient complains of abdominal pain‚ nausea‚ and chest pain. C: dull O: this morning L: chest‚ back‚ stomach D: intermittent S: 8 P: walking makes it worse‚ but it’s tolerable when she is in bed A: nausea
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X Nursing Care Plan |Assessment |Diagnosis |Planning |Intervention |Rationale |Evaluation | | | | | | | | |Subjective: “nahihirapan siyang |Activity intolerance related to |Within the
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