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NCP Typhoid

The patient is experiencing imbalanced nutrition less than body requirements related to fatigue, anorexia and malaise. Laboratory results show elevated liver enzymes and lactate dehydrogenase. The nursing diagnosis is imbalanced nutrition less than body requirements and the expected outcome is for the patient to have proper nutrition intake after 5 days. Nursing interventions include monitoring vital signs, intake amounts and calories, nausea and vomiting. The patient will be instructed to enhance protein and vitamin C intake and antibiotics will be administered.

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Mae Arra Lecobu-an
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74 views2 pages

NCP Typhoid

The patient is experiencing imbalanced nutrition less than body requirements related to fatigue, anorexia and malaise. Laboratory results show elevated liver enzymes and lactate dehydrogenase. The nursing diagnosis is imbalanced nutrition less than body requirements and the expected outcome is for the patient to have proper nutrition intake after 5 days. Nursing interventions include monitoring vital signs, intake amounts and calories, nausea and vomiting. The patient will be instructed to enhance protein and vitamin C intake and antibiotics will be administered.

Uploaded by

Mae Arra Lecobu-an
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Defining Characteristics Nursing Diagnosis Outcome Identification Nursing Intervention Rationale Evaluation

Subjective: Imbalanced Nutrition, Less After 5 days of nursing Independent: Goal met when the patient
Than Body Requirements interventions, the patient will was able to improve intake
“ Galain akon matyag” related to fatigue, anorexia have the proper intake of nutrition  Monitor vital signs Gives us a glimpse of the of nutrition.
verbalized by the patient and malaise. patient’s well-being and
detect deterioration.
 Objective
 Monitor the amount of Knowing the cause of the
T: 40˚C nutrients and calories. less intake so as to
determine appropriate and
Laboratory results: effective intervention

 WBC= Nausea and vomiting affect


ct.4,600/mm3  Monitor nausea and nutrition
vomiting.
 Aspartate- Protein and vitamin C to
aminotransferase =  Instruct the patient to meet nutritional needs
790U/L enhance the protein and
 Lactate vitamin C.
dehydrogenase =
1,562U/L
Dependent
To control chronic
 Administer anti-biotics as conditions, treating
prescribed. temporary conditions, and
overall long-term health and
well-being

Defining Characteristics Nursing Diagnosis Outcome Identification Nursing Intervention Rationale Evaluation
Subjective: Risk for fluid volume After 5 days of nursing Independent: Goal met when the patient
deficit related to less fluid interventions, the patient will able was able to maintain normal
“ Galain akon matyag” intake, headache and fever. to maintain proper fluid volume  Monitor vital signs Gives us a glimpse of the fluid intake, relief from
verbalized by the patient intake patient’s well-being and headache and fever
detect deterioration.
 Objective
 Sponge bath Helps decrease temperature
T: 40˚C
Changes in hydration status,
Laboratory results: Monitor the status of mucous membranes, skin
hydration turgor describe the severity
 WBC= of dehydration
ct.4,600/mm3

 Aspartate-
aminotransferase = To control chronic
790U/L Dependent conditions, treating
 Lactate temporary conditions, and
dehydrogenase =  Administer anti-biotics as overall long-term health and
1,562U/L prescribed. well-being

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