NURSING CARE PLAN

Name: Casilao, Mike Arone H. Date: June 22, 2023

Course/Yr/Blk: BSN IV-B (BUCN-SN 2023)

CUES Nursing Diagnosis Nursing Objectives Nursing Interventions Rationale Evaluation

Subjective/ Objective
Activity Intolerance related
Subjective: to pregnancy as After 12 hours of Independent: After 12 hours of rendering
evidenced by: independent nursing independent nursing
 The patient stated she interventions, the client will  Establish rapport  Establishing rapport interventions, the goals were
is experiencing  The patient stated be able to: with the client is met as evidenced by:
weakness. she is important for
 The patient verbalized experiencing effectively collecting  The client was able
pain of 3/10 weakness.  Verbalize a positive data. Also, to elicit to verbalized a
(discomfort)  The patient feedback in accurate and positive feedback in
verbalized pain of response to the meaningful response to the
Objective: 3/10 (discomfort) activity level. information activity level
 Provide privacy
 Vital signs:  Display  To prevent  The client was able
 Vital signs: RR=18 breathes/min physiological embarrassment to display an
RR=18 breathes/min BP= 110/80 mmHg improvements over when exposing their improvement
BP= 110/80 mmHg O2: 98% time. body parts; view or physiologically over
O2: 98% Temperature: 36.5  Maintain vital signs overheard by others. time
Temperature: 36.5 within the normal  Monitor vital signs  The client was able
range  This will serve as to maintain vital
the baseline if the signs within the
Scientific Explanation: client can perform normal range
Activity Intolerance the activities.
Insufficient physiological
or psychological energy to
endure or complete  Encourage  This helps the
required or desired daily verbalization of patient to cope.
activities. feeling regarding Acknowledgment
limitations. that living with
Reference: activity intolerance is
Doenges, M. E., both physically and
Moorhouse, M., & Murr, A. emotionally difficult.
C. (2013). Nurse’s Pocket
Guide, Diagnoses,  Assess the physical  Provides baseline
Prioritized Interventions, activity level and information for
and Rationales (15th ed.,) mobility of the formulating nursing
patient goals during goal
setting
 Have the patient  Helps in increasing
perform the activity the tolerance for the
more slowly, in a activity.
longer time with
more rest or pauses,
or with assistance if
necessary.

 Determine the  Fatigue can limit the

patient’s daily patient’s ability to
routine perform needed
activity.

 Observe and  Close monitoring will

document response serve as a guide for
to activity optimal progression
of activity