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Ix. Nursing Care Plan: Asessment Nursing Diagnosis Scientific Explanation Planning Intervention Rationale Evaluation
Ix. Nursing Care Plan: Asessment Nursing Diagnosis Scientific Explanation Planning Intervention Rationale Evaluation
Ix. Nursing Care Plan: Asessment Nursing Diagnosis Scientific Explanation Planning Intervention Rationale Evaluation
Subjective Data: namamanas ang paa at mukha ko Objective Data: Bipedal edema (2mm) Ocular edema With bounding pulse Weight VS
After 8 hours of nursing intervention the edema of the patient will be lessen.
The patients edema lessened from 2mm to 1mm Patient was endorsed for continuity of care.
Increase
Advised patient to cope with the discomforts resulting from fluid retention.
Explained the rationale for dietary restriction and relationship to kidney disease.
Assessment
Scientific Explanation Imbalance body fluid and electrolytes and blood chemistry can result to muscle weakness
Planning
Rationale Dyspnea may indicate need for further alteration in exercise regimen. Adequate energy reserves required for activity
Subjective Data: pakiramdam ko hinang hina ako Objective Data: Weak in appearance Pale Restless VS
After 8 hours of nursing intervention the patient will be able to perform activity with minimal supervision.
Promoted independence in self care activities as tolerated. Provided patient food preferences
encouraged
Encouraged high caloric, low protein, low sodium and low potassium snacks between meal.
Encouraged ROM