Name : Iin Zainuroh

CASE

On 25 April 2017, at 11:30 IWST, Mrs. S came from the ER of Kalideres Hospital to the orchid care room
1 with complaints of diarrhea for 2 days. The client is 50 and says he has had diarrhea for 2 days. Slimy
bowel movements with a frequency of 6-7 times each the day. According to the observations of nurses
and hot clients, the color and smell of stools is typical. After the client asked again saying before eating
spicy food. Based on physical examination obtained

Vital sign:

Bp : 110/70 mmHg

Pulse: 84 x / minute

RR : 20x / minute

Temperature : 38 ° C

General circumstances: Weak Dry mucosa, skin turgor less elastic

NURSING GOAL AND NURSING EVALUATION

DIAGNOSIS OUTCOMES INTERVENTION
Diarrhea 1.After 4 1. Monitor the sign After 4 hours
related to hours of and of nursing
presence of nursing intervention
toxins. interventions, symptoms of s, the patient
the patient dehydration. was able to
will report report
reduction in 2. Monitor input and reduction in
frequency of the output. frequency of
stools. stools.
2. After 3. Build a trusting
nursing relationship.
Intervension
During 1X24 4. Provision of fluids
hours parenteral conformity
expected:
Vital sign Independent:
normal limit
There is no 1. Observe and
signs record stool
dehydration. frequency
and defecate characteristics,
once a day amount and
precipitating
factors.

2. Promote bed
rest.

3. Provide
bedside
commode.

4. Identify foods
and fluids that
precipitate
diarrhea.

5. Restart oral
fluid intake
gradually.

6. Offer clear
liquids hourly,
and avoid cold
fluids.