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NURSING CARE PLAN

CUES NURSING GOAL NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTION
STG:
Objective: -assess client’s muscle -to identify risk for Goal met...
Risk for trauma After 2 hours strength, gross and fine injury
-physical related to poor nursing motor coordination.
structure muscle tone intervention the
-altered mobility client’s mother -monitor environment for
will modify potentially unsafe
environment as conditions and modify as
indicated to needed
enhance safety.
-Note client’s age, -to protect self and
gender developmental influences choice of
stage, level of cognition. intervention,

-provide information to -to assist the client

client’s mother regarding to reduce the injury.
to the conditions that
may result in increased
risk injury.
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NURSING CARE PLAN

CUES NURSING GOAL NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTION
STG:
-determine client’s ability Goal met...
Objective: Imbalanced After 3 days of to chew, and taste food.
-poor muscle nutrition: less than nursing
tone body requirements intervention the -evaluate gums for poor -to assess all
related to weak and client’s will oral health as indicated. factor that can
ineffective demonstrate affect ingestion of
sucking/swallowing. progressive nutrients.
weight gain -determine
psychological factors/as -to assess body
indicated. image and
congruency with
reality.

-emphasize importance -to promote

of well-balanced, wellness
nutritious intake.
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DRUG STUDY

Brand/ Dosage, Classification Indication Mechanism Adverse effect Nursing.

generic route and of action Consideration
name) frequency

Generic 200 Tyroid -Pituitary TSH -Increase the -CNS: tremors, -monitor
name: mcg/vial Hormone suppression in metabolic rate of headache response
Levothyroxine the treatment body tissues, carefully at start
sodium and thereby increasing -CV: tachycardia, of therapy, and
prevention of oxygen cardiac arrest adjust dosage.
Brand name: euthyroid consumption;
Levothroid, goiters and in respiration and - -do not change
Levoxin, the HR; rate of fat, DERMATOLOGIC: brands of T4
Synthroid management protein and allergic skin products, due to
of the thyroid carbohydrates reactions possible
cancer metabolism; and bioequivalence
growth maturation -GI: diarrhea, problems.
-Diagnostic vomiting, nausea,
test for thyroid choking -arrange for
disease. regular, periodic
blood test of
thyroid functions

-report
palpitations,
fever, irritability,
diarrhea.
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DRUG STUDY

Brand/ Dosage, Classification Indication Mechanism Adverse effect Nursing.

generic route and of action Consideration
name) frequency

Generic 0.25 mg; Cardiac Atrial -increases -CNS: weakness, History:

name: Elixir: 0.05, glycolside fibrillation intracellular mental status -Allergy to
Digoxin 0.25, and calcium and change digitalis
0.1 mg/ml. allows more preparation,
Brand name: calcium to enter -CV: arrhythmias ventricular
Digitek, the myocardial cell tachycardia,
Lanoxin, during the -GI: GI upset, heart block,
novo-digoxin depolarization via anorexia decrease
a sodium- potassium,
potassium pump decrease
mechanism; this MG2+,increase
increases force of Ca2+
contraction,
increases renal
perfusion
decreases heart
rate(negative
chronotropic
effect)decreases
AV node
conduction
velocity.
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NURSING CARE PLAN

CUES NURSING GOAL NURSING RATIONALE EVALUATION

DIAGNOSIS INTERVENTION
STG:
-Determine existing -to asses Goal met...
Objective: -Delayed growth -After 3days of conditions, contributing to causative factors
-altered and development proper nursing growth, intellectual
physical growth related to intervention the capacity, physical
physical/mental client will disabilities, and genetic
disability. demonstrate anomalies.
growth
stabilization or -identify present growth -provides baseline
progress toward age/stage. for identification of
age-appropriate needs and
size. effectiveness of
therapies

-provide positive -to promote

feedback for efforts/ wellness
successes and
adaptation.