NURSING CARE PLAN Gastroenteritis (Diarrhea)

ASSESSMENT NURSING OBJECTIVE OF NURSING RATIONALE EVALUATION

CARE INTERVENTION
DIAGNOSIS

SUBJECTIVE Diarrhea related to At the end of Ask the client about Eating contaminated foods After 8HRS
CUES: Bacterial, viral or 8HRS nursing a recent history of: or drinking contaminated nursing
parasitic infections intervention, the water may predispose the intervention, the
“Masakitang as evidenced by patient will be  Drinking client to intestinal infection. patient was able
tiyan ko.” As able to:  contaminated water. to: 
Abdominal pain,
verbalized by the  Eating food
Abdominal cramping,
client. Client will have a inadequately Client will have a
Frequency of stools
(more than 3x a day) negative stool cooked. negative stool
Three-day history
culture. Client will  Ingestion of culture. Client will
of loose stools.
pass soft, formed unpasteurized dairy pass soft, formed
stool no more products. stool no more than
than 3 x a day 3 x a day
OBJECTIVE
CUES:

Guarding
position

Facial grimace
Pain scale: 7/10
Assess for These assessment findings
abdominal pain, are commonly connected
abdominal cramping, with diarrhea. If
hyperactive bowel gastroenteritis involves the
sounds, frequency, large intestine, the colon is
urgency, and loose not able to absorb water and
stools. the client’s stool is very
watery.

Submit client’s stool for A culture is a test to detect

culture. which causative organisms
cause an infection.
Teach the client about Hands that are
the importance of hand contaminated may easily
washing after each spread the bacteria to
bowel movement and utensils and surfaces used
before preparing food in food preparation
for others. hence hand washing after
each bowel movement is the
most efficient way to prevent
the transmission of infection
to others.

Educate the client about The anal area should be

perianal care after each gently clean properly after a
bowel movement. bowel movement to prevent
skin irritation and
transmission of
microorganism.

Encourage increase Increased fluid intake

fluid intake of 1.5 to 2.5 replaces fluid lost in liquid
liters/24 hour plus 200 stools.
ml for each loose stool
in adults unless
contraindicated.

Encourage the client to These food items can irritate

restrict the intake the lining of the stomach,
of caffeine, milk and hence may worsen diarrhea.
dairy products.

Encourage the client to When a client experience

eat foods rich in diarrhea, the stomach
potassium. contents which is high in
potassium get flushed out of
the gastrointestinal tract into
the stool and out of the
body, resulting in
hypokalemia.
Administer antidiarrheal Bismuth salts, kaolin, and
medications as pectin which are adsorbent
prescribed. antidiarrheals are commonly
used for treating the
diarrhea of gastroenteritis.
These drugs coat the
intestinal wall and absorb
bacterial toxins.