Assessment

Nursing Diagnosis Objective Nursing Rationales Evaluation

interventions
-admitted at 32 weeks -Anxiety related -treat the anxiety -Provide positive -treat anxiety the -She discusses her
-BP 160/110 mm Hg support: “I can see anxiety is the feeling
to -Help patient you're very disquieted,
feelings with the
-HR 92 (bpm) of fear and tension nurse and her sister.
- respiratory rate of 22 hospitalization determine and that i will attempt to
caused by an
answer all of your -She can control her
breaths per min -Worry about precipitants of queries.” emotional or physical anxiety.
-2+ proteinuria in a anxiety threat to oneself.
her health and -Allow her to cry, get -Signs of stress and
urine specimen and a angry, or express any -Anxiety must be anxiety have
marked edema of the also the health -Reducing anxiety feeling . aerated so addressed decreased
hands and the face of her baby And the stress -“Tell me about how you by conveyance that -fewer physiologic
feel.”
and her lower the person isn't alone signs (tachycardia,
-“I see you wringing your
extremities. hands; do you want to and can be protected. tachypnea)
-FHR is 136 bpm talk about it?” -Provide information -by using relaxation
-infusion of -Convey sympathy and about hospital techniques.
magnesium sulfate is positive regard; use routines and
started nonverbal behaviour procedures
-Be very specific about
-She asks, “How sick -When feelings are
every procedures
am I?” -Focus on her current identified and
“Is my baby going to fears. acknowledged
be okay?” -Talk to her calmly, give -anxiety decreases
Her hands are simple directions and and teaching and
perspiring, and they don't press her. learning can begin.
-Allow a friend or family
shake.
member to remain with
her.
-low-stimulus
environment.