NURSING CARE PLAN: PRE-OP APPENDECTOMY

CUES NURSING BACKGROUND GOALS NURSING RATIONALE EVALUATION

(SUBJECTIVE/ DIAGNOSIS KNOWLEDGE INTERVENTIONS
OBJECTIVE)
SUBJECTIVE Acute pain Appendicitis is Short-term: IDEAL: Goal met.
-reported pain of 9 related to an inflammation After 8 hours of nursing  Assess location and  Appendicitis pain Short-term:
out of 10 obstructed of the appendix intervention and health characteristics of occurs in the right After 8 hours of
characterized with appendix aeb that causes teachings, the client pain. lower quadrant of nursing
stabbing pain in reports of pain. According will: the abdomen. intervention and
right lower quadrant pain, facial to Nanda, acute  Be relieved from  Offer distraction.  Until pain relief health
grimacing, and pain is defined pain. occurs or surgery teachings, the
muscle as a state in  Prevent fluid takes place the client:
OBJECTIVE: guarding which an volume deficit. patient may need  Was
-BP: 120/80 individual  Reduce anxiety. distractive measures relieved
-CR: 88 experiences and  Maintain skin to refocus their from pain
-RR: 22 reports the integrity. attention and and
-TEMP: 37.9 degrees presence of  Attain optimal promote relaxation. reported
ACTUAL:
Celsius severe nutrition. pain scale
 Assess nonverbal
-O2 Sat: 98% discomfort or an Long-term:  The patient will often of 3 out of
signs of pain.
unpleasant After 3 days of nursing guard against the pain 10.
sensation lasting and may be in the fetal  Prevented
intervention and health
from 1 second position with their
teachings, the client fluid
knees drawn up.
to less than 6 will: volume
months.  Report a pain score  Administer deficit.
analgesics.  Appendicitis is very
of 0/10 by painful and patients  Reduced
discharge should be given anxiety as
 Display signs of opioids, verbalized
comfort as Acetaminophen, and by the
evidenced by NSAIDs to control client.
resting with eyes inflammation.  Maintained
closed and vital  Keep NPO. Instruct skin
signs within normal the patient that  To prevent further integrity as
limits not eating or gastric irritation and evidenced
drinking is vomiting and as a by absence
 verbalize an
important. safety measure in
understanding of of any
preparation for
lesions or
 their prescribed potential surgery. wounds.
pharmacologic
regimen to control Long-term:
pain After 3 days of
nursing
intervention and
health
teachings, the
client:
 Reported a
pain score of
0/10 by
discharge
 Displayed
signs of
comfort as
evidenced
by resting
with eyes
closed and
vital signs
within
normal
limits
 verbalized
an
understand
ing of their
prescribed
pharmacol
ogic
regimen to
control
pain

References:
Vera, M. (2022). 4 Appendectomy Nursing Care Plans. Nurselabs. Retrieved from https://nurseslabs.com/4-appendectomy-nursing-care-plans/3/