ASSESSMENT EXPLANATION OF PLANNING INTERVENTION RATIONALE EVALUATION

THE PROBLEM
Objective: Excessive vomiting, After 2 days of nursing  Assess skin turgor  Assessing skin turgor is After 2 days of nursing
 Feeling thirsty especially over a intervention, patient will often used as a way to intervention, patient maintained
 Dry mouth prolonged period of time, maintain fluid volume, check for dehydration fluid volume, showed normal
 Dark-colored leads to excess loss of showing normal laboratory  It allows accurate results, changed dietary habits,
urine water and electrolytes results, change dietary habits,  Monitor fluid intakes assessment of a patients’ restored and maintained GI
 Dry skin from the body. The result restoration and maintenance of fluid balance status function.
 Feeling tired is dehydration, which GI function.  Tracking your food intake
 Dizziness occurs when your body will give you insight into
doesn't have the fluid it  Monitor fluid status in many aspects of your
Nursing Diagnosis: needs to function properly relation to dietary intake eating habits
-Deficient fluid  Without oral hygiene, it can
volume related to increase your risk of dry
vomiting as evidenced  Emphasize the mouth and dental disease.
by weakness, fatigue, importance of oral
and decreased skin hygiene
turgor.