Medical Diagnoses: Imbalanced nutrition: less than body requirements, Inability to ingest foods secondary to nausea

Assessme nt Nursing DX/Clinical Problem Problem Imbalanced nutrition: less than body requiremen ts Client Goals/Desired Outcomes/Objecti ves Long Term: 1. client will not experience weight loss during her stay Nursing Interventions/Actions/Ord ers andRationale

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Evaluation Goals Interventio ns Client did not experience any weight loss during stay

Subjectiv e client expressed a lack of interest in food because of nausea

1. obtain and record patients weight at same time every day 1. to obtain most accurate readings

Objective Increased metablic need due to illness Vomited all meds Vomiting after meals Eating less than 50% of meals AEB Vomiting after meals R/T Inability to ingest foods secondary to nausea Short Term: 1.client will consume at least 75% of food at mealtimes

1.remove cover of food tray before bringing it into the room 1. sudden concentrated food odors that comes when the cover is removed can trigger nausea 2.provide distraction from the sensation of nausea, using soft music, television, and videos per the client preference. 2. distraction can help direct attention away form from the sensation of nasea

Client is able to consume adequate nutrition of at least 75% of food at mealtimes