Question

I need two Nursing interventions for each of the following NANDA Nursing diagnosis:

Bleeding:

Acute substance withdrawal:

Acute pain:

Fluid imbalance:

Answer 1

1. Bleeding

* determine the cause of bleeding

* provide milieu environment

* if patient on anticoagulant therapy monitor signs of bleeding

2. Acute substance withdrawal

* maintain the physiological stability

*promote patient safety

* appropriate referral and follow up

3. Acute pain

* compile pain assessment location, characteristics, duration, aggarvating and relieving factors

* provide relaxation therapies to divert mind

* administer medication as per oder and review pain management

4. Fluid imbalance

* monitor intake out put chart

* asses for signs of dehydration

* provide oral fluids if tolerated and parenteral nutrition as per order