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For clarification, your 5 submissions must be High Quality submissions in which you were able to...

For clarification, your 5 submissions must be High Quality submissions in which you were able to clearly identify the missed concept and fully fill out the template. Elaborate on nursing interventions and protocols. Provided rationales for interventions. When discussion labs, explain why a lab is drawn and what findings may indicate. Begin to clearly translate the information and demonstrate comprehension of the material.

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Answer #1

1.NURSING CARE PLAN OF PATIENT WITH DIABETES MELLITUS

Nursing diagnosis

in order

of importance

Nursing therapeutic

interventions

Underlying

Scientific

rationale for interventions

Evaluation/outcome criteria
\rightarrow Deficient Knowledge regarding disease process, treatment, and individual care needs as evidenced by statements of concerns
*Desired outcomes:
verbalizes understanding of condition and treatment

*Assess for the client's readiness for learning




*Provide information relevant only to the situation
*Determine the client preferred method for accessing information
*provide written information or guidelines and self-learning modules especially about the proper diet essential for diabetic patient

*Discuss one topic at a time

*Educate the patient regarding the additional learning resources like websites, videos etc

*Sometimes the client may not be physical, emotionally or mentally not stable for the health teaching
*To prevent information overload
*The personalize teaching plan aids in learning *simplifies learning plan
*To assist with further learning and promote clients learning at own pace
The patient can correlate the signs and symptoms of diabetes and identified the corresponding management and the nutritional choices

NURSING CARE PLAN OF PATIENT WITH HYPERTENSION

Nursing

diagnosis

in order

of importance

Nursing

therapeutic'

interventions

Underlying

scientific

rationale

for interventions

Evaluation/outcome criteria
Risk for decreased cardiac output related to increased vascular resistance

Desired outcomes :

*Participate in activities that reduce BP/cardiac workload
*Maintain BP within an individually acceptable range

*Review the client possible risk factors and the conditions that may stress the heart

*Check for the lab values such as CBC, cardiac markers, ABG's, BUN, cardiac enzymes and culture etc

*Monitor and check B.P regularly while at rest, then sitting, standing for initial evaluation *Auscultate heart tones and breath tones regularly

*Observe skin color, moisture, temperature, and capillary refill time

*By knowing the risk factors can be helpful to manage the condition

*To identify the contributing factors

*To get the baseline information and get a clear picture regarding the B.P

*Development of S3 indicates ventricular hypertrophy and impaired functioning

* To know the status of peripheral vasoconstriction or decreased cardiac output

Participating in activities that include stress management balance as activities and rest plan

NURSING CARE PLAN OF PATIENT WITH SEPSIS

Nursing
diagnosis
in order
of
importance
Nursing
therapeutic
interventions
Underlying
scientific
rationale
for
interventions
Evaluation/outcome
criteria
Acute Pain related to infectious process

*Desired outcomes:
Lessen the prevention of cellular death
*Minimizing damage from cellular oxygen deprivation
*Prompt the lab values for the diagnosis of sepsis
*Appropriate administration of antibiotics
*Optimize the fluid status
*Assess, monitor and support oxygen status
*for the effectiveness of the treatment and negative impact and to determine the next step
*It is the nursing responsibility to prevent the complications
*The patient in sepsis usually require massive fluid
*Sepsis patient may need significant respiratory support
*Resolution of infection thus prevents cellular death

N to the kidneURSING CARE PLAN OF ACUTE RENAL FAILURE

Nursing
diagnosis
in order
of
importance
Nursing
therapeutic
interventions
Underlying
scientific
rationale
for
interventions
Evaluation/outcome
criteria
Fluid volume excess related to low perfusion to the kidneys
Desired outcomes:
*Return normal functioning of the kidneys within the limits
*Strict intake and output measurement
*Monitor for the lung sounds and edema
*Administer diuretics according to physician order
*Monitor the potassium and magnesium range
Educate the patient regarding the importance of diet changes and control of fluid and salt restriction
*Monitor lab values such as BUN
*To assess the kidney functioning
*To prevent from further complications
*Diuretics will be helpful for relieving from the symptoms
*Diuretics may alter the levels of potassium and magnesium
*Important to maintain the fluid and electrolytes level
*It is a very good indicator to know the effectiveness of treatment
*Restored the function of kidneys and kidney labs are in normal limits and patient is not on dialysis

NURSING CARE PLAN OF PATIENT WITH ABDOMINAL PAIN

Nursing
diagnosis
in order
of
importance
Nursing
therapeutic
interventions
Underlying
scientific
rationale
for
interventions
Evaluation/outcome
criteria

Acute pain related to the underlying

cause
*Desired outcome:
*Cease painfully

stimuli and

resolve the underlying cause

*Assess for the pain for its :

site, duration,

intensity
,frequency,type etc
*Measures taken to control the pain such as repositioning,

heat, and cold

applications,

and administration

of medications

such as analgesics/muscle

relaxants

according to physician order

*Assess for the bowel movements for the:

consistency,

frequency, amount

*Ensure adequate hydration and may require IV fluids

*Assess for any abdominal distention

*To get a baseline data

for the treatment
*To promote the comfort of the patient and improves the sleeping, relaxing and relieving from the pain stimulus

*To make the clinical decision regarding

*To prevent from dehydration

*To know any underlying complications

The patient performs the activities of daily living and felt much comfort during rest and sleep
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