Nursing Care Plan


Return to Care Plan Listing
 






Medical Diagnoses: Nausea

Assessment

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale

*I

Evaluation

Goals

Interventions

Subjective

 

Pt demonstrates facial expressions of discomfort

 

 

Objective

   

Chart states that pt has not had a bowel movement within 6 days

   

Chart states bowel sounds are hypoactive

   

Pt complaint of nausea

Problem

   

Nausea

   

   

 

Long Term:

 

Pt will verbalize knowledge of relief methods to reduce nausea by discharge.

* Educate the pt about the proper use of antiemetic medications to treat nausea.

   

Rationale:

Antiemetic medications can reduce the incidence of postoperative nausea and vomiting. (Ackley & Ladwig, 2008, p 563).

   

 

 

 

 

   

   

   

   

   

   

   

ü     

   

   

   

   

   

R/T

 

Constipation

 

Short Term:

 

Pt will demonstrate relief of nausea by the end of this shift, by 1900

*Apply a cold wash cloth to the pt’s forehead.

 

Rationale:

“This is a distraction technique to help the client deal with nausea.” (Ackley & Ladwig, 2008, p 562).

 

*Provide a quiet, well-ventilated environment free of strong odors.

 

Rationale:

“Odors can cause or exacerbate nausea and vomiting.” (Ackley & Ladwig, 2008, p 562).

 

 

 

 

 


 

AEB

 

Pt has not had a bowel movement within 6 days.

 

Pt complaint of nausea

 

 

 

 

 

 

 

 

1,600 Pediatric Nursing review flash cards, download now and ace your exams

 

References

 

Ackley, B.J., & Ladwig, G.B. (2008). Nursing diagnosis handbook: An evidence-based guide to planning care (8th ed.). St. Louis: Mosby Elsevier.



Return to Table of Contents