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8/13/2019 ncp typhoid.docx
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Medical Diagnosis: Typhoid Fever
Age: 19 Sex: Female
Cues Nursing
Diagnosis
Scientific
Explanation
Objectives Nursing
Interventions
Rationale Evaluation
Subjective:
Konti langang kinakaiinko mula pa
noong na-admitako kase
walang akonggana dahil
nanghihina akoat parang
sinusuka kolang ang
kinakain ko.
c nausea anorexia c
Objective: pale and dry
lips
Risk forimbalanced
Nutrition lessthan body
requirementrelated to no
appetite andnausea
Due nausea andbody weakness,
there is decreasedstamina to food
intake. There willbe decreased
intake of foodthat is
insufficient tomeet metabolic
needs.
After 4 hoursof nursing
intervention,the patient
appetite willincreased,
indicating anormal
laboratoryvalues,
conjunctivaand mucous
membranespale lips.
Monitor theamount of nutrients
and calories.
Monitor theenvironment duringthe meal.
Monitor nauseaand vomiting.
Knowing the causeof the less intake so
as to determineappropriate and
effectiveintervention
A comfortableenvironment canreduce stress and
more conducive toeating.
Nausea andvomiting affectnutrition.
What are thetotal
amounts ofnutrients
and caloriesdid patient
take?
What are theenvironment
factor ofpatient that
decreasesher
conducive toeating?
Is therepresence ofnausea and
vomiting?
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weak Instruct the patientto enhance the
protein and vitaminC.
Provide foodselected
Encourage to buythe prescribe
medicine given bythe physician
Protein and vitaminC to meet
nutritional needs.
To assist infulfilling the
nutritional needs
To providenutritional support.
What are thefood taken
by thepatient that
rich inprotein and
Vit. C?
What did thepatient ate?
What is theclient
responseupon the
medicinegiven?
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Cues Nursing
Diagnosis
Scientific
Explanation
Objectives Nursing
Interventions
Rationale Evaluation
Subjective:
Di ko poalam kungsaan konakuha ang
sakit ko?basta nalang
sumasakitang tyan ko
at parangnahihilo at
nasusukaako.
Objective: Patient
frequently
ask questionregarding
treatment,medication
and cause ofthe disease.
Knowledgedeficit
related tolack ofinformation
Absence ordeficiency of
cognitiveinformation relatedto specific topic
(lack of specificinformation
necessary forclients/SO(s) to
make informedchoices regarding
condition/treatment/lifestyle changes
After 4 hours ofnursing intervention
patient will beable to knowthe disease
process of hercondition and
verbalizeunderstanding
of hercondition.
Assess the extentof knowledge of
the patient abouther illness.
Give healtheducation about
the disease andtreatment of
clients.
Give the patientan opportunity toask if there is not
yet understood.
To know thepatients
knowledge aboutthe disease typhoidfever.
In order for thepatient found out
about thedisease typhoid
fever, causes, signsand symptoms, as
well as the care and
treatment oftyphoid fever.
In order tounderstand moreabout the disease.
What is theknowledge of
patient in typhoidfever?
Did the patientverbalize
understandingfrom the health
teachings given toher?
Did all the patientquestionsanswered?
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