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Verbalizing Importance of Adequate Nutrition Feeds Self Unassisted

Administer oral rehydration solution and monitor fluid intake and output. Encourage small, frequent meals.

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Masruri Efendy
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85 views2 pages

Verbalizing Importance of Adequate Nutrition Feeds Self Unassisted

Administer oral rehydration solution and monitor fluid intake and output. Encourage small, frequent meals.

Uploaded by

Masruri Efendy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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DATA ETIOLOGI PROBLEM

S: Vomiting Fluid volume devicit intake in


- weight 98 ponds which is 12 sufficient to replace fluid loss
ponds less then she weight
- she has been urinating a lot
- she fells like she has had the
flu for about three days
- with nausea and just little
vomiting
- she has not been eating well
O:
- blood pressure is 104/86
- pulse is 92
- respiration is 22
- temperature is 99.4 F
- FSBG : 468 mg/dl

S:
- weight 98 ponds which is 12 degradation of input of oral Nutrisi less than requirement of
ponds less then she weight (Vomiting, not eating well ) body.
- she has been urinating a lot
- she fells like she has had the
flu for about three days
- with nausea and just little
vomiting
- she has not been eating well

NURSING DIAGNOSIS
1. Fluid volume devicit intake in sufficient to replace fluid loss related to Vomiting
2. Nutrisi less than requirement of body related to degradation of input of oral (Vomiting, not eating well )

NURSING DIAGNOSIS GOAL AND OBJECTIVE NURSING ORDERS

1.Fluid volume Demonntrates fluid balance as evidenced 1. Report sighns to physician


devicit intake in by: immediately
sufficient to replace - urine out put greater than 30 mL/h 2. heavy measure [of] body
fluid loss related to - urine specific gravity 1.005 1. every day.
Vomiting 025 3. watch colour and
- good skin turgor temperature.
- moist mucous membranes 4. administer IV infusion
- relating the need for oral fluid with electrolytes, as
intake ordered
- total fluid intake > output

2. Nutrisi less than -input of nutrisi correct. 1. Report sighns to physician


requirement of body Immediately
related to degradation 1. heavy measure [of] body
of input of oral every day.
(Vomiting, not eating 2. verbalizing importance
well ) of adequate nutrition
3. feeds self unassisted

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