Nursing Care Plan for Nausea

Nursing Care Plan

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

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References

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

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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