Assessment
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Nursing DX/Clinical Problem
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Client Goals/Desired Outcomes/Objectives
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Nursing Interventions/Actions/Orders
and Rationale
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*I
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Evaluation
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Subjective client
expressed a lack of interest in food because of nausea
Objective
Increased metablic need
due to illness
Vomited all meds
Vomiting after meals
Eating less than 50% of
meals
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Problem
Imbalanced nutrition:
less than body requirements
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Long Term:
1. client will
not experience weight loss during her stay
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1. obtain and record patient’s weight at same
time every day
1. to obtain most accurate readings
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*
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Client did not experience
any weight loss during stay
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R/T
Inability to ingest foods
secondary to nausea
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Short Term:
1.client will
consume at least 75% of food at mealtimes
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1.remove cover of food tray before bringing it into the room
1. sudden concentrated food odors that comes when the cover is removed can trigger
nausea
2.provide distraction from the sensation of nausea, using soft music, television,
and videos per the client preference.
2. distraction can help direct attention away form from the sensation of nasea
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*
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Client is able to consume adequate nutrition of at least 75% of food at mealtimes
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