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    Novilyn C. Pataray BSN - Ii: Assessment Diagnosi S Pathophysiology Planning Intervention Rationale Evaluation

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    Charina Aubrey
    The child presented with abdominal pain and diarrhea as reported by the mother. On examination, the nurse found a palpable lump in the abdomen and signs of dehydration. The nurse assessed the child has likely having intussusception, a condition where part of the intestine telescopes into itself, causing obstruction. The nurse's plan was to monitor the child's vital signs and assess pain, abdomen, and bowel sounds. Interventions included pain management and fluid resuscitation. The nurse would reassess after 8 hours of interventions to evaluate if pain was controlled and fluid balance was adequate.

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    Novilyn C. Pataray BSN - Ii: Assessment Diagnosi S Pathophysiology Planning Intervention Rationale Evaluation

    Uploaded by

    Charina Aubrey
    485 views1 page
    The child presented with abdominal pain and diarrhea as reported by the mother. On examination, the nurse found a palpable lump in the abdomen and signs of dehydration. The nurse assessed the child has likely having intussusception, a condition where part of the intestine telescopes into itself, causing obstruction. The nurse's plan was to monitor the child's vital signs and assess pain, abdomen, and bowel sounds. Interventions included pain management and fluid resuscitation. The nurse would reassess after 8 hours of interventions to evaluate if pain was controlled and fluid balance was adequate.

    Original Title

    NCP-INTUSSUSCEPTION-4-NOVI

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    The child presented with abdominal pain and diarrhea as reported by the mother. On examination, the nurse found a palpable lump in the abdomen and signs of dehydration. The nurse assessed the child has likely having intussusception, a condition where part of the intestine telescopes into itself, causing obstruction. The nurse's plan was to monitor the child's vital signs and assess pain, abdomen, and bowel sounds. Interventions included pain management and fluid resuscitation. The nurse would reassess after 8 hours of interventions to evaluate if pain was controlled and fluid balance was adequate.

    Copyright:

    © All Rights Reserved
    485 views1 page

    Novilyn C. Pataray BSN - Ii: Assessment Diagnosi S Pathophysiology Planning Intervention Rationale Evaluation

    Uploaded by

    Charina Aubrey
    The child presented with abdominal pain and diarrhea as reported by the mother. On examination, the nurse found a palpable lump in the abdomen and signs of dehydration. The nurse assessed the child has likely having intussusception, a condition where part of the intestine telescopes into itself, causing obstruction. The nurse's plan was to monitor the child's vital signs and assess pain, abdomen, and bowel sounds. Interventions included pain management and fluid resuscitation. The nurse would reassess after 8 hours of interventions to evaluate if pain was controlled and fluid balance was adequate.

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    NOVILYN C.

    PATARAY
    BSN - II
    ASSESSMENT DIAGNOSI PATHOPHYSIOLOGY PLANNING INTERVENTION RATIONALE EVALUATION
    S
    Subjective: Deficient The most common After 8 hours of  Monitor and  Fever is an After 8 hours of
    “agsakit toy tyan fluid volume cause of bowel nursing assess vital accompanyi nursing intervention,
    na ken kasla related to obstruction in children intervention, the signs. ng symptom The patient has
    agkakapsot etoy excessive is intussusception. patient will have and can be a optimal pain
    anak ko” as losses This is a telescoping optimal pain sign of management, has an
    verbalized by the through movement where part management; infection. adequate fluid
    mother. normal of the intestine slides patient will have  Assess  Look for balance.
    routes. over itself making the adequate fluid abdomen. distention,
    Objective: intestine begins to balance. listen for
     Diarrhea swell from bowel
     Palpable inflammation, food sounds.
    lump in cannot pass through  Assess pain  Abdominal
    abdomen and the blood supply including pain is
     Crying or is cut off. verbal and associated
    fussiness non-verbal with this
     Blood and cues condition,
    mucus in but may not
    stool be initially
     Vomiting present or
    constant.

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