Assessment Diagnosis Planning Intervention Rationale Evaluation

Objective: Risk for fluid and After the nursing -Monitor intake -To determine if After the nursing
Soft stool electrolyte interaction the and output every fluid and interaction, the
imbalance client will be free shift electrolyte client is free from
Subjective: from the risk of replacement are the risk of
+ Vomiting as developing fluid needed developing fluid
vocalized by the and electrolyte and electrolyte
mother imbalance -Educate -for the imbalance. the
client/guardian client/guardian to mother also
-Mother of the about the condition understand and be reported about the
patient will report more willing to clients
an improvement cooperate improvement
with the clients
output -Instruct client to -to prevent
take appropriate diarrhea or
amount of dehydration
food/fluid

-Refer patient to a -for the client to be

nutritionist educated on what
food/fluid is
appropriate
together with its
amount
Assessment Diagnosis Planning Intervention Rationale Evaluation
Objective: Pain related After the nursing -apple warm -to decrease pain After the nursing
Client is irritable abdominal interaction the compress to felt, provide interaction, the
and restless inflammation client will be able affected area comfort, and to client and the
to manage pain relax muscles in the caregiver is now
Subjective: that is felt affected area able to manage the
Mother verbalized pain that is felt.
that the client had -client will show an -with the use of -to establish Client also showed
a feeling of improvement with toys, play with the rapport to distract an improvement
discomfort in his his mood patient the client with his mood
abdomen
-Let the client be -to be provided
near the care giver with a sense of
security and
comfort

-Make sure that the -to provide safety

bed rails are closed for the client due to
restlessness