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3-2-1 Code It

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ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter19: Insurance And Reimbursement

Section: Chapter Questions

Problem 25MC

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Please do nursing care plan regarding hypokalemia electrolyte imbalance with a format like this. Thank u

NURSING CARE PLAN
ASSESSMENT DIAGNOSIS
Subjective:
"Nagsusuka ako"
as verbalized by
patient.
Objective:
Hyperactive
bowel
sounds.
00 Pale
conjunctiva
and mucus
membrane.
V/S taken as
follows:
T: 36.6
P: 98
R: 18
Bp: 110/90
00 Nutrition
imbalanced
less than
body
requirements.
related to
nausea and
vomiting.
INFERENCE
Nausea and
vomiting are not
diseases, but
rather are
symptoms of
many different
conditions, such
as infection
("stomach flu"),
food poisoning.
motion sickness,
overeating.
blocked
intestine, illness,
concussion or
brain ini
brain injury,
de
appendicitis, and
migraines.
Nausea and
vomiting can
sometimes be
symptoms of
more serious
diseases such
central nervous
system
disorders, brain
tumors, and
some forms of
cancer
PLANNING
After 3 days.
Of nursing
interventions,
the client will
be able to
maintain
usual weight.
C
INTERVENTION
Independent:
Auscultate bowel
sounds, noting
absence or
hyperactive
sounds.
Eliminate smells
from the
environment.
Avoid foods that
might cause or
exacerbate
abdominal
cramping like
caffeinated
beverages,
chocolate, orange
juice.
0 Measure
abdominal girth.
Observe skin or
mucous
membrane
dryness, and
turgor. Note
peripheral edema
RATIONALE EVALUATION
Inflammation or
irritation of the
intestine may
be
accompanied
by intestinal
hyperactivity.
diminished
A
water
waw
absorption and
diarrhea.
00 Reduces gastric
stimulation and
vomiting
response.
Might increase
abdominal
cramping.
Provides
quantitative
evidence of
changes in
gastric or
intestinal
distention.
ww
Hypovolemia,
fluid shifts and
nutritional
deficits
contribute to
poor skin
00
After 3
days. Of
nursing
intervention
s, the client
will be able
to maintain
usual
weight.

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