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    Ectopic Pregnancy

    Uploaded by

    Kim Galamgam
    The nursing care plan is for a client experiencing acute pain from a possible ectopic pregnancy. The nursing diagnosis is acute pain related to distention. Goals are for the client to be relieved from pain within 8 hours and identify her level of pain. Interventions include assessing the client's perceptions and responses, performing a comprehensive pain assessment, encouraging relaxation and diversional activities, and monitoring vital signs every 15 minutes. Objectives are for the client to verbalize her pain perceptions, identify her pain level, and demonstrate relaxation skills within 10 minutes of interventions. An additional objective is for the client's vital signs to stabilize in the normal range after interventions.

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    Ectopic Pregnancy

    Uploaded by

    Kim Galamgam
    2K views2 pages
    The nursing care plan is for a client experiencing acute pain from a possible ectopic pregnancy. The nursing diagnosis is acute pain related to distention. Goals are for the client to be relieved from pain within 8 hours and identify her level of pain. Interventions include assessing the client's perceptions and responses, performing a comprehensive pain assessment, encouraging relaxation and diversional activities, and monitoring vital signs every 15 minutes. Objectives are for the client to verbalize her pain perceptions, identify her pain level, and demonstrate relaxation skills within 10 minutes of interventions. An additional objective is for the client's vital signs to stabilize in the normal range after interventions.

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    The nursing care plan is for a client experiencing acute pain from a possible ectopic pregnancy. The nursing diagnosis is acute pain related to distention. Goals are for the client to be relieved from pain within 8 hours and identify her level of pain. Interventions include assessing the client's perceptions and responses, performing a comprehensive pain assessment, encouraging relaxation and diversional activities, and monitoring vital signs every 15 minutes. Objectives are for the client to verbalize her pain perceptions, identify her pain level, and demonstrate relaxation skills within 10 minutes of interventions. An additional objective is for the client's vital signs to stabilize in the normal range after interventions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views2 pages

    Ectopic Pregnancy

    Uploaded by

    Kim Galamgam
    The nursing care plan is for a client experiencing acute pain from a possible ectopic pregnancy. The nursing diagnosis is acute pain related to distention. Goals are for the client to be relieved from pain within 8 hours and identify her level of pain. Interventions include assessing the client's perceptions and responses, performing a comprehensive pain assessment, encouraging relaxation and diversional activities, and monitoring vital signs every 15 minutes. Objectives are for the client to verbalize her pain perceptions, identify her pain level, and demonstrate relaxation skills within 10 minutes of interventions. An additional objective is for the client's vital signs to stabilize in the normal range after interventions.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    ECTOPIC PREGNANCY

    NURSING CARE PLAN

    NURSING GOALS AND NURSING RATIONALE EVALUATION


    DIAGNOSIS OBJECTIVES INTERVENTION

    Acute pain related GOAL


    distention possibly After 8 hours of Was the client able to
    evidenced by verbal nursing intervention, report whether she
    reports, diaphoresis the client will be has been relieved
    (excessive sweating) relieved from the from pain?
    and changes in vital pain she has been __Y __N
    signs. experiencing. Why?

    SUBJECTIVE CUES:
    OBJECTIVES
    “Sumasakit po ung Assess client’s To ascertain the
    kaliwang bahagi ng perceptions, along client’s how to Was the client able to
    tagiliran ko.” 1. After 10 with behavioral and handle her own pain. verbalize her
    minutes of physiologic perceptions about
    “Sobra akong nursing responses. pain?
    pinagpapawisan sa intervention, __Y __N
    sakit na nararanasan the client will Why?
    ko.” be able to
    verbalize her
    OBJECTIVE CUES: perceptions To determine client’s
    about pain. Perform a acceptable level of
    Vital Signs comprehensive pain. Was the client able to
    Pulse rate: 85 beats assessment of pain identify her level of
    per minute 2. After 10 to include location, pain?
    Cardiac rate: 22 minutes of characteristics, __Y __N
    breaths per minute nursing onset/duration, Why?
    Temperature: 37.7o intervention, frequency, quality,
    C the client will severity (0 to 10 or
    Blood pressure: be able to faces scale), and
    130/90 mmHg identify her precipitating/ Deep breathing will
    level of pain. aggravating factors. lead to oxygen
    Encourage use of retention to prevent Was the client able to
    relaxation exercises, ischemic formation return demonstrate
    such as deep into the tissues. the use of relaxation
    3. After 10 breathing. Socialization to skills and diversional
    minutes of Diversional activities others will help the activities?
    nursing such as TV watching, client divert her __Y __N
    intervention, listening to radio, attention from the Why?
    the client will socialization to pain she’s
    be able to others. experiencing.
    return
    demonstrate
    use of
    relaxation
    skills and
    diversional
    activities as To compare baseline Was the client’s vital
    indicated for Monitor vital signs data to present vital signs stabilized and
    individual every 15 minutes. signs of the client. in the normal range?
    situation. __Y __N
    Why?

    4. After nursing
    intervention,
    the client’s
    vital signs will
    stabilize and
    be in the
    normal range.

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