Nursing Care Plan

CUES AND CLUES NURSING SCIENTIFIC EXPECTED CLIENT NURSING SCIENTIFIC EVALUATION
DIAGNOSIS RATIONALE BEHAVIOR/OUTCOME INTERVENTION RATIONALE

Objective: Impaired oral Tonsillitis is an After 5 hours of nursing -Advice mother to - To completely After 5 hours of
-Reddened tonsils mucous membrane inflammation of the intervention, patients continue with the destroy the bacteria. nursing intervention,
-Vital signs taken as related to infectious tonsils caused by an mother will verbalize antibiotics as This also prevents patients mother was
follows: process as infection. In understanding of the prescribed by the the resistance of the able to verbalize
T= 37.3 evidenced by tonsillitis, the tonsils etiology and doctor even if bacteria from the understanding of the
PR= 108 inflamed tonsils. are enlarged, red, management of symptoms subside. antibiotic. etiology and
RR= 25 and often coated tonsillitis of her child. management of the
(either partly or - Advise mother to -Bacteria proliferate tonsillitis.
Subjective: entirely) by After applying the avoid giving sweets faster in sweet
- nahihirapan nga a substance that is health teachings given and cold beverage environment.
siya kumain.masakit yellow, gray, or to the mother, patients to the patient.
daw aang lalamunan white. Tonsillitis condition will improve
niya. As verbalized usually occurs as and recurrence of the -Encourage mother -Tepid sponge bath
by the patients part of pharyngitis infection will be to do tepid sponge decreases the
mother (throat infection). avoided. bath in case fever bodys temperature
- sore throat Tonsillitis usually persists. through conduction.
begins with sudden
sore throat and -Teach mother how -Proper suctioning
painful swallowing. to properly suction will relieve the
the patient of patient of difficulty
Sometimes, secretions. breathing as
tonsillitis reoccurs, secretions may
and may cause obstruct the airway.
difficulty breathing. If
this occurs, the - Promote oral fluid -Without proper
doctor may intake nutrition and
recommend taking hydration the oral
them out. This mucosa is more
procedure of vulnerable to
removing tonsils damage. This will
from the throat is also prevent
called a dehydration
tonsillectomy.
-Advise mother to -This relieves the
make patient gargle patients sore throat
with a solution of Although this is only
warm water and salt short-lived.