This document lists the steps in the nursing process: assessment, diagnosis, inference, planning, intervention, rationale, and evaluation. These seven steps provide a framework for nurses to systematically address any health issues, from assessing the patient's condition to evaluating the outcomes of care.
This document lists the steps in the nursing process: assessment, diagnosis, inference, planning, intervention, rationale, and evaluation. These seven steps provide a framework for nurses to systematically address any health issues, from assessing the patient's condition to evaluating the outcomes of care.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPTX, PDF, TXT or read online from Scribd
This document lists the steps in the nursing process: assessment, diagnosis, inference, planning, intervention, rationale, and evaluation. These seven steps provide a framework for nurses to systematically address any health issues, from assessing the patient's condition to evaluating the outcomes of care.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPTX, PDF, TXT or read online from Scribd
‘Assessment | Diagnosis | inference | Panning | intervention | Rationale Evaluation
$>*Nabibrapan ya | ineffective Bacterial | After 2hoursof | > Monier > With seston inte | Ae 12 hours of
syang hamings saka | Airway microorganism | Nursing ‘respiratory pateres, | airway; therespirwory | Nursing Intervention,
lagina lang sumesuka | Clearance | enter the airways Intervention, the | tuding rte, depth, | rae wll increase the P's breathing had
ng lema” as related to 1 Pr’sbreahing | tt. cuneate
verbalzedby thePv’s | inailtyto | Iatamnation ot | will tave no ; : sounds
pao: bance | flees | more 7 Asst wih | his the | cracks geges
2 , clearing secretions | clignt to cough up
airway as : adventtios | fom pharyenty [secrtios Gente PMeert when
Asoc filed Blacyen by Me
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brated alow | ae neessary help emove secretions
(*)oreckles, | breathing | ohsruions inthe
es > Ches physical
ae oe therapy helps bile
Inability 10 >Provide postural | bronchial secretions:
y rainage, percussion,
breathe properly and vibration as
ordered > Bronchodilators
decrease airway
>Adninser | reisuace sendy 0
nedicaions suchas. | brochocorsticion
bronchodilators or
‘inhaled steroids as
ere.Assessment | Diagnosis _| Inference Planning _| Intervention Rationale Evaluation
S> "May lagsatpo | Altered body Baccral | Aer 2howsof | >MonitorDy’s | >Todetemine ifthe | Ater2 hrf Nursing
yang anak ko.” | temperature microorganisms | Nursing temperaturegl br |Ustemperuureis | intervention, the P's
is weralized hy the | related to bacterial | (eg pulmonary | Intervention the hove he normal body | temperature had
Pr'smother. invasion inthe | pathogens) enter_| P's temperature temperature decreased from 39.8 °C
hunge a theairvay | will decrease wrae
smanifasted by 1 from 308 C10 > Allows the patient to
> febrile body temperature ‘hse | nomalrange | > Encourage Pio [recuperate physical | Alter? bof Nursing
moist skin | higher than Insctriaivimses | (366-375 °C) | rest strength Innervestion, the P's
tachypaea, RR= | nonnal, tckypmea, | infete dhe lang’ skin has cooled off bit
33pm (Jerackes 4 After 2 hours of > Tomintain
(enacles Inflammation ofthe | Nursing hydration stan end
Jungs | tnervention the | >Eneourage Pio | ncreased Nid inte
1 Prsskin will | increase Mud intake | helps lessen febriity
Sigmund | cool af
symptoms of > Sponge hah with
Paeumonia ‘war water evaporates
(e-gtempecatre of his sk, tus,
may be greater than > Encourage the P's | cooing off he Pt
37.0, tchypne, ‘guardian odo tepid
snug ith sponge ath > Promoees eum of
_reenish steretons body temperature 10
roma
> Administer
antipyretic
medications as
esertedAssessment Diagnosis_| Inference | Planning | Intervention Rationale Evaluation
5 Ibalanced Bacteisorvins | Ars hoursof |> Assess forrocent |>The consoquences | AMter4 hours of Nursing
kumain, yung gatas | Nutrition dueto | attacks the lings | Nursing changes in of malnutrition ean | Iterventon the Pt
sinusuks lang panen | frequen vomiting Iterventon,the | pisiological sous | lead oa furher | started king foods
ya," and sand noteating the | weakened immune | wil sta taking | tht may interfere | decline inthe ‘which ke usually eat
“Mas payat vangayon, | usualfoods taken | ystems -—_| foods which he | witk muon | patient sconditon | (crackers)
ti angakas nanan | as manifested by 1 usually cat (rice, that ker cares
kumain” decreased weight, | Preumonia | crackers, chicken sell-perpeuaing i After hours of Nursing
ss yealized by the P's | food aversion, and 1 breascete) otsecognized and | lterveion the Pr di't
grandmother. weakness. Symptoms of vee, ‘omitanymore the
Preumonie; | After 4 hours of ingested mile
> vomits ingested causes or — | Nursing > Often toddlers will
milk vomiting, may | Intervention, the | > Provide ‘eat moe fod if other
Foad aversion experience | Ptwillnat vomit | companionshipat | people are present t
Decresed wt profound anymore the | mealtime wo roeatimes,
weakness weakness we lass | ingested milk | encourage
fora long ine
sutitonal intake
> Dermine
bealhy body
‘weigh forage end
bight
> Asessclicnts
ability obtain
and use essential
sutiens
> Proin-calore
‘malnutrition most
fin accompanies &
disease process
> Cases of vitamin D
deficiency have been
reperid among dake
shinned toddlers who
were exelusively
roast edand were
ros given
‘supplement! tain