Question

Formulate a care plan for patient who is diagnosed with small bowel obstruction and on Total...

Formulate a care plan for patient who is diagnosed with small bowel obstruction and on Total Parenteral Nutrition (TPN).

*Please include Nursing Care Plan : Assessment(Subjective,Objective), Nsg Diagnosis, Goal/Plan, Intervention, Rationale, Evaluation)

Homework Answers

Answer #1

Subjective data in small bowel obstruction.

  • Nausea
  • Vomiting
  • Pain

Objective data.

  • Abdominal guarding
  • Vomiting
  • Bloating
  • Abdominal dissension.

Nursing diagnosis

Fluid volume deficit related to vomiting.

Acute pain related to Abdominal distension .

Imbalanced nutrition less than body requirement related to vomitting.

Nursing interventions

  • Keep the patient nothing by mouth.
  • Put NG tube for aspiration.
  • Administer analgesics for patient comfort.
  • Administer iv fluids.
  • Administer TPN as needed.
  • Monitor intake output
  • Calculate required calorie of the patient.
  • Administer TPN via pumb to avoid rapid hyperglycemia.

Outcome.

Normal vital signs.

Pain received.

Patient verbalized less discomfort.

Client achieve adequte nutritional level.

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