7/28/2019 NCP for Ruptured Appendicitis

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Assessment

S- Sakit akong tahi

as stated by the pt. and

pt. stated that shecannot walk any

farther than the

bathroom or the chair.

O- Pain scale 9/10, 0

being the lowest and

10 being the highest

with facial grimaced

Nursing Diagnosis

Activity intolerance r/t

generalized weakness

Definition: insufficient

physiological or

psychological energy

to endure or complete

required or desired

daily activities

Nursing Goals

Pt. will report activity

tolerance and with

enhanced energy and pt.was able participate

willingly in necessary and

desired activities

Nursing Interventions

Establish rapport on the

client.

Monitor the v/s

Provide health teaching on

the client regarding the

organization and time

management technique

to prevent while on

activity

Provide enough air comingfrom the electric fan or

from the window

Develop and adjust simple

activities such as brushing

her teeth

Assist client with activity

Promote comfortmeasures on activity

Rationale

o establish trust and

cooperation on the

client

Actual Evaluation

After 3 hrs. of

nursing

interventions, goalis met, the pt. was

able to report

activity tolerance

and with enhanced

energy and the pt.

was able to

participate willingly

in necessary and

desired activities

7/28/2019 NCP for Ruptured Appendicitis

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