Just need some feedback on my assignment

hi, cbncfaith! welcome to the nursing student forums!

let me first tell you about three "sticky" threads on the student forums that will help you with nursing diagnosis and care planning:

• https://allnurses.com/forums/f205/desperately-need-help-careplans-170689.html - desperately need help with careplans (in nursing student assistance forum)
  
• https://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - careplans help please! (with the r\t and aeb) (in general nursing student discussion forum)
  
• https://allnurses.com/forums/f205/health-assessment-resources-techniques-forms-145091.html - health assessment resources, techniques, and forms (in nursing student assistance forum)

let me also give you a brief overview about chosing nursing diagnoses for patients. nursing diagnoses always reflect symptoms, or problems, that a patient is having. these are usually based on data that you've gathered during your assessment of the patient (except in the case of an assignment like this where you are given the information). all the nursing diagnoses as they are organized and classified by nanda (north american nursing diagnosis association), which is the guideline that most nursing programs want their students to use, have related factors and defined characteristics that nanda researchers have attributed to them. there are many nursing care plan books and nursing diagnosis books on the market that you can purchase where you can check this information for the various nursing diagnosis. i will also give you the links to two websites where you can view some of the most commonly used nursing diagnoses in formulating care plans if you don't have a care plan book on hand:

• http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/ - the ackley/ladwig care plan constructor site
  
• http://www1.us.elsevierhealth.com/merlin/gulanick/constructor/index.cfm - the gulanick and myer care plan constructor site

to get to your actual post. . .in your first scenario, the patient is having severe vomiting. severe vomiting that is left untreated leads to dehydration and fluid and electrolyte disturbances. there are a number of nursing diagnoses that you can use here based on the information you have been given. nanda nursing diagnoses that you could use for this patient would include:

• nausea http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/careplan_048.php
  
• risk for deficient fluid volume [this will occur if the vomiting continues] http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/careplan_030.php
  
• risk for imbalanced nutrition: less than body requirements [this will occur if the vomiting continues and the patient is unable to keep any food and fluids down] http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/careplan_049.php

these last two diagnoses are what are called anticipated problems. we don't know they exist, but are likely to exist if the vomiting continues.

in the second scenario the patient has right hemiparesis following a stroke. hemiparesis is hemiplegia, or paralysis, of one side of the body. you can verify this by checking a medical dictionary. a lot happens when people have strokes. a stroke that leaves a patient paralyzed on the right side has usually occured in the left side of the brain. other symptoms they might have include aphasia or other language problems, the inability to distinguish between the left and right side of their body, problems with comprehension and depression. you are only being asked to address the hemiparesis. nanda nursing diagnoses that you could use for this patient would include:

• impaired physical mobility http://www1.us.elsevierhealth.com/merlin/gulanick/constructor/index.cfm?plan=35http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/careplan_047.php
  
• impaired transfer ability
  
• disturbed sensory perception: kinesthetic [the ability to perceive movement] http://www1.us.elsevierhealth.com/evolve/ackley/ndh7e/constructor/careplan_062.php

hope that has helped you. good luck with the remainder of the assignment!