katknits

Thank you for the responses! I took all the advice and made adjustments to my care plan. The advice you all gave me helped to me refocus and really think about the possible causes of the symptoms and what those symptoms might put the patient at risk for. I feel confident about my care plan, and that's really saying something since this is only my second week of class! I know it only gets more complex though :)

Hi everyone, I posted this question in the student section but I haven't recieved any feedback. I started my first year of an ADN program on Monday and today I am writing my first care plan. I feel like I have no idea what I am doing so I would appreciate it if anyone could provide feedback. Here's my case: 52 year old female came into the hospital with reports of abdominal pain. She was diagnosed with a small bowel obstruction and underwent a laparoscopic colectomy. Two days after surgery, she reports nausea and the inability to eat and keep down liquids. And here's my care plan: Nursing Diagnosis: Nausea related to surgery as evidenced by patient reported feeling nauseous. Risk for imbalanced nutrition related to inability to eat and keep down liquids. Goals: Client will state relief of nausea by 1800 August 26 Client will consume 80% of all meals by 1800 August 26 Client will increase activity by walking 10 feet, 3 times per day Interventions: RN will assess nausea and pain level RN will administer anti-emetics and analgesics as ordered RN will record food and fluid intake RN will work with client to increase mobility Rationale for Interventions: Assessing the nausea level will allow for measurement of nausea relief Assessing the pain level will determine if nausea is related to pain Administering medications as ordered will aid in easing symptoms Recording food and fluid intake will allow for measurement of nutrition Increased mobility because decreased mobility leads to negative nitrogen level that fosters anorexia Evaluation: Am I right is focusing on the current symptoms; the nausea and inability to keep down food? Or do I need to write a diagnosis for the previous pain too? I used NANDA, NIC, and NOC. I tried to write my own nursing diagnosis but I feel unsure about the wording I used. I also tried to use the SMART method of goal setting so if my goals are not specific, measurable, attainable, realistic, or timed, please let me know. I left the evaluation section blank because obviously I don't have that information. I know I'm asking for a lot of feedback but this is my first attempt at a care plan and I've only been in school for a week. I appreciate ALL feedback! Thank you:)

Hi everyone, this is my first post so I hope that I'm posting this question in the correct forum. I started my first year of an ADN program on Monday and today I am writing my first care plan. I feel like I have no idea what I am doing so I would appreciate it if anyone could provide feedback. I used NANDA, NIC, and NOC. I tried to write my own nursing diagnosis but I feel unsure about the wording I used. I also tried to use the SMART method of goal setting so if my goals are not specific, measurable, attainable, realistic, or timed, please let me know. I left the evaluation section blank because obviously I don't have that information. I know I'm asking for a lot of feedback but this is my first attempt at a care plan and I've only been in school for a week. I appreciate ALL feedback! Thank you :) Here's my case: 52 year old female came into the hospital with reports of abdominal pain. She was diagnosed with a small bowel obstruction and underwent a laparoscopic colectomy. Two days after surgery, she reports nausea and the inability to eat and keep down liquids. And here's my care plan: Nursing Diagnosis: Nausea related to surgery as evidenced by patient reported feeling nauseous. Risk for imbalanced nutrition related to inability to eat and keep down liquids. Goals: Client will state relief of nausea by 1800 August 26 Client will consume 80% of all meals by 1800 August 26 Client will increase activity by walking 10 feet, 3 times per day Interventions: RN will assess nausea and pain level RN will administer anti-emetics and analgesics as ordered RN will record food and fluid intake RN will work with client to increase mobility Evaluation

I just found out I was pregnant, the same day I passed my state exam. I am 5 weeks pregnant and I have an interview at a rehab facility tomorrow. Should I let them know during the interview that I'm pregnant? I feel confident that I can do the job except lifting the patients by myself. It is my understanding that pregnant women in all trimesters are discouraged from lifting anything over 50 pounds. What would you do?