Question

Write and submite a nursing care plan;

1) one from any of the renal diagnosis

2) one from any of the GI diagnosis

Answer 1

Answer: Nursing care plan of the renal diagnosis

Renal failure is where a patient’s kidneys lose the ability to remove toxins and waste from the body. Due to this the body will build up excess levels of potassium, calcium, phosphate, creatinine, urea, and anemia.

Nurse will intervene:

• The nurse will monitor the patient intake and output every shift.
• The nurse will assess the patient’s peripheral edema every shift.
• The nurse will monitor the patients urinary output every shift.
• The nurse (if needed per md order) will place foley catheter to monitor urinary output more closely.
• The nurse will weigh the patient daily.
• The nurse will educate the patient about the importance of daily weights and limiting salt intake by discharge.
• The nurse will educate the patient about 5 foods that contain high salt intake to avoid by discharge.

Answer: Nursing care plan for GI diagnosis:

The bleeding along the GI tract is from a perforation somewhere in the intestines or stomach. Can be caused by too much acid (ulcer), an abnormal formation in the colon (tumor, polyp, hemorrhoids), inflammation of the lining (diverticulitis, colitis) or any sort of trauma to the GI tract.

• Monitoring haemoglobin as it is the most commonly looked at lab value to assess need for a blood transfusion. Every institution, Doctor, and person is different but as a general rule, a hemoglobin below 8 requires a blood transfusion.
• Nurse will monitor the heart rate as if patient becomes hypotensive, put them in reverse trendelenburg, give them fluids, and get the physician.
• The patient is at an increased risk for fall. This means that it is super important to educate the patient on using the call light if they need to get up and assisting with any mobilization of the patient.