Question

Patient is a 29-year-old female at her 38 weeks gestation admitted with contractions. Reports contraction every 5 minutes starting at 5 am and increasing to every 2-3 minutes. Very painful. Patient denies LOF (elective abortion), DFM (Maternal perception of decreased fetal movement). She is a G4P0A2 L1.)

Nursing diagnosis:

Risk for fatigue related to contractions and its pain as evidenced by continuous pain and decreased ability to tolerate pain.

Based on this nursing diagnosis, what would be the

1) nursing intervention?

2)goal/expected outcome?

Answer 1

1)desired out come

:the patient will use the techniques of conservation of energy between painful contractions and remains free from fatigue.

:patient report sense of control of pain and appeared as relaxed

2)interventions and rationale

Intervention is mainly focused on the maintaining the patient free from fatigue .Intervention include

:assess degree of pain and signs of fatigue___it help to identify the patient condition. The main contributing factor for fatigue is paib

:monitor energy level of patient ___to identify fatigue early as possible.

:teach clients about relaxation techniques include close eye ,extend legs and relax between contractions.__it help to preserve energy level and prevent fatigue.

:provode non distracting environment ___it help to minimize the stress level

:provide comfort measures __it help to get comfort and decrease pain and fatigue

:plan care to limit interruptions___provide opportunity to take rest

:administer analgesics as ordered ___it help to reduce pain and administer analgesics cautiously because it may cause fetal distress.

:administer IV fluid___it help to prevent fatigue