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DMNCP - Imbalanced Nutrition Less Than Body Requirements

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ASSESSMENT NURSING SCIENTIFIC GOAL INTERVENTION RATIONALE EVALUATION

DIAGNOSIS RATIONALE
Subjective Cues: Imbalanced Nutrition: Diabetes can lead to After 8 hours of nursing 1. Observe for signs of After 8 hours of nursing
“Dire gud ak yana gin Less than Body various complications care, the client will be hypoglycemia: 1. Hypoglycemia can care, the client was able
gaganahan pag kaon” Requirements related such as yeast able to:  Cold and occur once blood to:
as verbalized. to insulin deficiency infections causing Clammy Skin glucose level is
pyrexia. Diabetes 1. Ingest  Tachycardia reduced and 1. Ingest
Mellitus Type II is an appropriate  Hunger carbohydrate appropriate
Objective Cues: insulin resistant type of amounts of Irritability metabolism amounts of
Vital Signs: diabetes resulting to calories/nutrients  Headache resumes and calories/nutrient
BP: 130/90 mmHg decreased glucose  Anxiety insulin is being s
HR: 76 bpm 2. Display  Lightheadedness given.
uptake. These
RR: 20 cpm conditions contribute increased energy  Shakiness 2. Display
Temp: 36.4⁰C level increased energy
to decreased appetite,
2. Weigh daily as level
which leads to 2. Weighing serves as
 Feeling of fatigue 3. Enumerate at ordered
decreased food intake an assessment tool
 Increased thirst least 3 food that 3. Enumerate at
and poor nutrition. to determine the
 Increased urination could be least 3 food that
consumed for a adequacy of could be
 Polyphagia . nutritional intake
diabetic diet consumed for a
3. Ascertain patient’s diabetic diet
dietary program 3. Identifies deficits
and usual pattern and deviations
then compare with from therapeutic
recent intake. needs.

4. Discuss eating habits


and encourage 4. To achieve health
diabetic diet needs of the patient
(balanced diet) as with the proper food
prescribed by the diet for his condition.
doctor.

5. Auscultate bowel 5. Hyperglycemia and


sounds. Note reports fluid and electrolyte
of abdominal pain, disturbances can
bloating, nausea, decrease gastric
vomiting of motility and/or
undigested food. function, affecting
the choice of
interventions.
Note: Chronic
difficulties with
decreased gastric
emptying time and
poor intestinal
motility may suggest
autonomic
neuropathies

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