Assessment Diagnosis Scientific Analysis Goal/Objective Intervention Rationale Evaluation

AGE: 5 y/o. Decreased Occlusion in the Short Term: Discuss the Excessive salt intake Short Term:
cardiac output artery After 2 days of mother or expands the After 2 days of
Objective: related to nursing guardian the intravascular fluid nursing
increased Decreased blood interventions, the necessity for volume and may interventions,
1) Hypertension, after load, supply client will have no decreased caloric damage kidneys, the client had no
BP 130/100 vasoconstricti elevation in blood intake and limited which can further elevation in
on, Decreased pressure above intake of fats, salt, aggravate
blood pressure
2) non pitting myocardial venous return normal limits and and sugar as hypertension.
above normal
periorbital ischemia, will maintain indicated.
edema ventricular Decreased limits and will
blood pressure
hypertrophy amount of blood within acceptable Provide calm, Helps lessen maintain blood
expelled by ventricles limits restful sympathetic pressure within
surroundings, stimulation; acceptable
Decreased Long Term: minimize promotes relaxation. limits. Goal was
cardiac output environmental met
After 4 days of activity and noise. Long Term:
nursing After 4 days of
interventions, the Provide comfort Decreases nursing
client will measures (back discomfort and may interventions,
maintain normal and neck massage, reduce sympathetic the client
blood pressure elevation of head). stimulation.
maintained
value normal blood
Maintain Reduce stress and
restrictions on tension that affect pressure value.
activities, such as, blood pressure and Goal was met
resting in bed / hypertensive disease
chair; schedule course.
rest periods
without
interruption

Instruct in Can reduce stressful

relaxation stimuli, produce
techniques, guided calming effect,
imagery, thereby reducing BP.
distractions.