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Nursing Care Plan

ASSESSMENT Subjective: Masakit yung bandang ibaba ng tiyan ko. As verbalized by the patient.

DIAGNOSIS y Acute pain related to distention or rupture of ovary as

PLANNING y After 8 hours of nursing interventi on the patient will be relieved or controlled .

INTERVENTION

RATIONALE

EVALUATION y After 8 hours of

INDEPENDENT: y Monitor vital signs y To determine presence of hypotension and tachycardia caused by rupture or hemorrhage.

nursing interventio ns, the patient was relieved or controlled.

Objective: y Guarding behavior y hemoglobin: 122g/l y hematocrit: .36vol%

evidenced by verbal reports.

VS: y y y y BP- 120/90 RR- 22 PR- 88 Temp.- 37.5

Monitor presence and amount of vaginal bleeding.

To further assess the present situation indicating hemorrhage.

Provide comfort measure like deep breathing. Instruct in visualization exercises

Promotes relaxation and may enhance patients coping abilities by refocusing attention.

Provide diversional

Diversional activities aids

activities.

in refocusing attention and enhancing coping with limitations.

COLLABORATIVE: y Administer analgesics as indicated. y To maintain acceptable level of pain.

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