Students Name: Ramos, Shelly Mae A.

Patients Initials: M.T.

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS BACKGROU PLANNING INTERVENTIO RATIONALE EVALUATION

ND N
KNOWLEDG
E
INDEPENDENT
Subjective: Activity One of the After 2-3 hours GOAL
Intolerance: bodys main of nursing >Noted Body PARTIALLY
Di ako Inability to electrolytes is intervention presence of Weakness MET
nanghihina, perform the potassium the client will factors affects both
pero ADLs (K). It is be able to: contributing to the clients After 2-3 hours
nahihirapan pa unassisted necessary for body weakness actual and of nursing
rin akong related to muscle >perform perceived intervention
kumilos as decrease in contraction simple ADLs ability to the patient
verbalized by electrolyte. and therefore unassisted. >Evaluated participate in
the client (K+) for was not
clients actual activities
movement. >Use able to
and perceived
Objective: Deficiency in identified perform
limitations, and Provides
potassium techniques to simple
severity of comparative
>K+ level: 2.37 enhance ADLs
may result in deficit in light baseline and
generalized activity unassisted
>Appears Weak of usual status information
body intolerance was able to
about needed
weakness. education or identify
> Lying on bed >Report
interventions techniques
measurable to enhance
>Noted clients regarding
increase in activity
report of quality of life.
performing intolerance
weakness and
ADLs
fatigue
>Demonstrate Symptoms
an increase to >Adjusted may be result
Students Name: Ramos, Shelly Mae A.
Patients Initials: M.T.

NURSING CARE PLAN

activities to of intolerance
normal range prevent of activity
of K+ overexertion
Reduce
intensity level
> Monitored of activities
the potassium that
levels of the contributes to
patient body
weakness

To assess the
>Plan care to patients
carefully status and to
balance rest serve as basis
periods with for the
activities patients
mobility
COLLABORATI capacities.
VE
>Administered
and monitored To reduce
incorporated factors that
potassium may
chloride via IV anticipate
as prescribed fatigue to the
patient
>Administer
Kalium Durule
500mg PO OD
To promote
Students Name: Ramos, Shelly Mae A.
Patients Initials: M.T.

NURSING CARE PLAN

electrolyte
balance

To help
replenish the
lost
potassium.