Two nurse care plan ( one for maternity and one pediatrics)

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I need 2 nurse care plan, one for maternity and one for Pediatric, to be done by Friday 11/11/2023 by 5:00 PM, using the 2 formats attached, please only contact me if you are able to get it done on time. 

CLINICAL WORKSHEET: NURSING PROCESS CARE PLAN

STUDENT NAME
DATE

Client Initials

Culture/Ethnicity

Support system:

Unit 2 Room/Bed

Religion

Age Sex

Language

Weight Height

Current medical diagnosis

Marital status N/A

Occupation:

Siblings

Name of significant other/primary caregiver

Health insurance :

Current work status N/A

Highest grade completed

Genogram: See attachment

Diagnostic procedures:

Surgical procedures:

Pathophysiology/psychopathology (List reference)

Psychopathology:

(
10
)

DEVELOPMENTAL STAGE/THEORIST

Vital signs/Frequency

Allergies/Side effects

Diet with rationale Activity order

Limitations/prosthetic devices

Theorist:

BRIEF HEALTH HISTORY

PERTINENT LABORATORY

PERTINENT LABORATORY

PERTINENT LABORATORY

PERTINENT LABORATORY DATA

DATA Lab Test #1

DATA Lab Test #2

DATA Lab Test #3

Lab Test #4

Rationale of abnormal results

Results

Rationale of abnormal results

Results

Rationale of abnormal results

Rationale of abnormal results

INTRAVENOUS SOLUTION #1

Type

CC/HR gtts/min

Additives:

Rationale for solution –

INTRAVENOUS SOLUTION #2

MEDICATION NAME

TRADE/GENERIC

DOSAGE ORDERE D

TIMES ADMINISTE RED

DOSE ROUTE

RATIONAL E FOR ADMINIST ERING

THERAPEUTIC RANGE FOR AGE/WEIGHT

NURSING IMPLICATIONS

NURSING DIAGNOSES

LIST IN PRIORITY ORDER (BEGINNING WITH #1 IN PRIORITY)

DESCRIBE RATIONALE FOR PRIORITY ORDER

UTILIZE A THEORY (NEEDS THEORY/NURSING THEORY) FOR RATIONALE

(Reference)

ASSESSMENT DATA SUBJECTIVE/ OBJECTIVE

NURSING DIAGNOSIS

PLAN OUTCOME

CRITERIA (CLIENT CENTERED)

INTERVENTIONS (NURSE CENTERED)

RATIONALE FOR INTERVENTIONS

EVALUATION

Include subjective and

objective components.

Assess physiological, psychosocial, developmental, cultural and spiritual dimensions.

Use a NANDA

diagnosis which has three (3) parts:

•Part I: NANDA statement of nursing problem ”
Alternation in
nutrition: Less than
body requirements

•Part 2: relating to a nursing etiology: ”
relating to
inadequate
nutritional intake

•Part 3: manifested by the assessed signs and symptoms: ”
manifested by low
body weight and
emaciation.”

State the overall plan

as client centered, e.g.,:

•”
The client will…”

Relate the plan to the nursing diagnosis:

Make the

interventions nurse centered.

Indicate what the nurse will do to assist the client in achieving the outcome criteria, e.g.,

·
The nurse will…”

State frequency/time

/amount so any nurse can carry out the plan:

1)
Document all
food intake for 3
days.

2) Determine and make available client’s favorite foods by day 2.

3) etc.

State the principle or

scientific rationale for the nursing intervention(s).

Include the reference for the rationale.

Look at the outcome

criteria.

State whether the client achieved the outcome criteria, e.g.,

·
Subjective

Document client’s exact words relevant to the diagnosis.

•.”
have adequate
nutritional intake


The client gained 2

lbs within the past 7
days…”

“I’m not hungry”

·
Objective

Document data that is measurable, specific, and relevant to the nursing diagnosis.

“Weight = 48 Kg” “Lack of subcutaneous fat”

Indicate a measurable outcome criteria by including time frame/amount/range:

•”
as evidenced by…”

1) the ability to create a balanced meal plan by day (7).

NOTE:

If the outcome criteria was not achieved or only partially achieved, the nurse needs to go back to the beginning, e.g., the “assessment” and make revisions or changes as necessary.

2)
gaining 1-2 lbs/wk
until FDA
recommended weight
is achieved.

(3) etc.

ASSESSMENT DATA SUBJECTIVE/ OBJECTIVE

NURSING DIAGNOSIS

PLAN OUTCOME

CRITERIA (CLIENT CENTERED)

INTERVENTIONS (NURSE CENTERED)

RATIONALE FOR INTERVENTIONS

EVALUATION

ASSESSMENT DATA SUBJECTIVE/ OBJECTIVE

NURSING DIAGNOSIS

PLAN OUTCOME

CRITERIA (CLIENT CENTERED)

INTERVENTIONS (NURSE CENTERED)

RATIONALE FOR INTERVENTIONS

EVALUATION

References

ASSOCIATE SCIENCE IN NURSING

CLINICAL WORKSHEET: MATERNITY NURSING PROCESS CARE PLAN

STUDENT NAME

DATE

Client Initials

Culture/Ethnicity

Support System

Unit

Room/Bed

Religion

Age

Sex

Language

Pre-preg Wt

Pre-preg Ht

Marital Status

Children & Ages

Current Wt

Current Ht

Occupation

G

T

P

A

L

Health Insurance

Current Work Status

Current Medical Diagnosis

Name of Significant Other/Primary Caregiver

Highest Grade Completed

Pain

Rating, Quality & Location

Infant Feeding

Date/Time of Delivery

Delivery Type (Vaginal, Cesarean**, Forceps, Vacuum)

**Reason for Cesarean

Diagnostic procedures

Surgical procedures

Pathophysiology/Psychopathology (List Reference)

Reference

Today’s Assessment

M

Admissions Vital Signs

A

T

Frequency

B

P

U

R

BB

B/P

L

Allergies/Side Effects

E

H

Brief Health History

Diet with Rationale

Time

Flowsheet Notes

Activity Order

Limitations/Prosthetic Device

PERTINENT LABORATORY DATA

Lab Test # 1

Lab Test # 2

Lab Test # 3

Lab Test # 4

Hgb/Hct #1

Hgb/Hct #2

Results

Results

Results

Hgb/Hct #3

.

Rationale for abnormal results

Rationale for abnormal results

Rationale for abnormal results

Rationale for abnormal results

(
2
)

.

INTRAVENOUS SOLUTION #1

INTRAVENOUS SOLUTION #2

Type

Lactate Ringers’ (main IV)

Type

500 ml NS (piggyback)

cc/hr

125

gtts/min

cc/hr

gtts/min

2 milliunits/minute via pump

Additives

Additives

30 U Oxytocin

Rationale for solution

Rationale for solution

.

Medication Name Generic/Trade

Classification

Major Actions

(why taking meds)

Dose/ Route Safe Range

Adverse Effects

Nursing Implications

Assessment Data Subjective/Objective

Nursing Diagnosis

Plan Outcome Criteria (Client Centered)

Interventions (Nurse Centered)

Rationale for Interventions (REFERENCED)

Evaluation

Assessment Data Subjective/Objective

Nursing Diagnosis

Plan Outcome Criteria (Client Centered)

Interventions (Nurse Centered)

Rationale for Interventions (REFERENCED)

Evaluation

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