7/21/2019 Thyroidectomy NCP

1/1

Name of Pt: Bacaron, Anacleta

Diagnosis: Multiodular non toxic goiter

Time/Date Assessment Nsg. Diagnosis Goal of Care Nsg. Interventions Evaluation

August 29,

2014

7-3 shift

Subjective: medyo lisod

mulunok pero makaya man

nako mukaon basta lugaw

Objective:

BP: 120/80, temp: 36.6C,pulse: 81, RR: 18, with post

of dressing @ anterior

neck dry and intact.

Imbalanced

Nutrition: less than

body requirements

r/t inability of clients

to enter or swallow

food.

Within 8 hours of

nursing intervention,

the patient will be

able to ingest foods

in order to restore

optimum nutritional

status, to meet the

body requirements

and to promote

health.

1.) Monitor VS.

2.) Monitor

Intake and

Output.

3.) Promote

adequate fluid

intake.

4.)

Determineand evaluate

the ability to

chew and

swallow food.

5.) 6.) Promote

rest

6.) 7.) Administer

anti emeticdrugs or as

ordered by

the physician

before meal.

Within 8 hours of

nursing intervention,

the patient displayed

good appetite but

still vomited even

taking anti-emetic

drug.