NOC:
- Degree of comfort: a feeling of relief physically and psychologically.
- Fluid balance: the balance of fluids in the intracellular and extracellular space of the body.
- Nutritional status: food and fluid intake: the amount of food and fluids into the body within 24 hours.
Expected outcomes:
- Stable weight.
- There are no sunken eyes.
- Skin hydration is not compromised.
- Intake and output balance within 24 hours.
- Clients reported no nausea.
- The fluid balance indicator shows 1-5: extreme, severe, moderate, light, no problem.
NIC interventions:
1. Management of fluids: an increase in fluid balance and prevention of complications.
2. Monitoring of fluid: the collection and analysis of client data to regulate fluid balance.
3. Monitoring of nutrients.
Nursing activities:
- Monitor the subjective symptoms of nausea on the client.
- Monitor for weight gain.
- Monitor the level of energy, malaise, fatigue, fatigue.
- Monitor the skin turgor.
- Teach clients a deep breath technique to suppress the gag reflex.
- Teach clients to eat slowly but often.
- Collaborative: antiemetic drugs in accordance with the recommendation.
- Raise the head of the bed in the lateral position to prevent aspiration.
- Monitor the nutritional status.