Reference no: EM133661760
Assignment: Care Plan Worksheet
What assessment data does the nurse find as pertinent (Recognize Cues)?
A 35 weeks baby boy born at 9;15am ,pregnancy was late preterm, baby weighs 7lb , resp; 114 , hr.; 164, blood glucose,38 at the first one hour. temp, 98.7, erythromycin eye ointment applied, hep b given on right thigh ,vit k on left thigh , no jaundice on the eye. head circumference 35 cm, fetal height 21 inches, abdominal length 28 cm. circumference, scrotum are present, baby pass meconium stool with 1 hr after birth.
1. What is the disease process causing these assessment findings (Analyze Cues)?
2. What is the main problem with the patient the nurse can treat (Prioritize Hypotheses)?
3. What is the goal for the patient (Generate Solutions & Take Action)? Create specific, measurable, achievable, realistic, and timeable (SMART) outcomes. Outcomes that can be achieved during shift.
4. What interventions will the nurse implement when caring for this patient (Generate Solutions & Take Action)? Include the evidence.
5. List Interventions In order of priority. Include Collaborative and Nurse-initiated Interventions.
6. What was the patient's response to the interventions?
7. What other problems could the nurse link to this patient problem?