This nursing care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Nausea and Vomiting
What are nursing care plans? How do you develop a nursing care plan?
What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Nausea & Vomiting
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
|
A 25 year old female in admitted to your floor due to extreme nausea followed by some vomiting. The pt had a chemotherapy treatment 24 hours ago. She is getting chemotherapy due to having stage 4 cervical cancer. This was her first chemotherapy treatment. The patients mom is with her and states she is worried about her daughter. The patient is lying on her side with her arms around her stomach. A vomit basin is at the bedside. The patient intermittently moans out in discomfort and does not want to talk because she feels too bad. You get the health history from the mother which includes appendectomy, successful Cesarean pregnancy times one 10 months ago, and a miscarriage 3 years ago. When asked if the patient was prescribed anything for nausea after the chemotherapy treatment the mom states no but wishes she would have asked for something. Vital signs: HR 101, BP 120/80, Temperature 99.2, RR 20, oxygen saturation 98% on room air.
|
Nursing Diagnosis: |
|
Nausea related to effects of chemotherapy as evidence by patient reporting nausea and chemotherapy treatment for cervical cancer.
|
Subjective Data: |
|
The patients mom is with her and states she is worried about her daughter. When asked if the patient was prescribed anything for nausea after the chemotherapy treatment the mom states no but wishes she would have asked for something.
|
Objective Data: |
|
A 25 year old female in admitted to your floor due to extreme nausea followed by some vomiting. The pt had a chemotherapy treatment 24 hours ago. She is getting chemotherapy due to having stage 4 cervical cancer. This was her first chemotherapy treatment. The patient is lying on her side with her arms around her stomach. A vomit basin is at the bedside. The patient intermittently moans out in discomfort and does not want to talk because she feels too bad. You get the health history from the mother which includes appendectomy, successful Cesarean pregnancy times one 10 months ago, and a miscarriage 3 years ago. Vital signs: HR 101, BP 120/80, Temperature 99.2, RR 20, oxygen saturation 98% on room air.
|
Nursing Outcomes: |
| -The patient will report a decrease in nausea within in 6 hours.-The patient will be able to tolerate clear liquids within 12 hours without any nausea or vomiting.
-The patient will verbalize how to take anti-emetics prior and after each chemotherapy treatment. -The patient will verbalize 5 food or liquids to avoid that makes nausea worst. -The patient will verbalize 4 techniques on how to reduce nausea. |
Nursing Interventions: |
| -The nurse will administer Zofran 4mg IV every 6 hours as needed for nausea and vomiting.-The nurse will assess the patients nausea every 2-3 hours.
-The nurse will provide the patient with clear liquids to consume with nausea is under control per patient’s report. -The nurse will educate the patient on how to take antiemetics prescribed by the md prior and after each chemotherapy treatments. -The nurse will educate the patient on 5 foods or liquids to avoid prior and after chemotherapy treatment that makes nausea worst. -The nurse will verbalize 4 techniques on how to reduce nausea. |