Nursing Care Plan Example for Imbalanced nutrition: less than body requirements

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Example of Nursing Care plan for Imbalanced nutrition: less than body requirements

Nursing Diagnosis:

Imbalanced nutrition: less than body requirements related to vomiting and loss of appetite as manifested by low protein level (47g/L).

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Assessment Cues:

Subjective data:

  • “ I have loss of appetite ”
  • “ I don’t want to take any food to avoid vomiting ”

Objective Data:

  • Patient refuses to eat
  • Decreased serum protein level = 48g/L
  • Decreased K+ = 2.9 mEq/L

Planning and Outcome:

Short term:

  • The patient will experience relief from nausea and vomiting in 2-4 hours

Long term:

  • The patient will experience good appetite after two days of nursing interventions.

Nursing Interventions and Rationale:

NURSING INTERVENTIONS RATIONALE
Independent:
– Assess and document amount, color, and characteristics of vomitus. – Determine fluid replacement
– Eliminate smells from the environment – Reduces gastric stimulation and vomiting response
– Monitor the BUN, protein, and glucose balance as indicated. – Reflect organ function, nutritional status and needs
– Adjust diet according to nutritional needs and patient’s preferences – Taking patient’s food preferences would help him gain a good appetite
Dependent:
– Administer antiemetic drugs – Prevent loss of stomach contents

Evaluation:

Goal met:

  • The patient’s nausea and vomiting stopped after administering antiemetics.
  • The patient’s appetite has progressively improved.

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