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).
Read Also: Imbalanced Nutrition: Less Than Body Requirements Nursing Diagnosis & Care Plan
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.
