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Hyperactive Bowel Sounds or Sensations

The nursing assessment identified a child with diarrhea, blood in stool, hyperactive bowel sounds, and frequent watery stools. The nursing diagnosis was diarrhea related to gastrointestinal inflammation. The plan was to lessen stool frequency through interventions like monitoring onset/pattern of diarrhea, administering medications, and discussing formula changes if needed. The expected outcome was reestablishing normal bowel function with stool frequency decreasing from 6 to 3 per day and no blood in stool, which was achieved after 8 hours.

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Jewel Anne Mercado
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210 views

Hyperactive Bowel Sounds or Sensations

The nursing assessment identified a child with diarrhea, blood in stool, hyperactive bowel sounds, and frequent watery stools. The nursing diagnosis was diarrhea related to gastrointestinal inflammation. The plan was to lessen stool frequency through interventions like monitoring onset/pattern of diarrhea, administering medications, and discussing formula changes if needed. The expected outcome was reestablishing normal bowel function with stool frequency decreasing from 6 to 3 per day and no blood in stool, which was achieved after 8 hours.

Uploaded by

Jewel Anne Mercado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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G2A

ASSESSMENT NURSING PLAN INTERVENTIONS RATIONALE EVALUATION


DIAGNOSIS

Subjective : Diarrhea related After 8 hours of -Ascertain onset and -Acute diarrhea After 8 hours of
“Nakakailang dumi to gastrointestinal nursing interventions, pattern of diarrhea, lasts from a few nursing
sya sa isang araw. inflammation as the client’s frequency noting whether days up to a interventions, the
Tapos watery at color evidenced by of stools will be acute or chronic week. Chronic goal was met as
green tas misan color blood in the stool, lessened. diarrhea almost evidenced by
yellow.” as verbalized hyperactive bowel always lasts decreased
by the mother sounds, high more than 3 frequency of
frequency of Outcome criteria : weeks. stools from 6/day
stools, - Reestablish -Note the client’s to 3/day and
Objective : sluggishness, and maintain age. absence of blood
- Irritable irritability, dry normal -Diarrhea in an in the stool is
- Dry eyes when mouth and dry pattern of infant or young observed.
crying eyes when crying, bowel child and older or
- Dry mouth and watery stool. functioning. debilitated client
- Sluggishness - The guardian can cause
- Blood in the will be able to complications of
stool demonstrate dehydration and
appropriate electrolyte
- Hyperactive
behavior to imbalances.
bowel sounds assist with -Determine recent
resolution of exposure to different -May help identify
or sensations causative or foreign causative
- Frequency of factors. environments, environmental
stools (more change in drinking factors.
than 3/day) water or food intake,
- Watery stool and similar illness of
others

-Observe for or
question parents
about young child The child needs
with no tears, fever, urgent or
decreased urination, emergency
or no wet diapers for treatment for
6 to 8 dehydration if
hr;irritability;dry these signs are
mouth and tongue present and the
child is not taking
-Weigh the infant’s fluids.
diapers
-To determine
the amount of
output and input
-Discuss possible replacement
change in infant needs
formula.
-Diarrhea may be
a result of or be
aggravated by
-Administer intolerance to a
medications, as specific formula.
ordered
-To treat
infectious
process,
decrease motility,
and/or absorb
water.

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