ECTOPIC PREGNANCY

NURSING CARE PLAN

NURSING GOALS AND NURSING RATIONALE EVALUATION

DIAGNOSIS OBJECTIVES INTERVENTION

Acute pain related GOAL

distention possibly After 8 hours of Was the client able to
evidenced by verbal nursing intervention, report whether she
reports, diaphoresis the client will be has been relieved
(excessive sweating) relieved from the from pain?
and changes in vital pain she has been __Y __N
signs. experiencing. Why?

SUBJECTIVE CUES:
OBJECTIVES
“Sumasakit po ung Assess client’s To ascertain the
kaliwang bahagi ng perceptions, along client’s how to Was the client able to
tagiliran ko.” 1. After 10 with behavioral and handle her own pain. verbalize her
minutes of physiologic perceptions about
“Sobra akong nursing responses. pain?
pinagpapawisan sa intervention, __Y __N
sakit na nararanasan the client will Why?
ko.” be able to
verbalize her
OBJECTIVE CUES: perceptions To determine client’s
about pain. Perform a acceptable level of
Vital Signs comprehensive pain. Was the client able to
Pulse rate: 85 beats assessment of pain identify her level of
per minute 2. After 10 to include location, pain?
Cardiac rate: 22 minutes of characteristics, __Y __N
breaths per minute nursing onset/duration, Why?
Temperature: 37.7o intervention, frequency, quality,
C the client will severity (0 to 10 or
Blood pressure: be able to faces scale), and
130/90 mmHg identify her precipitating/ Deep breathing will
level of pain. aggravating factors. lead to oxygen
Encourage use of retention to prevent Was the client able to
relaxation exercises, ischemic formation return demonstrate
such as deep into the tissues. the use of relaxation
3. After 10 breathing. Socialization to skills and diversional
minutes of Diversional activities others will help the activities?
nursing such as TV watching, client divert her __Y __N
intervention, listening to radio, attention from the Why?
the client will socialization to pain she’s
be able to others. experiencing.
return
demonstrate
use of
relaxation
skills and
diversional
activities as To compare baseline Was the client’s vital
indicated for Monitor vital signs data to present vital signs stabilized and
individual every 15 minutes. signs of the client. in the normal range?
situation. __Y __N
Why?

4. After nursing
intervention,
the client’s
vital signs will
stabilize and
be in the
normal range.