Outcome Criteria

V Adequate intake of appropriate nutrients for normal growth and development (specify). V Height and weight parameters met and maintained based on individual determinations (specify). NOC Nutritional Status Nutrient Intake Assess history of food intake (24-hour Provides information needed to recall, amounts of food and formula evaluate nutritional pattern, habits or breast milk financial and cultural influences vitamin mineral supplement food allergies. excessive), presence of illness and...

NOC Activity Tolerance

Assess temperature, respirations, and pulse changes in behavior (irritability, lightheadedness, short attention span) if easily fatigued, unable to sleep, or weak ability to tolerate any activity or ADL. Assist with activities that require exertion and are beyond tolerance and ability. Provide rest periods, plan care and activities around rest sleep. Provide appropriate quiet play and activities, and allow interaction with child of same age, if possible (specify). Administer oxygen therapy as...

Additional Nursing Diagnoses Risk For Injury

Related to Internal regulatory function. Defining Characteristics Specify uncontrolled hypertension neurologic status blurred vision, headache, irritability, dizziness, papilledema future renal, heart, circulatory problems. Goal Child will not experience injury by date time to evaluate . Outcome Criteria V Blood pressure will remain within appropriate range for child specify range . V Child denies headache, dizziness, or visual changes. NOC Symptom Control Assess BP using a Doppler method on an...

NOC Infection Status

Allows for independence and control over situation to reduce helplessness and increase Promotes understanding of side effects that occur and temporary nature of the side effects. Promotes effective care of oral cavity to relieve discomfort and prevent mucosa breakdown and increased inflammation. Prevents trauma to mucosa. Assess for bleeding from any site, WBC, platelet count, Hct, absolute neutrophil count, and febrile episodes. toothbrush or dental floss, taking rectal temperatures,...

NOC Fluid Balance

Assess fluid losses, sources, amounts, and effects urinary output should be 1-2 ml kg hr weigh diapers for infant and calculate as 1 ml gm vomiting include spitting up diarrhea include watery or bloody stoma drainage liquid nasogastric aspirate suctioning insensible losses respirations, diaphoresis from body temperature or ambient temperature wound damage hemorrhage fluid volume reduced injury burns . Assess intake and accurately compare to losses q 2-8h for I amp O determination Provides...

Deficient Fluid Volume

Related to Specify chemosensitive triggers medication, anesthesia, chemotherapy, toxins, increased ICP, inner ear disturbances, cerebral hypoxia, food intolerances, allergens, motion sickness. Defining Characteristics Specify nausea, vomiting, perspiration, weight loss or gain, pallor, dehydration, fluid and electrolyte imbalance, anxiety, hopelessness, loss of control, tachycardia, abdominal cramping, early morning vomiting ICP and metabolic disease , fever and diarrhea infection , decreased...