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NCP Risk For Injury

The nursing diagnosis was risk for injury due to multiple factors including headache, dizziness, limited motion, and feeling warm. The plan was to assess the client's general status, mood, coping abilities, and environmental factors to determine the risk of injury and implement interventions. Interventions included assessing the client's status, promoting safety by monitoring vitals and providing injury prevention materials. The goal was for the client to be free of signs of injury after nursing intervention.

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Donna Mae Vasquez
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572 views1 page

NCP Risk For Injury

The nursing diagnosis was risk for injury due to multiple factors including headache, dizziness, limited motion, and feeling warm. The plan was to assess the client's general status, mood, coping abilities, and environmental factors to determine the risk of injury and implement interventions. Interventions included assessing the client's status, promoting safety by monitoring vitals and providing injury prevention materials. The goal was for the client to be free of signs of injury after nursing intervention.

Uploaded by

Donna Mae Vasquez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

CUES NURSING SCIENTIFIC PLANNING SELECTED IMPLEMENTED RATIONALE EVALUATION

DIAGNOSIS EXPLANATION INTERVENTION INTERVENTIONS


OBJECTIVE: Risk for injury The Increase o f Short term Assess general Assessed general To GOAL:
−Needs rƒt multiple BP and RR will Goal: status of the client status of the client. determined The client was
assistance in factors result to At the end of client’s free of any
ambulation (Headache, hypertension Nursing Assess mood Assessed mood condition that signs of injury.
−Headache dizziness, which may affect intervention, coping abilities, coping abilities, may cause
−dizziness limited motion, the clients lost of the client will be personality style personality style that injury
−limited motion feeling of warm balance, in free from any that may result in may result in
−feeling of warm specially in the relation to signs of injury. carelessness carelessness. To determine
specially in the eye, VƒS limitation of the level of
eye T−37 c, RR− 28 movements the Long Term Goal: Assess Assessed cooperation
−VS taken as cpm, BP− client is unable to after nursing environmental environmental
follows: 150ƒ100 gain his balance intervention the factors that may factors that may lead To determine
T−37 C mmhg) and protect his risk factors of lead to injury to injury. causes of
RR−28 cpm self that leads to client from pain injury
BP−150ƒ100 possible injury. will be lessen. Promoting client’s Promoted client’s
mmhg Safety by: Safety by: To lessen the
After nursing risk for injury,
intervention , Monitoring VƒS Monitored VƒS safe
the client will environment
verbalized Providing materials Provided materials and
understanding for injury for injury prevention Promote
of individual prevention client’s
factors that may comfort.
contribute to
possibility of
injury.

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