Georgia Baptist College of Nursing
NR210: Nursing Care Plan
Great job, Rex! Your interventions are appro. Specific and cover the outcome criteria of the goal. You have provided an appro rationale for all but
one of the interventions, and have listed a source for each rationale – GREAT…remember to use APA format to cite your sources. The Evaluation
addresses the outcomes of the goal – not that you did not address one outcome in the evaluation section.
Nursing Diagnosis: Nutrition imbalance: more than body requirements r/t excessive sugar intake AEB 24 hr recall that reveals desserts after every meal.
Client Goals with Nursing Interventions Rationales Evaluation
The pt will have an ASSESS: 1. Include type/amt of foods, how Goal met AEB:
understanding of how 1. Assess Pt knowledge of prepared, intake pattern/quantity (p.
to consume a well Pt compliant
rationale for balanced diet, 116, NCP).
balanced diet w/o w/RDA of
low in excessive sugars
excessive sweet 2. Pt may be unaware of actual BGL (p. balanced diet
intake in 24 hours (w/out excessive sugars)
116, NCP) w/out excessive
AEB: 2. Assess BGL q8hr. Would it
Pt correctly be more beneficial to assess 3. Pt understands origin of intake and
states the BGL ac, hs? portion control (lecture, Hopkins, B.). Goal met AEB:
rationale for 3. Assess 24hr diet recall.
well balance TREAT: 4. Changes in eating habits required for Pt does not
4. Offer diet low in refined effective BGL control (p. 117, NCP). engage in extra-
sweet intake sugars. Consult w/dietary 5. Memory is inadequate for
for menu options. “sugar-
Pt verbalizes quantification of intake. And to
desire to 5. Pt to keep daily food log. snacking”.
encourage pt to make more food
comply with 6. Provide positive choices (p. 117, NCP). Goad met AEB:
prescribed reinforcement as
diet 6. ? Accucheck q8hr
TEACH: w/in BGL
100% of 7. Many pt unaware of amts of sugar
7. Teach pt re: balanced diet normal facility
dietary tray, present in daily intake (p. 111, NCP).
pt does not low in refined/excess limits.
consume sugars. 8. Many pt unaware of s/s of elevated
supplemental BGL. (p. 117, NCP).
high CHO 8. Teach pt of s/s r/t elevated
dessert BGL. 9. Many pt unaware of dangers asso
9. Teach pt of complications w/chronic incr. BGL. (p. 117, NCP).
consistently. of chronic elevated BGL.
NR210clin.pap 6/98JR Nutrition class Lecture, Fall, 2003. Barbara Hopkins RD, MS.