Cues Nursing Rationale Objectives Nursing rationale evaluation

diagnosis Intervention
Subjective: Acute pain Short term: Independent Short term:
The client related to After 30 mins of After 30 mins of
verbalized, irritation and nursing Monitor I n O To know if there nursing
“masakit yung spasm from intervention the Dependent: is incontinence intervention the
bandang baba ng stone movement client will be or retension client was able
likod ko” in the urinary able to: to:
tract The client to To flush the
Objective: Describe factors drink 3-4 L of urinary system Describe factors
that increase the water daily that increase the
Presence of devoloping devoloping
facial grimnace Teach stone To preent stone
Have a pain prevention reccurence Have a pain
Decrease ADL’s scale if 10 out of measures scale if 10 out of
10 10
Painscale of 8 Provide Can relieve pain
out of 10 Long term: relaxation Long term:
after 3 days of technique after 3 days of
nursing nursing
interventionn the Discuss the use Non- interventionn the
client will be of distraction pharmacologic client was able
able to and other non- techniques may to:
pahrmacologic help client
report reduction pain-reief achiev a sense of report reduction
in pain as method control in pain as
manifested by: manifested by:
Administer Lessen the pain
pains scale of 0 medicines and pains scale of 0
analgesics as
increase ADL’s ordered by the increase ADL’s
 physician
eliminate facial eliminate facial
grimace grimace