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Assessment Explanation of Objective Nursing Rationale Evaluation

the Problem Intervention

Subjective: seizures are STO: After 7 h of DX: DX: STG:


changing the nursing •monitor BP >>it must know >>after 7 hour
Objective: brain electrical intervention the and PR what the level of nursing
activity resulting patient will have is to know how intervention &
BP:140/90 from abnormal no elevation to treat it management
PR:110 electrical blood pressure • define >> To provide the patient
discharging in the and will be important the of the basis for within
Nursing brain there are acceptable limits the maintain understanding acceptable
Diagnosis: many types of > decrease the BP in normal the risk of range of BP
Risk of seizures such as RR to normal range and seizure and PR.
seizures mild and range or explain of the >>the patient
related to tonic-clonic acceptable limits effect on the will be able to
hypertension seizures . >The patient will heart and the verbalize and
seizures can also be verbalize rest of seizures understand the
be caused by understanding •suggest to >>to risk of high
metabolic the risk of the keep that minimizeize blood pressure
problems such as disease and the padded side injury if the that may lead
preeclampsia prevention rails up with the seizure occurs to seizure and
high blood bed in the the risk of the
pressure that lowest position seizures
TX: >>used in the
treatment of
Administer epileptic
antiepileptics seizures.
(PRN and
scheduled) >> it's helpful to
according to let them know
the physician what you as the
order necessity will
do when / if a
EX: seizure occurs
so that they are
•Educate prepared
patient and mentally and
family on emotionally, as
hospital it can be
procedures, somewhat
and when to scary for
notify staff. families to
witness and
•exercise and patients to
physical activity experience
LOT: >>help limit LTO:
After 2 days of seizures, relieve Goal met
nursing stress, and After 2 days of
intervetion& boost your nursing
management will mood. intervention
enhance the >>Being short enhance the
acknowledgment •regular sleep on sleep and acknowledgment
of the patient schedule, and feeling stressed of the patient
understanding find ways to deal are common understanding
the risk of the with your worries triggers. the risk of the
seizures and and feelings. Everyday seizures and
high pressure tension plus the high pressure
and how to deal fear of a seizure and how to deal
with it can even create with it
a cycle.

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