Nursing care plan of MRS. O.
Y with diagnosis of hypertension
S/n Nursing Diagnosis Nursing Objectives Nursing Intervention Scientific Rationale Nursing Evaluation
1 Decreased cardiac output Mrs. O.Y will participate 1. Vital signs was 1. It served as a Mrs. O.Y. participated
related to increased in activities that reduce monitored. baseline data. in activities that
vascular resistance blood pressure and reduced blood
evidenced by palpitation cardiac workload within 2. The environment 2. It provides a suitable pressure after 1-
1-2hours of nursing was kept clean and environment for patient 2hours of nursing
intervention quiet. to rest. intervention.
3. The number of 3. It promotes
visitors and length of relaxation.
stay was reduced.
4. It reduced physical
4. Bed rest was
stress and tension.
encouraged.
5. It decreased
5. Prescribed
pheripheral vascular
antihypertensive was
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administered such as resistance
Nifedipine
2 Activity intolerance Mrs. O.Y. will verbalize 1. The patient responds 1. It served as a Mrs. O.Y. verbalize a
related to generalize a measurable increase in to activity was assessed baseline data. measurable increase in
body weakness activity intolerance noting blood pressure activity intolerance
evidenced by blood within 2-4 hours of during and after within 2-4 hours of
pressure responds to nursing intervention activity. nursing intervention.
activity. 2. Patient was
instructed in energy 2. It helps to reduced
conserving techniques energy expenditure
e.g., carrying out thereby assisting in
activity at lower pace. equalization of oxygen
3. Encourage supply and demand.
progressive activity and 3. It prevented a
self-care when sudden increased in
tolerated. cardiac workload.
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3 Pain (occipital headache) Mrs. O.Y. will overcome 1. The level of pain 1. It served as baseline Mrs. O.Y. pain was
related to diseases the pain less than 5 in was assessed using pain data. reduced to less than 5
process evidence by pain rating scale within rating scale 0-10. in pain rating scale
patient complain 30-45 minutes of nursing within 30-45 minutes
intervention. 2. Assume comfortable of nursing
2. It relieved pain while
position (i.e. lying flat intervention.
standing or sitting.
on bed in supine
position.
3. It allowed cross
3. The nearby windows
ventilated inorder to
was opened.
cool the patient body.
4. Give prescribed
4. It inhibit the
analgesic such as
prostaglandin thereby
paracetamol 600mg
reduced the sense of
pain.
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4 Deficient knowledge related Mrs. O.Y. will verbalize 1. Patient level of 1. It served as a baseline Mrs. O.Y. understood
to lack of correct and understanding of disease understanding was data. the disease process
adequate information about process and treatment assessed about disease and she is ready to
disease evidenced by regimen within 20- condition as well as adhere to treatment
agitation 30minutes of nursing significant others e.g., 2. It provided basic regimen within 20-
intervention. husband. understanding for the 30minutes of nursing
2. The patient was evaluation of blood intervention.
educated on the limit of pressure and also helps
blood pressure, explaining to understand that blood
hypertension and its effect pressure can exist
on heart, blood vessels without symptoms. .
and brain.
3.It makes the patient to
calm down
4. It diverted the patient
3. The course of disease mind away from the
condition was explained. problems
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5. Impaired sleeping pattern Mrs. O.Y. will sleep for 1. The blood pressure was 1. It served as a baseline Mrs. O.Y. was able to
( insomnia) related to atleast 6hours within 30- assessed using data. sleep for atleast
disease process evidence by 45minutes of nursing sphygmomanometer. 2. Quite environment 6hours less than
fatigue intervention. 2. The ward was made aid quick recovery 45minutes of nursing
quiet. (according to Florence intervention.
Nightingale) thereby the
patient will be able to
sleep well without
disturbance.
3. Nearby windows was 3. It allowed cross
opened. ventilation
4. Give prescribed
4. It makes the patient
sedative drugs(such as
sleep well.
diazepam 10mg)
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