5 Key Nursing Diagnoses:
Deficient fluid volume related to inadequate fluid intake
and vomiting
Impaired skin integrity related to hyperbilirubinemia from
jaundice
Imbalanced nutrition; less than body requirements related to
loss of appetite and vomiting
Activity intolerance related to muscle and joint aches,
headache, and fever
Risk of delirium and altered mental status related to organ
ischemia
| 
Problem | 
Related To | 
Plan | 
Outcome | 
Nursing Intervention | 
| 
Activity intolerance | 
Fever 
Headache 
Nausea and vomiting 
Muscle and joint aches | 
Assess nutritional status 
Monitor patient’s sleep pattern and amount of sleep
  achieved over past few days 
Assess potential for physical injury with activity 
Assess emotional response to change in physical status | 
Patient maintains activity level within capabilities, as
  evidenced by normal heart rate and blood pressure during activity, as well as
  absence of shortness of breath, weakness, and fatigue 
Patient verbalizes and uses energy-conservation techniques | 
Encourage adequate rest periods 
Refrain from performing nonessential procedures to promote
  rest 
Progress activity gradually 
Encourage verbalization of feelings regarding limitations 
Provide emotional support | 
References:
Gulanick, M. (2012). Activity intolerance – Weakness;
deconditioned; sedentary. Elsevier.
Retrieved from http://www1.us.elsevierhealth.com/MERLIN/Gulanick/archive/Constructor/gulanick01.html
 
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