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  • Student Nurses' Community: Nursing Care Plan Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

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    Ven Belista
    30K vizualizări2 pagini
    The nursing care plan summarizes the assessment, diagnosis, planning, and evaluation for a patient with ineffective breathing patterns related to an acute infection and decreased lung capacity. The plan involves monitoring the patient's respiratory status and administering oxygen therapy. After 8 hours of nursing intervention, the patient was able to breathe at a normal rate and pattern with minimal signs of infection.

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    The nursing care plan summarizes the assessment, diagnosis, planning, and evaluation for a patient with ineffective breathing patterns related to an acute infection and decreased lung capacity. The plan involves monitoring the patient's respiratory status and administering oxygen therapy. After 8 hours of nursing intervention, the patient was able to breathe at a normal rate and pattern with minimal signs of infection.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    30K vizualizări2 pagini

    Student Nurses' Community: Nursing Care Plan Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

    Încărcat de

    Ven Belista
    The nursing care plan summarizes the assessment, diagnosis, planning, and evaluation for a patient with ineffective breathing patterns related to an acute infection and decreased lung capacity. The plan involves monitoring the patient's respiratory status and administering oxygen therapy. After 8 hours of nursing intervention, the patient was able to breathe at a normal rate and pattern with minimal signs of infection.

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 2

    Student Nurses’ Community

    NURSING CARE PLAN


    ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
    SUBJECTIVE: Ineffective The risk of TB is After 8 hours • Monitor respiratory • Respiratory status After 8 hours of
    breathing a higher in older of nursing status, including vital assessment helps nursing
    The patient may pattern people who have intervention signs, breath sounds, gauge the intervention the
    report: related to close contact the patient will: patient was able
    and skin color. patient’s severity
    acute with a newly and whether it’s to:
    • Past infection and
    diagnosed TB • Promote progressing.
    exposure to decreased
    TB. lung patient, those good • Administer oxygen • To provide relief • Breathing
    who have TB respiratory therapy as ordered. from symptoms of returned to
    • Progressive capacity.
    before, function and normal rate
    fatigue hypoxemia and
    gastrectomy treat
    • Loss of hypoxia. and pattern
    infection
    appetite patients, and • Monitor ABG levels • ABG levels and • Minimal or
    • Promote
    • Unexplained those affected and oxygen continuous pulse no signs of
    comfort
    weight loss. with diabetes saturation as ordered. oximetry infection.
    mellitus. The measures the
    OBJECTIVE: aging process blood’s oxygen
    weakens the content and are
    • Cough that immune system, good indicators of
    may be further increasing the lung’s ability
    nonproductiv the likelihood of to oxygenate the
    e at first but tubercular
    later
    blood.
    infection in older • Place the patient in • To increase chest
    produces
    adults. semi-fowlers position expansion and to
    sputum and
    progresses and place the alleviate dyspnea.
    to Transmission diaphragm in proper
    hemoptysis. occurs when position to contract.
    • Crackles droplet nuclei are • Collect sputum • To monitor the
    • Pleuritc pain produced form samples as ordered. progress of the
    • Dyspnea an infected disease and
    person’s coughs treatment.
    or sneezes. If
    inhaled, tubercle
    bacillus settles in
    the alveolus and
    infection occurs,
    Student Nurses’ Community

    with
    alveolocapillary
    dilation and
    endothelial
    swelling. The
    incubation time
    for TB is 4 to 8
    weeks. TB is
    usually
    asymptomatic in
    primary infection.

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