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  • Cebu Institute of Technology - University: Nursing Care Plan

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    Sergi
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    The nursing care plan is for a pediatric patient diagnosed with community acquired pneumonia. The plan includes an assessment noting the patient's dyspnea, tachycardia, abnormal lung sounds, and persistent coughing. The nursing diagnosis is ineffective airway clearance related to increased sputum production from pneumonia. Short term goals are for the patient's airway to be clear of secretions after 8 hours and long term is effective airway clearance after 3 days. Interventions include assessing vital signs, respiratory movements, sputum, teaching chest physiotherapy, and administering medications to treat the disease.

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    NURSING CARE PLAN (1)

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    The nursing care plan is for a pediatric patient diagnosed with community acquired pneumonia. The plan includes an assessment noting the patient's dyspnea, tachycardia, abnormal lung sounds, and persistent coughing. The nursing diagnosis is ineffective airway clearance related to increased sputum production from pneumonia. Short term goals are for the patient's airway to be clear of secretions after 8 hours and long term is effective airway clearance after 3 days. Interventions include assessing vital signs, respiratory movements, sputum, teaching chest physiotherapy, and administering medications to treat the disease.

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    86 views2 pages

    Cebu Institute of Technology - University: Nursing Care Plan

    Uploaded by

    Sergi
    The nursing care plan is for a pediatric patient diagnosed with community acquired pneumonia. The plan includes an assessment noting the patient's dyspnea, tachycardia, abnormal lung sounds, and persistent coughing. The nursing diagnosis is ineffective airway clearance related to increased sputum production from pneumonia. Short term goals are for the patient's airway to be clear of secretions after 8 hours and long term is effective airway clearance after 3 days. Interventions include assessing vital signs, respiratory movements, sputum, teaching chest physiotherapy, and administering medications to treat the disease.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    CEBU INSTITUTE OF TECHNOLOGY - UNIVERSITY

    COLLEGE OF NURSING

    NURSING CARE PLAN

    ASSESSMENT NURSING DIAGNOSIS SCIENTIFIC ANALYSIS PLANNING INTERVENTIONS RATIONALE EVALUATION


    (Subjective & (Dependent,
    Objective) Independent &
    Collaborative)
    Subjective: Ineffective airway Pneumonia is an excess Short term goal: Independent Short term goal:
    “Naglisod ug ginhawa clearance related to fluid in the lungs After 8 hours of nursing Assess vital signs To provide baseline After 8 hours of nursing
    akong anak tungod sa increased sputum resulting from an intervention, the Assess respiratory data intervention, the
    iyang ubo” as production secondary inflammatory process. patients’ airway will be movements and use of Use of accessory patients’ airway was
    verbalized by the to pediatric community The inflammation is free of secretions accessory muscle muscle indicates free of secretions as
    father. acquired pneumonia C triggered by inhalation Long term goal: abnormal increase in evidenced by clear lung
    of irritating agents. After 3 days of nursing work of breathing sounds after coughing
    Infectious pneumonias intervention, the
    Objective: are categorized as CAP. patient will be able to Assess sputum color, A sign of infection Long term goal:
     Dyspnea have effective airway amount and odor is discolored After 3 days of nursing
     Tachycardia clearance. sputum. interventions, the
     Presence of patient was able to
    abnormal lung Teach s/o chest For better excretion of have an effective
    sounds physiotherapy sputum airway clearance as
     Persistent evidenced by decreased
    coughing Dependent sputum production
    Administer medications To treat disease and
    as ordered other complications

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