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    Nursing Care Plan: Cues Nursing Diagnosis Scientific Explanation Planning Interventions Rationale Expected Outcome

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    charmdosz
    The nursing care plan is for a client with risk of ineffective airway clearance due to tracheal compression. The plan includes interventions to assess respiratory status, position the client in a semi-Fowler's position, and monitor for signs of obstruction. A second diagnosis is a knowledge deficit regarding the client's condition. The plan aims to educate the client on disease prognosis and the importance of medical care through discussion of feelings and determining their current understanding.

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    Nursing Care Plan: Cues Nursing Diagnosis Scientific Explanation Planning Interventions Rationale Expected Outcome

    Uploaded by

    charmdosz
    310 views2 pages
    The nursing care plan is for a client with risk of ineffective airway clearance due to tracheal compression. The plan includes interventions to assess respiratory status, position the client in a semi-Fowler's position, and monitor for signs of obstruction. A second diagnosis is a knowledge deficit regarding the client's condition. The plan aims to educate the client on disease prognosis and the importance of medical care through discussion of feelings and determining their current understanding.

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    Ncp

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    The nursing care plan is for a client with risk of ineffective airway clearance due to tracheal compression. The plan includes interventions to assess respiratory status, position the client in a semi-Fowler's position, and monitor for signs of obstruction. A second diagnosis is a knowledge deficit regarding the client's condition. The plan aims to educate the client on disease prognosis and the importance of medical care through discussion of feelings and determining their current understanding.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    310 views2 pages

    Nursing Care Plan: Cues Nursing Diagnosis Scientific Explanation Planning Interventions Rationale Expected Outcome

    Uploaded by

    charmdosz
    The nursing care plan is for a client with risk of ineffective airway clearance due to tracheal compression. The plan includes interventions to assess respiratory status, position the client in a semi-Fowler's position, and monitor for signs of obstruction. A second diagnosis is a knowledge deficit regarding the client's condition. The plan aims to educate the client on disease prognosis and the importance of medical care through discussion of feelings and determining their current understanding.

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    NURSING CARE PLAN

    CUES

    NURSING DIAGNOSIS Risk for Ineffective Airway Clearance r/t tracheal compression or obstruction

    SCIENTIFIC EXPLANATION Pressure on the trachea sufficient to cause displacement and reduction in caliber, usually inside the thorax causing difficulty breathing and swallowing

    PLANNING

    INTERVENTIONS

    RATIONALE

    EXPECTED OUTCOME After of nursing intervention, the client will maintain patent airway with aspiration prevented

    S> O > presence of visible thyroid gland on anterior neck upon swallowing >gland rises with swallowing

    After 30 minutes to 1 hour of nursing intervention, the client will be able to maintain patent airway with aspiration prevented

    >assess for dyspnea,stridor, >monitor respiratory rate, depth and work of breathing >auscultate breath sounds, noting presence of rhonchi >encourage client to lie on bed slightly elevated(semifowlers)

    >indicators of tracheal obstruction requiring prompt evaluation and interventions >respirations may remain somewhat rapid because of hyperthyroid state, but development of respiratory distress is indicative of tracheal compression >rhonchi may indicate airway obstruction > enhances breathing

    CUES

    NURSING DIAGNOSIS Knowledge Deficit r/t unfamiliarity with information resources

    SCIENTIFIC EXPLANATION lack of cognitive information or psychomotor skills required for health recovery, maintenance, or health promotion

    PLANNING

    INTERVENTIONS

    RATIONALE

    EXPECTED OUTCOME After 1 hour of nursing intervention, the client will verbalize understanding of prognosis and potential complications contributes to health

    S > hindi ko po alam madam kung ano pwede mangyari dito, di naman masakit, di naman makapunta ng ospital dahil walang pera O > lack of information about the disease process and possible complications of not seeking health care/medical check up

    Within 30 minutes to 1 hour of nursing intervention, the client will be able to verbalize understanding of prognosis and potential complications

    >encourage verbalization of feelings >determine clients level of understanding of the disease process > avoiding stressful situations and emotional/outburst >educate client the importance of seeking health maintenance

    >to note factors contribute to knowledge deficit >to assess clients ability to cope with the learning process >to prevent stress and pressure in making decisions >to further evaluate condition and disease process

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