The patient had ineffective breathing due to pleural effusion, exhibiting Kussmaul breathing and a respiratory rate of 24. After repositioning the bed, deep breathing exercises, monitoring oxygen levels, and administering a bronchodilator, the patient's respiratory rate normalized to 19.
The patient was at risk of infection after chest thoracostomy tube insertion. To reduce this risk, the nurse assessed for signs of infection, emphasized hand washing, changed the dressing daily, kept the surgical area clean and dry, administered antibiotics, and maintained a clean environment. These interventions prevented infection.
The patient had ineffective breathing due to pleural effusion, exhibiting Kussmaul breathing and a respiratory rate of 24. After repositioning the bed, deep breathing exercises, monitoring oxygen levels, and administering a bronchodilator, the patient's respiratory rate normalized to 19.
The patient was at risk of infection after chest thoracostomy tube insertion. To reduce this risk, the nurse assessed for signs of infection, emphasized hand washing, changed the dressing daily, kept the surgical area clean and dry, administered antibiotics, and maintained a clean environment. These interventions prevented infection.
The patient had ineffective breathing due to pleural effusion, exhibiting Kussmaul breathing and a respiratory rate of 24. After repositioning the bed, deep breathing exercises, monitoring oxygen levels, and administering a bronchodilator, the patient's respiratory rate normalized to 19.
The patient was at risk of infection after chest thoracostomy tube insertion. To reduce this risk, the nurse assessed for signs of infection, emphasized hand washing, changed the dressing daily, kept the surgical area clean and dry, administered antibiotics, and maintained a clean environment. These interventions prevented infection.
The patient had ineffective breathing due to pleural effusion, exhibiting Kussmaul breathing and a respiratory rate of 24. After repositioning the bed, deep breathing exercises, monitoring oxygen levels, and administering a bronchodilator, the patient's respiratory rate normalized to 19.
The patient was at risk of infection after chest thoracostomy tube insertion. To reduce this risk, the nurse assessed for signs of infection, emphasized hand washing, changed the dressing daily, kept the surgical area clean and dry, administered antibiotics, and maintained a clean environment. These interventions prevented infection.
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1.
F - Ineffective Breathing Pattern related to narrowed lung expansion
secondary to pleural effusion D - Kussmaul breathing; Respiratory rate of 24 breaths per minute A Respiratory rate was rechecked Positioned bed on semi-fowlers Encourage deep breathing exercises Monitor O2 saturation using pulse oximetry Administer bronchodilator as prescribed R Respiratory rate normalized as evidenced by 19 breaths per minute
2. F Risk for infection related to surgical opening secondary to Chest
Thoracostomy Tube insertion D Chest Thoracostomy Tube was inserted at Right side of patient A Assess for any sign of infection, especially the body temperature Emphasize the importance of hand washing technique Change the dressing daily Keep the area around the surgical opening clean and dry Keep the environment clean Administer antibiotics as prescribed R Interventions were done to reduce the chance of the patient from having an infection. Patient showed no signs of infection.