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Pneumonia Nursing Care Plans

ASSESSMENT OBJECTIVES Short Term: After 3-4 hours of nursing interventions, the patients respiration will improve and difficulty of breathing will be relieved. NURSING INTERVENTIONS 1. Establish rapport to patient and SO 2. Assess patients condition 3. Monitor and record V/S 4. Auscultate lung fields, noting areas of decreased/absent airflow and adventitious breath sounds 5. Assist patient to change position every 30 minutes 6. Elevate head of bed and align head in the middle 7. Provide health teachings regarding effective coughing and deep breathing exercise. 8. Encourage to increase fluid intake. 9. Encourage steam inhalation 10. Administer meds as ordered RATIONALE 1. To gain the trust and cooperation 2. To know and determine patients needs 3. To establish base line data 4. To identify areas of consolidation and determine possible bronchospasm or obstruction. 5. To mobilize secretions 6. To facilitate breathing 7. To expel the mucous 8. To liquefy secretions 9. To moisten secretions and alleviate congestion 10. To reduce bronchospasm and mobilize secretion EXPECTED OUTCOMES Short Term: After 3-4 hours of nursing interventions, the patients respiration shall have improved and difficulty of breathing shall have been relieved.

With unproductive

cough With wheezes and crackles auscultated on left lower lungfield. Presence of clear watery discharge from her nose Restlessness Irritability

Long Term: After 3 4 days of nursing interventions, the patient will maintain a patent airway.

Long Term: After 3 4 days of nursing interventions, the patient will have been able to maintain a patent airway.