Professional Documents
Culture Documents
2. S
I feel I do not have
the strength to go
thru the day
NANDA 3 part
nursing
diagnosis:
Activity intolerance r/t
imbalance between oxygen
supply and demand AEB
exertional dyspnea and
verbal report of weakness.
Evaluation
Correlate with
interventions
Number them!
1.
2.
2.
3.
3.
4.
4.
STG: Clients O2
saturation will remain
higher than 90%
throughout the shift.
5. S
I have shortness of
breath during
therapy
6. O
SPO2= 86%
Interventions
(actually
performed)
Correlates with
plan
Put here what was
done
Number them!
1.
3. S
I feel weak all the
time
4. S
I do not think can
walk alone to the
restroom
Plan (Intervention
with brief rationale)
for each one
9 individual plans
(3) Assessment
(3) activity
(3) action
Number them!
1. Assess BP when the
patient gets up from bed.
LTG: By
discharge the
client will report
minimal discomfort in
breathing efforts.
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