Nursing Problems Ran Justification

k
Impaired gas 1 Actual This is the highest prioritized problem because it
exchange related to Proble deals with the patient’s ventilation and perfusion. In
alveolar-capillary m impaired gas exchange, there is a problem in entry
membrane changes of oxygen and removal of carbon dioxide at the
alveolocapillary membrane therefore difficulty of
breathing can occur; and according to Airway from
ABC’s of basic life support, the protection and
maintenance of a clear passageway for gases
(principally oxygen and carbon dioxide) to pass
between the lungs and the outside of the body
should be given priority first.

Ineffective breathing 2 Actual It is the second highest prioritized problem

pattern related to Proble because it deals with the patients breathing
decreased lung m pattern, which is according to the Maslow’s
expansion hierarchy of needs, breathing belongs to a person’s
physiological needs. A good breathing pattern can
also affect and promote healing of surgical wounds

Disturbed sleeping 3 Actual It is the third prioritized problem which is also an

pattern related to Proble actual problem. Sleeping is necessary for a human
interruptions for m being to gain enough energy to perform certain
therapeutics, tasks or his ADLs. Having enough sleep and
monitoring, lab tests; energy can help boost a person’s immune system
and other generated and his ability to get well from any diseases. This
awakening also belongs to one of the physiologic needs of a
human being that should be given priority.

Impaired skin 4 Actual It is also an actual problem, because there is an

integrity related to Proble increased risk for having an infection. Having a
presence of CTT m break in the first line of defense of the body
increases the percentage of the person to have
certain infections.
Risk for infection 5 Risk It is lastly prioritized because it is not an actual
related to Proble problem yet Improper wound care and ineffective
inappropriate wound m protection measures can lead to infection; that’s
care of the CTT site why immediate intervention/s are also required