Nursing Care Plan

Patient: Male, 23 years old

Diagnosis: Acute bronchitis resolving

Chief Complaint: Cough and cold

Assessment Nursing Planning Nursing Intervention Rationale Evaluation

Diagnosis

Subjective: Ineffective airway After 2 hours of >Assessed breath sounds. > to ascertain status, breath Goal met, after 2 hours
“may sipon pa din clearance related nursing sounds suggest developing of intervention the
ako at inuubo pa to intervention pulmonary infection. patient shows behavior
minsan minsan” tracheabronchial patient will on maintained clear air
as verbalized by maintain airway >Monitored respiratory rate, > Respiration may remain way.
the patient. patency depth and working breathing. somewhat rapid because of
hyperthyroid state, but
development of respiratory
Objective: distress is indicative tracheal
>occasionally compression from edema or
productive cough hemorrhage.
>Maintained bed rest.
>cold > for patient to gain energy and
prevent or lessen fatigue.
>RR-22 >Encouraged deep breathing
and coughing exercise. > maintains clear airway and
ventilation. Although “routine”
coughing is not encouraged and
may be painful, it may be
>Encouraged increased fluid necessary to clear secretion.
intake like fruit juices.
> to help liquefy secretion, fruit
juices contain vitamins that can
>Due medication given such help to the patient.
co-amoxiclav and ascorbic
acid. > to fight the bacterial infection,

>Adviced on proper disposal
of respiratory secretion.
improve or make immune system
strong.
> to avoid infecting others and
spreading the bacteria.

University of Perpetual Help System-GMA Campus

College of Nursing

Nursing Care Plan

Submitted by:
 Glory Ann P. Cadalin

BSN IIIA

Submitted to:

Mrs. Rizalina B. Ragudo RN, MAN