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that may effect on his hypertension. Subjective: -chest pain. -One packed of cigarettes per day since age of 15. -he drinks alcohol socially. Objective: -T: 98.7 c or 37.0 c. PR:85 bpm -RR : 28 breaths per min. -BP : 160/100 mmHg. -obese ANALYSIS Hypertension means high pressure in the arteries. Arteries are vessels that carry blood from the pumping of the heart to all tissues & organs. The normal blood pressure is 120/90 and a blood pressure 149/90 or above is considering high. An elevation of the systolic or diastolic blood pressure is increases the chances of developing heart disease. EXPECTED OUTCOMES Mr. F will understand the disease and to know the factors that may affect on his disease. NURSING INTERVENTION I will assist him in identifying the factors that may affect on his hypertension like drinking alcohol & cigarettes. I will encourage him to eliminate or decrease drinking alcohol and smoking. RATIONALE To prevent his self from factors that may affect on his disease. These factors can contribute to his hypertension. RESOURCE EVALUATION S PLAN NANDA After BOOK intervention Mr. By F was able to Doengers understand about the disease, was able to determine the factors that contribute in hypertension & was able to know the right actions to prevent high blood pressure.
Because this factors may adversely affect cardiac function.
I will encourage him to have a regular exercise.
Exercise will help us be healthy and also helps to decrease blood pressure. And for the obese as he helps it to reduce our fat.
-smoking & drinking alcohol socially Objective: -pale skin color -rapid shallow breathing -RR:28 breaths/min -obese -nausea & sweating ANALYSIS Inspiration and/or expiration that does not provide adequate ventilation. -verbalize awareness of causative factors & initiate needed lifestyle changes. RATIONALE Upright position increases oxygenation and ventilation. Have client breath into a paper bag. NURSING INTERVENTION Positioned client in semi-Fowler s position to optimize respiration. -lessened irritability. It also allows maximum lung expansion. Assess for concomitant pain/ discomfort that may restrict respiratory effort. . EXPECTED OUTCOMES Establish a normal or effective respiratory pattern. RESOURCES NANDA BOOK by Doengers EVALUATION PLAN After of nursing intervention my client was able to: -establish a normal respiratory rate. using of paper bag for breathing will help to obtain the correct hyperventilation. I will encourage him to eliminate or decrease drinking alcohol and smoking.NURSING DIAGNOSIS Risk of ineffective breathing pattern Subjective: -chest pain -he feels short of breath. Because this factors may adversely affect respiratory function.