Problem Nursing Background Goal and Nursing Rationale Evaluation

Diagnosis Knowledge Objective Intervention

S: Activity Coughing is Activity -Evaluate patient Establishes After 4 hours

“Hindi ako intolerance the body’s intolerance response to patient of nursing
makatulog sa aking related to way of related to activity. capabilities or intervention
ubo exhaustion removing exhaustion needs and the patient
associated foreign associated -Provide a quiet facilities choice was able to
with material or with environment and of intervention demonstrate
interruption mucus from interruption limit visitors measurable
in usual sleep the lungs in usual during acute -Reduces stress increase
pattern and throat. sleep phase. and excess intolerance
O: because of The two pattern stimulation inactivity
V/S taken as discomfort. general because of -Elevate head and promoting rest. with absence
follows: Excessive classification discomfort encourage of dyspnea
BP: 120/80 coughing and of cough are excessive frequent position -These and
T: 36.6 dyspnea. productive coughing changes deep measures excessive
PR: 99 cough and breathing and promotes fatigue.
RR: 26 (producing dyspnea effective maximal
phlegm or coughing inspiration
mucus from enhance
the lungs -Encourage expectation of
)and non- adequate rest secretion to
productive balance activity. improve
coughs (dry Promote ventilation
and not adequate
producing nutritional intake -Facilitates
any mucus healing process
or phlegm DEPENDENT and enhances
Administer natural
medications as resistance.
prescribe: