Pneumonia Nursing Care Plans

ASSESSMENT OBJECTIVES NURSING RATIONALE EXPECTED OUTCOMES

INTERVENTIONS
 With unproductive Short Term:
1. Establish rapport to 1. To gain the trust
Short Term: After 3-4
cough patient and SO and cooperation
After 3-4 hours of nursing hours of nursing
 With wheezes and 2. Assess patient’s 2. To know and
interventions, the patient’s interventions, the patient’s
crackles condition determine patient’s
respiration will improve and respiration shall have
auscultated on left 3. Monitor and record needs
difficulty of breathing will improved and difficulty of
lower lungfield. V/S 3. To establish base
be relieved. breathing shall have been
4. Auscultate lung line data
 Presence of clear relieved.
fields, noting areas 4. To identify areas of
watery discharge
of decreased/absent consolidation and
from her nose Long Term: airflow and determine possible
 Restlessness After 3 – 4 days of nursing adventitious breath bronchospasm or
 Irritability interventions, the patient sounds obstruction.
will maintain a patent 5. Assist patient to 5. To mobilize
airway. change position secretions
every 30 minutes 6. To facilitate Long Term:
6. Elevate head of bed breathing
and align head in 7. To expel the mucous After 3 – 4 days of nursing
the middle 8. To liquefy secretions interventions, the patient
7. Provide health 9. To moisten will have been able to
teachings regarding secretions and maintain a patent airway.
effective coughing alleviate
and deep breathing congestion
exercise. 10. To reduce
8. Encourage to bronchospasm and
increase fluid mobilize secretion
intake.
9. Encourage steam
inhalation
10. Administer meds as
ordered