GROUP 20 BSN III-E

NURSING DIAGNOSIS PRIORITIZATION ON CASE SCENARIO 1

NURSING DIAGNOSES:

Actual Nursing Diagnosis

1. Ineffective Airway Clearance related to retained mucus secretions secondary to acute

bronchitis as evidenced by coughing, dyspnea on exertion and tachypnea. (PARAS)
2. Impaired gas exchange related to obstructed airways secondary to Acute Bronchitis as
evidenced by shortness of breath, respiratory distress when talking, increased RR, and
decreased BP. (RONQUILLO)
3. Ineffective breathing pattern related to respiratory distress/muscle fatigue secondary to
acute bronchitis as evidenced by shortness of breath and RR of 25bpm (DIMACALI)
4. Anxiety related to threat to current status as evidenced by shortness of breath, increased
respiratory rate, decreased blood pressure and incontinence (BUCUD)
5. Imbalanced Nutrition: Less Than Body Requirements related to insufficient dietary intake
as evidenced by weight loss (VASQUEZ)
6. Fatigue related to physiological condition and increase in physical exertion aeb
shortness of breath, weight loss, and anxiety (PAJARILLAGA)
7. Activity Intolerance r/t imbalance between oxygen supply and demand secondary to
acute bronchitis aeb shortness of breath and increased respiratory rate (TUAZON)
8. Stress urinary incontinence related to weak pelvic floor muscles secondary to acute
bronchitis. (BONIFACIO)

Risk Nursing Diagnosis

9. Risk for Deficient Fluid Volume related to active fluid volume loss secondary to acute
bronchitis (TINDUGAN)
10. Risk for infection related to secretions persistence and chronic disease processes
(TUNDAYAG)
11. Risk for injury R/T respiratory distress (GONZALES)