The patient presented with dyspnea, cough with sputum production, fever, tachycardia, and coarse crackles in the lungs. The nursing diagnosis was ineffective airway clearance related to increased secretions. The plan was for the patient to receive interventions including hydration, coughing techniques, and chest physiotherapy for one week to clear secretions and maintain a patent airway, as evidenced by clear breath sounds and ability to cough productively.
The patient presented with dyspnea, cough with sputum production, fever, tachycardia, and coarse crackles in the lungs. The nursing diagnosis was ineffective airway clearance related to increased secretions. The plan was for the patient to receive interventions including hydration, coughing techniques, and chest physiotherapy for one week to clear secretions and maintain a patent airway, as evidenced by clear breath sounds and ability to cough productively.
The patient presented with dyspnea, cough with sputum production, fever, tachycardia, and coarse crackles in the lungs. The nursing diagnosis was ineffective airway clearance related to increased secretions. The plan was for the patient to receive interventions including hydration, coughing techniques, and chest physiotherapy for one week to clear secretions and maintain a patent airway, as evidenced by clear breath sounds and ability to cough productively.
Subjective Data: Ineffective Airway Clearance After 1 week of nursing
related to Increased production interventions; the patient will be Dyspnea secretions as evidenced by able to: Objective Data: Coughing with sputum production, diminished breath Maintain a patent airway by T: 38.3 C sounds with scattered coarse managing secretions with hydration, effective P: 92 crackles bilaterally. coughing and chest R: 35 physiotherapy as evidenced BP: 138/68 mmHg by clear breaths upon auscultation, eupnea, and Productive Cough ability to cough out Difficulty in secretions. Sleeping Coarse crackles bilaterally Shortness of breath Alteration in respiratory rate.
Cues Nursing Diagnosis Outcome Criteria Interventio N Rational e Evaluatio N Discharg e Planning Subjective: Short Term: Independe NT Indepen Dent Short Term: M