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ASSESSMENT NURSING DIAGNOSIS PLANNING

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.

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