URDANETA CITY UNIVERSITY

San Vicente West, Urdaneta City, Pangasinan 2428

COLLEGE OF HEALTH SCIENCES

Bachelor of Science in Nursing

Manaois, Darlene Dana S.

III-4A

3. You are the assigned nurse of this patient in Rm. 301 Pediatric Medical Wing of P. Orata
Medical Center. Your nurse supervisor asks you to make an F-DAR Charting for your 3-11PM
shift.

DATE/TIME FOCUS NURSES NOTES

05/01/2021 Ineffective breathing pattern D:
related to bronchospasm as
evidenced by persistent T:38.1
cough P:100BPM
RR:24
BP:85/65

>cough two weeks

>clear eyes
>boggy nasal mucosa w/ clear dc
>rhonchi and wheezes are present when
auscultated
>skin is dry

A:

Assessed general health status; monitored

vital signs and record; Monitored respiratory
patterns, including rate, depth and effort;
Maintained semi fowlers position; medication
given as ordered; Ensured safety; Maintained
well ventilated environment; Encourage deep
breathing exercise

R:
Temperature decreased from 38.1 to 36.8;
normal vital signs; absence of ronchi and
wheezes; skin is not dry.