Assessment Nursing Diagnosis Nursing Goal Nursing Rationale Evaluation

Intervention
Subjective Data: Problem: Short term Goals: Independent: Short Term Goal met:
Adequate rest balanced
Chief concern of the A lung mass is an After the Nursing Encourage rest periods with activity can after the nursing
client is non stop abnormal growth or Intervention, the and limit activities prevent respiratory intervention, the
coughing getting worse area in the lungs that is patient will be able to: according to client compromise. The patient was able to
day by day, chest pain more than 3 tolerance. client’s activity level, as demonstrate properly
and shortness of centimeters in -The client will measured by a ventilation and
breathing diameter. Anything demonstrate improved Educate regarding performance status adequate oxygenation
smaller than this is ventilation and smoking cessation. scale is an important of tissues, by ABGs
Method: classified as a lung adequate oxygenation prognostic factor with normal range, and
nodule. Lung masses of tissues by ABGs Maintain patent airway also the client was able
Interview can be benign (non- within the normal by positioning, Advise clients that to free from all the
cancerous) or malignant range. suctioning, and use of smoking cessation is the symptoms
Objective Data: (cancerous). In most airway adjuncts most important
cases, lung masses are -The client will be free measure for preventing
VS: cancerous. of symptoms of Reposition frequently, lung cancer Long Term Goal met:
Temp: 36.8*C respiratory distress. placing the client in
PR: 88 Bpm Etiology: sitting positions and Airway obstruction After the nursing
RR: 18 Bpm supine to side positions. impedes ventilation, intervention, the
BP: 120/70 mmHg The most common However, avoid imparing gas exchange patient increases his
causes of a lung mass positioning the client knowledge about the
differ from those of a with a pneumonectomy This maximizes lung condition itself, and the
lung nodule. The on the operative side; expansion and provision of proper
chance that the instead, favor the “good drainiage of secretion nursing care, improve
abnormality may be lung down” position. and maintain a good
malignant (cancerous) is health status
lower for a lung nodule
than it is for a mass.