Assessment Nursing Background Knowledge Planning Nursing Rationale Evaluation

Diagnosis Intervention
Subjective Domain 4: Class After hours the  Assess patient  Closely After 24 hours
4 Exertioni patient will RR monitor and the patient
“Naninikip dibdib Ineffective improve document would improve
ko habang breathing pattern breathing respiratory breathing
gumagawa ako ng related to Production of patterns rate patterns as
physical activity, narrowing the mediators evidence by  Listen to the  A restriction evidence by
para akong airway as normal breath of airflow in normal
hinahapo at evidence by breathing sounds. the trachea breathing
kinukulang ang wheezing. Bronchial Constriction pattern. (windpipe) or pattern.
hininga” stated by the throat
the client. causes a
Bronchial Inflammation wheezing-
like sound.
High-pitched
sounds are
Lead to secretion caused by
narrowed
airways.
Objective
Ineffective airway  Apply Oxygen  to improve
 shortness of
clearance ventilation
breath
and
 coughing
perfusion.
 wheezing
 Place the  raise the
 chest
client’s head of the
tightness
position into bed for
comfortable optimal
position or breathing
fowler’s and to
position prevent
obstruction