-P, K

-Ineffective airway clearance related to bronchial secretions secondary to upper respiratory tract
infection
-High
-Respiratory tract infection is defined as any infectious disease of the upper or lower respiratory
tract including coughing as a symptom.
-The patient will be relieved from coughing

S: The patient verbalized “ Mag sge rako og ubo tapos dli sya gakawala”

O: >Febrile
> Anxiety
> Inability to cough effectively

Short: After 2 hours of nursing intervention, the patient can cough phlegm effectively.
Long: After 3 days of nursing intervention the patient will have complete relief from cough and
maintain clear airways.

Independent: Encourage to increase fluid intake

- Fluids help to move secretions

Monitor VS
-To assess baseline data

Position the client in an upright position

-Promotes better lung expansion

Teach the patient the proper way of coughing

- The most convenient way to remove secretions is through coughing

Dependent: Give medication as prescribed by the physician

-Medication can relieve airway clearance and may help remove secretions

Refer to the physician if symptoms still occur and intervention doesn’t work.
-Referring to a physician will help to have better intervention and fast recovery

Coordinate with a respiratory therapist

-To evaluate and assess more to prevent further complications

S: Goal met, after 2 hours of nursing intervention the patient still coughs but with less phlegm by
increasing fluid intake

L: Goal met, After 3 days of nursing intervention the patient was able to relieve from cough and
maintain clear and open airways.