Delaware Technical Community College
NUR 320 Health Assessment
STUDENT NAME: ____Tatim Kane_________________________________ DATE: ___4/21/24________________
Identified problem/need:
(include supporting subjective
and objective data)
Ineffective Airway clearance R/T
anaphylaxis and asthma
-ineffective cough
-SOB
-diminished lung sounds
(symptoms when attacks have
occurred)
Risk for Testicular Cancer
-age 25
-white male
-family hx of cancer
Gun Safety
-Hunts deer, turkey, and
waterfowl
RN to BSN program: Plan of Care Chart
Nursing plan of care for Mr. S
Identified goal or outcome:
-Mr. S will be able to speak
clearly without signs of
difficulty.
-Mr. S will demonstrate clear
breath sounds upon
auscultation.
-Mr. S will be able to identify
signs/symptoms of testicular
cancer.
-Mr. S will be able to perform a
self-examination successfully.
-Mr. S will treat every gun as it
is loaded.
-Mr. S will understand
Plan/ Interventions:
(Provide rationale/ and cited
evidence to justify the rationale)
-Administer IM epinephrine as
needed/ordered to prevent
further airway deterioration.
(Ring et al. 2018)
-Remove allergen or trigger to
prevent further reaction.
(Salvador & Wagner, 2024)
-Teach signs/symptoms such as
lump/swelling in either testicle,
scrotal heaviness, dull ache in
belly groin, etc. for health prom.
-Teach proper self-examination
of testes to promote self-health
and possible early identification
of cancer (Self Screening, 2024)
-Teach importance of treating
every gun as if it is loaded to
prevent potential accidents.
Projected Evaluation/
Outcomes: (How will you
measure that it worked?)
-Mr. S displays unlabored
breathing with oxygen between
95-100%.
-Mr. S has clear lung sounds
upon auscultation.
-Mr. S has strong, effective
cough.
-Mr. S successfully identifies
common signs/symptoms of
testicular cancer.
-Mr. S successfully performs
self-examination with teach-
back.
-Mr. S will be able to
successfully identify gun safety
techniques and approaches.
Community Resources/
Referrals: (Must be actual
resources from the client’s
community. Include Name,
address, web address, and
phone number)
Peninsula Allergy & Asthma
Associates:
20099 Office Cir Suite 208,
Georgetown, DE 19947
(302) 856-1773
https://
www.theallergyexperts.com/
index.html
MDVIP-Dr. Brownstein:
611 Federal Street Suite 2
Milton, DE 19968
(302) 664-8403
https://www.mdvip.com
First State Firearms Training:
Middletown, DE
(302) 834-0333
-Leaves guns out of case/safe importance of safe gun storage.
-Mr. S will keep his trigger finger
outside of the trigger guard until
he intends to shoot.
-Teach Mr. S about safe storage
specifically having a gun safe if
there will be guns in his home.
-Encourage a firearm safety
class as refresher for gun safety.
-Mr. S will have a gun safe on Firststatefirearmstraining.com
his home premises for personal
protection weapons.