Professional Documents
Culture Documents
Collaborative
• Instruct client
to consult • Modification
nutritionist for from the diet
meal planning may prevent
NURSING CARE PLAN
ASESSMENT NURSING SCIENTIFIC PLANNING INTERVENTIONS RATIONALE EVALUATION
DIAGNOSIS RATIONALE
ineffective Altered lung Long Term: Independent: Long Term:
Breathing Pattern defense
Subjective: related to smoking After of 2 weeks of • Maintain calm • To limit level of After of 2 weeks of
nursing attitude of the anxiety nursing
“Nahihirapan nga as evidenced of interventions the client interventions the
ako minsan,” as RR of 26cpm client will be able client was able
verbalized -deceased cough have normal have normal
Objective: effectiveness respiratory pattern • Instruct respiratory pattern
• To promote lung
-decreased of 16-20 client to expansion of 16-20
mucocilliary Short Term: perform deep Short Term:
• RR: 26 breathing
function
After 2 hours of exercises After 2 hours of
• asymmetrical -altered mucus nursing nursing
chest • It can promote
interventions the interventions the
expansion lung expansion
client will be able • demonstrate client was able to:
• presence of Impaired gas to: diaphragmatic and breathing of
cough exchange breathing the client.
• Verbalized 3
• crackles sound • Verbalized 3 -lie in supine causative
upon Increase close causative position, inhale factors
auscultation volume factors and exhale
slowly • Cigarettes are • Demonstrate at
• Demonstrate at main cause why least 3
least 3 • Encourage client the client has techniques for
Irregular breathing
techniques for to reduce or DOB. It coping
pattern
coping avoid used of decreases the behaviors
behaviors cigarettes cilliary action of
the lungs.
Ref: Medical
Surgical page 626
• To promote
breathing pattern
• Encourage
exercise • To provide
information and
• Provide health to encourage
teachings about client to avoid
the ff: taking cigarettes
-smoking: cause
and effect