Scribd
Upload
70 views2 pages

NCP Pneumonia

The nursing care plan is for a patient with respiratory issues including wound drainage and crackles in the lungs. The plan's goal is to mobilize secretions and maintain airway patency within 8 hours. Interventions include deep breathing exercises, coughing drills, increased fluids, positioning, and monitoring respiration. After 8 hours, the goal was partially met as crackles remained but cough was productive and other measures like breathing improved.

Uploaded by

Gian Delos Santos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
70 views2 pages

NCP Pneumonia

The nursing care plan is for a patient with respiratory issues including wound drainage and crackles in the lungs. The plan's goal is to mobilize secretions and maintain airway patency within 8 hours. Interventions include deep breathing exercises, coughing drills, increased fluids, positioning, and monitoring respiration. After 8 hours, the goal was partially met as crackles remained but cough was productive and other measures like breathing improved.

Uploaded by

Gian Delos Santos
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Republic of the Philippines

NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY


Cabanatuan City, Nueva Ecija, Philippines

COLLEGE OF NURSING

NAME: Delos Santos, Gian M.


SECTION: BSN-1C

NURSING CARE PLAN FOR DIABETES MELLITUS TYPE 2


Nursing Assessment Planning Nursing Interventions Evaluation
Subjective: After 8 hours of nursing intervention, Independent: After 8 hours of nursing intervention
“Hindi gumagaling ang sugat ko” (My secretion will be mobilized, airway goal partially met.
wounds are not healing) patency will be maintained free of Encourage practicing deep breathing
evidenced patient’s ability to effectively techniques Every one to two hours during the day,
Objective: cough out secretions, clear lung sounds, the patient was able to perform deep
Flushed appearance normal body temperature , and Guide patients through coughing drills breathing exercises and coughing.
uncompromised respiratory rate.
Wound drainage. Increase fluid intake as necessary while Clients' inspiratory crackles and
keeping an eye on the rate, rhythm, respiratory rate are within normal
depth, and difficulty of breathing. limits.
V/S taken as follow:
Assist the patient into a backrest with a At the right lower lobe, there are still
T: 37.5 modest height. audible crackles during inspiration.
P:88
R:20 Auscultate the lung fields, noticing any Cough continues to be productive.
BP:120/90 places where the airflow is reduced or
absent and any advantages breath sounds.

Dependent:
Administer prescribed drugs such
bronchodilators, expectorants, and
mucolytic agents.

ISO Transforming Communities through Science and Technology


Telefax No. (044) 463-0226
9001:2015 neustmain@neust.com
Certified
www.neust.edu.ph
Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND TECHNOLOGY
Cabanatuan City, Nueva Ecija, Philippines

COLLEGE OF NURSING

As necessary, administer nebulizations.

Book Reference:
Doenges M. E. Moorhouse M. F. & Murr A. C. (2019). Nurse's pocket guide: diagnoses prioritized interventions and rationales (15th ed.). F.A. Davis.

ISO Transforming Communities through Science and Technology


Telefax No. (044) 463-0226
9001:2015 neustmain@neust.com
Certified
www.neust.edu.ph

You might also like