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NCP Ineffective Airway

The nursing care plan is for a client diagnosed with bronchiectasis who presents with a productive cough and difficulty breathing and vocalizing. The goal is for the client to have a patent airway after 1 week of nursing interventions. Objectives include positioning the client in a semi-fowler's position, teaching deep breathing and coughing exercises, and ensuring compliance with medications to facilitate recovery. The expected outcome is an open airway for the client after interventions.

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Cat San Gabriel Amurao
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636 views3 pages

NCP Ineffective Airway

The nursing care plan is for a client diagnosed with bronchiectasis who presents with a productive cough and difficulty breathing and vocalizing. The goal is for the client to have a patent airway after 1 week of nursing interventions. Objectives include positioning the client in a semi-fowler's position, teaching deep breathing and coughing exercises, and ensuring compliance with medications to facilitate recovery. The expected outcome is an open airway for the client after interventions.

Uploaded by

Cat San Gabriel Amurao
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Far Eastern University

Institute of Nursing

Nursing Care Plan

Nursing Goal and Outcome


Cues Analysis Interventions Rationale
Diagnosis Objectives Evaluation
S: Bronchiectasis Ineffective Goal: After 1 week of
is a disease airway After 1 week of nursing
productive state defined by clearance nursing intervention,
cough for 2 localized, related to intervention, the the client was
week irreversible bronchiectasis client will have able to have
dilation of part of secondary to patent airway. patent airway.
difficulty of the bronchial pulmonary
breathing tree. It is tuberculosis Objectives:
classified as an After 8 hours of
hemoptysis obstructive lung nursing
disease, along intervention, the
with client will be
O: emphysema, able to:
(+) crackles bronchitis and
cystic fibrosis. 1.to be in a Position the To maintain an
RR=32cpm Involved bronchi semi-fowler’s client in a semi- open airway
are dilated, position fowler’s even when at
Productive inflamed, and position rest
cough easily
collapsible,
Difficulty resulting in 2. state in her Explain to the Deep breathing
vocalizing airflow own words what client what promotes
obstruction and deep breathing deep breathing oxygenation
impaired is is before
clearance of controlled
secretions. 3. state in her Discuss with coughing
Bronchiectasis is own words the the client the
associated with mportance of importance of (Fundamentals
a wide range of deep breathing deep breathing of Nursing by
disorders, but it Kozier and Erb
usually results 4. demonstrate Demonstrate to 7th edition page
from necrotizing proper deep the client 1327)
bacterial breathing proper deep
infections, such breathing
as infections
caused by the
Staphylococcus
or Klebsiella
species or 5. state in her Explain to the Controlled
Bordetella own words what client what coughing is
pertussis. coughing coughing accomplished
exercise is exercise is by closure of the
glottis and the
5. state in her Discuss with expulsion of air
own words the the client the from the lungs
importance of importance of by the work of
coughing coughing abdominal and
exercises exercises chest muscles

6. demonstrate Demonstrate to (Fundamentals


proper coughing the client the of Nursing by
exercises proper Kozier and Erb
coughing 7th edition page
exercises 1327)
7. explain the Explain to the
importance of client the Adequate fluid
fluid hydration importance of intake enhances
fluid hydration liquefaction of
pulmonary
secretion and
facilitates
expectoration of
mucus.

(Fundamentals
of Nursing by
Kozier and Erb
7th edition page
1327)
8. explain the
importance of Explain to the Strict
compliance to client the compliance to
medications importance of medication will
compliance to facilitate
medications recovery

Administer (Pharmacology
medications as 8th edition)
ordered

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