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ASSESSMENT NURSING SCIENTIFIC PLANNING NURSING RATIONALE EXPECTED

DIAGNOSIS ANALYSIS INTERVENTIO OUTCOME


N
Subjective Ineffective A state in Within 8 • Establishe - Rapport is After 8
breathing which an hours, d rapport important to gain hours
"Gi ubo pattern individual’s patient will patient’s patient
man siya related to inhalation exhibit • Obtained cooperation will be
ma'am ug inflammatory and/or normal and resting and reduce able to
tulo na ka effects exhalation effective vital anxiety. exhibit a
adlaw mao of pneumonia pattern does respiratory signs normal and
nang amo not enable pattern as - Baseline data is effective
sya gipa adequate evidenced • Placed important to help respiratory
check up." pulmonary by: patient in determine pattern as
as inflation or a semi- patient’s current evidenced
verbalized emptying. Respirations Fowler’s health status and by:
by the within to high- evaluate efficacy
patient's acceptable Fowler’s of nursing • Respirati
S.O. range position interventions ons
rendered. within
Objective Absence of • Reposition normal
signs and patient q - An upright range
W- 18.3 kg symptoms of 2h position promotes • Absence
T- 36.4 shortness of lung expansion and of signs
RR- 54 bpm breath • Encouraged mobilization of and
increase secretions. symptoms
in oral of
fluid - Frequent shortness
intake; repositioning of
offered prevents pooling breathing
warm and stasis for
liquids secretions.

- Warm liquids aid


in mobilization of
secretions.