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    Asthma NCP

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    jaijai magbanua
    The document outlines a nursing assessment, diagnosis, plan of care, and evaluation for a client presenting with symptoms of an asthma exacerbation including wheezing, shortness of breath, coughing, and mucus production. The short term nursing interventions include establishing rapport, assessing vital signs and respiratory status, demonstrating pursed-lip breathing, and elevating the head of the bed. The long term goals are for the client to manifest decreased respiratory effort and absence of dyspnea after 2 days of nursing interventions including medications, fluid intake, rest, and monitoring of peak flow and pulmonary function tests.

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    © All Rights Reserved
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    Asthma NCP

    Uploaded by

    jaijai magbanua
    474 views3 pages
    The document outlines a nursing assessment, diagnosis, plan of care, and evaluation for a client presenting with symptoms of an asthma exacerbation including wheezing, shortness of breath, coughing, and mucus production. The short term nursing interventions include establishing rapport, assessing vital signs and respiratory status, demonstrating pursed-lip breathing, and elevating the head of the bed. The long term goals are for the client to manifest decreased respiratory effort and absence of dyspnea after 2 days of nursing interventions including medications, fluid intake, rest, and monitoring of peak flow and pulmonary function tests.

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    Original Title

    Asthma Ncp

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    The document outlines a nursing assessment, diagnosis, plan of care, and evaluation for a client presenting with symptoms of an asthma exacerbation including wheezing, shortness of breath, coughing, and mucus production. The short term nursing interventions include establishing rapport, assessing vital signs and respiratory status, demonstrating pursed-lip breathing, and elevating the head of the bed. The long term goals are for the client to manifest decreased respiratory effort and absence of dyspnea after 2 days of nursing interventions including medications, fluid intake, rest, and monitoring of peak flow and pulmonary function tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    474 views3 pages

    Asthma NCP

    Uploaded by

    jaijai magbanua
    The document outlines a nursing assessment, diagnosis, plan of care, and evaluation for a client presenting with symptoms of an asthma exacerbation including wheezing, shortness of breath, coughing, and mucus production. The short term nursing interventions include establishing rapport, assessing vital signs and respiratory status, demonstrating pursed-lip breathing, and elevating the head of the bed. The long term goals are for the client to manifest decreased respiratory effort and absence of dyspnea after 2 days of nursing interventions including medications, fluid intake, rest, and monitoring of peak flow and pulmonary function tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3
    At a glance
    Powered by AI
    The key takeaways are assessing and monitoring a patient with respiratory distress and implementing nursing interventions like pursed lip breathing, diaphragmatic breathing, positioning changes and medication administration.

    The short term goal is for the patient to demonstrate pursed lip and diaphragmatic breathing after an hour. The long term goal is for the patient to show decreased respiratory effort and absence of dyspnea after 2 days.

    The independent nursing actions are establishing rapport, assessing the patient, monitoring vitals, auscultating breath sounds and demonstrating breathing techniques. The dependent action is administering ordered medication.

    Nursing Nursing Background Planning Nursing Intervention Rationale Evaluation

    Assessment Diagnosis Knowledge


    Subjective: Ineffective Allergens Short term: Independent: Independent: Short term:
    “She mentioned airway Aftern an 1. Establish 1. To gain Aftern an
    that he was playing
    clearance hour of rapport client’s hour of
    with the cats of related to nursing trust nursing
    their neighbor near
    increased Airway intervention 2. To intervention
    the bushes at themucus Inflammation the patient 2. Assess client’s obtain the patient
    garden area when production will condition and baseline was able to
    he felt extremely, and demonstrate monitor vital data and demonstrate
    distressed accessory pursed-lip signs serve to pursed-lip
    Hypersecretio
    breathing” as muscle as breathing track breathing
    n of mucus,
    verbalized by theevidenced and importan and
    Airway muscle
    client’s mother by diaphragmati t diaphragmati
    constriction,
    wheezing, c breathing changes c breathing
    Objective: swelling of 3. Auscultate
    cough, 3. To
    bronchial Long term: breath sounds Long term:
     Wheezing and check
    membrane After 2 days and assess After 2 days
     Shortness of dyspnea for
    of nursing airway pattern of nursing
    breath presenc
     Mucus intervention e of intervention
    production Narrow of the patient adventiti the patient
     Coughing breathing will manifest 4. Elevate head ous was able to
     v/s taken as passages signs of of the bed and breath manifest
    follow: decreased change client’s sounds signs of
    RR: 36 cpm respiratory position every 4. To decreased
    PR:121 bpm effort as two hours minimiz respiratory
    SpO2: 91 % Wheezing, evidenced by e effort as
    SOB, Chest absence of difficulty evidenced by
    tightness dyspnea of absence of
    breathin dyspnea
    g
    5. Demonstrate 5. To
    diaphragmatic decreas
    and pursed-lip e air
    trapping
    and for
    efficient
    breathin
    g
    6. Encourage 6. To
    increase in prevent
    fluid intake fatigue
    7. Encourage 7. To
    opportunities prevent
    for rest and situation
    limit physical s that
    activities will
    8. Monitor aggravat
    peaked e the
    expiratory flow conditio
    rates and ns
    forced 8. The
    expiratory severity
    volume of the
    exacerb
    ation
    can be
    measure
    d
    objectiv
    ely by
    Dependent: monitori
    1. Administer ng these
    medication as values
    ordered
    Dependent:
    1. To
    reduce
    airway
    nflamma
    tion for
    effective
    breathin
    g
    pattern

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