Assessment Nx diagnosis Inference Planning Intervention Rationale Evaluation

Subjective: Ineffective Bronchial > After several > Monitor v/s > Obtain baseline After a series of
“Nahihirapan ako airway asthma nursing v/s for further interventions the
huminga” as clearance interventions the comparison after client was able to
verbalized by the related to patient will feel intervention demonstrate
patient. increased comfortable and behaviors to improve
production of understand airway clearance
Objective: secretions. Inflammation information Elevate head of Elevation of the
about the the bed, have bed facilitates
Use of disease. patient lean on respiratory
accessory overbed table or function by use
muscle. Airway sit on edge of the of gravity.
A  bnormal obstruction bed.
breath
sounds-dyspnea Precipitators of
V  /S taken as Keep allergic type of
follows: Bronchial environmental respiratory
T: 37.3 hypersensitivity pollution to a reactions that
P: 82 minimum like can trigger or
R: 25 dust, smoke and exacerbate
BP: 110/80 feather pillows, onset of acute
according to episode.
individual
situation.
Provides patient
Encourage or with some
assist with means to cope
abdominal or with or control
pursed lip dyspnea and
breathing reduce air
exercises. tapping.

Coughing is
most effective
 Assist with in an upright
measures to position after
improve chest
effectiveness of percussion.
cough effort.
. >to allow oxygen
supply in the body
>advised breathing
exercise