Pneumonia Nursing Care Plans

ASSESSMENT

With unproductive
cough
With wheezes and
crackles
auscultated on left
lower lungfield.
Presence of clear
watery discharge
from her nose
Restlessness
Irritability

OBJECTIVES
Short Term:
After 3-4 hours of nursing
interventions, the patients
respiration will improve and
difficulty of breathing will
be relieved.

Long Term:
After 3 4 days of nursing
interventions, the patient
will maintain a patent
airway.

NURSING
INTERVENTIONS

RATIONALE

1. Establish rapport to
patient and SO

1. To gain the trust and

cooperation

2. Assess patients
condition

2. To know and
determine patients
needs

3. Monitor and record

V/S
4. Auscultate lung
fields, noting areas
of decreased/absent
airflow and
adventitious breath
sounds
5. Assist patient to
change position
every 30 minutes
6. Elevate head of bed
and align head in
the middle
7. Provide health
teachings regarding
effective coughing
and deep breathing
exercise.
8. Encourage to
increase fluid
intake.
9. Encourage steam
inhalation
10. Administer meds as

EXPECTED OUTCOMES
Short Term: After 3-4
hours of nursing
interventions, the patients
respiration shall have
improved and difficulty of
breathing shall have been
relieved.

3. To establish base
line data
4. To identify areas of
consolidation and
determine possible
bronchospasm or
obstruction.
5. To mobilize
secretions
6. To facilitate
breathing
7. To expel the mucous
8. To liquefy secretions
9. To moisten
secretions and
alleviate
congestion
10. To reduce
bronchospasm and
mobilize secretion

Long Term:
After 3 4 days of nursing
interventions, the patient
will have been able to
maintain a patent airway.

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