NCP

Assessment Nursing Inference Planning Nursing Rationale Evaluation

Diagnosis Intervention
Subjective: Impaired gas Smoking After 1-2 • adequately • Keeps secretions After 1-2
“nahihirapan ako exchange ↓ hours of hydrate the moist and easier to hours of
huminga.” related to Irritability Nursing patient expectorate. Nursing
Objective: increased ↓ Intervention Intervention
 Pallor residual Coughing will be able to • Instruct patient • Bronchial irritants the goal was
 Dyspnea volume upper ↓ improved to avoid cause partially met
 RR: 40 and lower Inflammation breathing bronchial bronchoconstriction as evidenced
 Cough with airway of bronchi pattern as irritants such as and increased mucus by decreased
sputum resistance due ↓ evidenced by cigarette production, which respiratory
 Irritability to Increased decreased smokes, then interfere with effort.
 Weakness overproduction production respiratory aerosols, airway clearance.
 Use of of secretions of sputum effort extreme of
accessory along bronchial ↓ temperature
muscles to tubes Narrowing of and fumes.
breath lumen
 Abnormal ↓ • Assist the • To lessen activity of
breath sounds Decreased patient for accessory muscles
(wheeze, oxygen oxygen
crackles) exchange inhalation
↓
Impaired gas • Assist in • Ensures adequate
exchange administering delivery of the
nebulizer medication of the
airways.

• Administer • Antibiotics may be

antibiotics as prescribed to
prescribed. prevent or threat
infection.