CUES Nursing Rationale Goals and Nursing Intervention Rationale Evaluation

Diagnosis Objectives
SUBJECTIVE INDEPENDENT
Ineffective Respiratory After 15 minutes These techniques After 15 minutes of
“ madali akong breathing pattern failure can be of nursing 1. Encourage the nursing intervention
help to improve
hinihingal aun at seen intervention the client to do deep the client was
related to ventilation and
client will breathing maintain normal
napapagod din decreased with a change in mobilize secretions
maintain normal techniques. breathing pattern
ng mabilis” as lung volume respiratory rate, without causing
breathing pattern 16-20 bpm
verbalized by the capacity change in 16-20 bpm breathlessness and
client. normal fatigue
abdominal and
OBJECTIVE thoracic patterns
for
- Retractions in inspiration and
ribs expiration,
present while change in
breathing depth of
ventilation
-Respiratory rate
25 bpm