Pneumonia Nursing Care Plans
ASSESSMENT OBJECTIVES NURSING RATIONALE
INTERVENTIONS
 Increase in 1. Establish rapport with
SHORT TERMAfter 2-3
respiratory rate of patient
hours of nursing
31 cpm 2. Instruct patient to
intervention, patient will be
 Shortness of breath increase oral fluid
able to verbalize
(orthopnea) intake to 8-10
understanding and
 Dyspnea glasses
demonstrate proper deep
 Use of accessory 3. Instruct patient to do
breathing technique to
muscles in deep breathing
facilitate proper
breathing exercise after
oxygenation to alleviate
 Altered chest demonstrating
hyperventilation
excursion proper technique
 Nasal Flaring 4. Keep environment
 Increased anterior- LONG TERM allergen free (dust,
posterior diameter feather pillows,
After 2-3 days of nursing smoke, pollen)
intervention, patient will be 5. Take and VS
free of cyanosis and 6. Suction naso,
establish normal breathing tracheal/oral PRN
pattern 7. Educate proper hand
washing
8. Position the patient in
semi fowler’s
position
9. Encourage patient to
eat nutritious foods
such as green leafy
vegetables and lean
meat
10. Review client’s
chest x-ray for
severity of acute/
chronic conditions
EXPECTED OUTCOMES
1. To gain patient’s
SHORT TERMClient shall
trust and
verbalize understanding
cooperation
and demonstrate proper
2. Increased mucus
deep breathing technique
and sputum
to facilitate proper
secretions can lead
oxygenation to alleviate
to dehydration;
hyperventilation
increased water
intake can help
LONGTERM
dissolve secretions
3. Deep breathing
exercise increases Patient shall be free of
oxygen intake and cyanosis and establish
can help alleviate normal breathing pattern
dyspnea
4. Presence may
trigger allergic
response that may
cause further
increase in mucus
secretion
5. To get baseline data
6. These may
compromise
airway. A
distended
abdomen can
interfere with
normal diaphragm
expansion
7. To increase feeling
of comfort
8. To enable the body
to recuperate and
repair
9. To prevent
infections such as
nosocomial
infections
10. To prevent allergic
reactions that can
cause respiratory
distres