NURSING CARE PLAN

ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTING EVALUATIING

 Subjective Risk for impaired After performing  Independent At the end of
- None respiratory function nursing interventions, conducting nursing
the patient will be able 1. Assess rate, interventions, the
to maintain effective depth and effort patient was able to
 Objective respiratory function of respirations maintain effective
- Dyspnea AEB: every 5 to 15 respiratory function
- Use of accessory minutes during AEB:
muscles to 1. Ability to and after the
breathe breathe administrations 1. Ability to
- Abnormal ABG comfortably of conscious breathe
values 2. Baseline rate sedation. Report comfortably
- Cyanosis and depth signs and 2. Baseline rate
- Low O2 respirations symptoms of and depth
saturation 3. Pulse oximetry ineffective respirations
- Tachycardia or arterial blood respiratory 3. Within normal
gas values within function. levels of pulse
baseline 2. Continuously oximetry or ABG
4. Resolved monitor pulse values
dyspnea oximetry during 4. Resolved
and after the dyspnea
procedure until
client has
returned to
baseline mental
status.
3. Monitor signs of
airway
obstruction.
4. Assess ABG
values as
indicated
5. Assess client
during the
procedure
6. Instruct client to
deep breathe
periodically
during the
procedure

 Dependent
1. Administer
oxygen, as
ordered.