Nursing Diagnosis After thorough assessment,nursing diagnosesare formulated to address the challenges of ineffective breathing pattern, guided by the nurse’sclinical judgmentand understanding of the patient’s unique condition. While nursing diagnoses help organize care, their use may vary across clinical...
ensuring better patient outcomes. The sooner the patient is correctly assessed, the more likely a life-altering condition is recognizable, nursing diagnosis formulated, appropriate intervention or treatment initiated, and stabilizing care rendered
Occasional labored breathing; short periods of hyperventilation. Noisy labored breathing; long periods of hyperventilation; Cheyne-Stokes respirations Negative Vocalization None. Occasional moan or groan; low-level speech with a negative or disapproving quality. Repeated troubled calling out; loud moaning ...
A head-to-toe assessment is an essential nurse practice. Review the head-to-toe assessment checklist to ensure your exam gives a thorough picture of patient…
Admission Date: Admission Diagnosis: p.o.d (post op day): Code Status: DOB: Age: Gender: Food and drug allergies: Speech: (clear, slurred, garbled) Hearing:(hearing aid, hard of hearing) Vision:(glasses, blind) Surgical Hx: Co-Morbidities: Occupation: Recreational Drug Use: Drinking (al...
labored or difficult breathing Ecchymosis The passage of blood from ruptured blood vessels into subcutaneous tissue, marked by a purple discoloration of the skin. Eczema A general term for an itchy red rash that initially weeps or oozes serum and may become crusted, thickened or scaly. ...
Nursing Diagnosis Knowledge deficit r/t surgical procedure & post-op course amb asking questions re: surgery Ineffective airway clearance r/t surgical alterations in airway amb labored breathing Impaired verbal communication r/t removal of larynx & edema amb inability to speak 49 Outcome...
It is a tool for identifying a patient's problem or potential problems and an organized method for meeting patients needs. What are the steps included in the nursing process? Assessment, Nursing diagnosis, Planning, Implementation, Evaluation. What is clinical reasoning? Skills that result in ...
Activity intolerance is a likely diagnosis but is not related to the client’s nutritional problems. Weight loss is not a nursing diagnosis. Ineffective breathing pattern may be a problem, but this diagnosis does not specifically address the problem of weight loss described by the client. 66. 1...
46 Post-op Care Assess: Status Physical psychosocial Comfort Nutritional status Ability to swallow Respiratory status Function Airway patency Lung sounds Oxygen saturation 47 Nursing Diagnosis Knowledge deficit r/t surgical procedure & post-op course amb asking questions re: surgery Ineffective airway ...