Nursing Question:
The RN is developing a plan of care for a 78-year-old patient who was admitted from home with a medical diagnosis of pneumonia and dehydration. Medical orders read: out of bed 3 times a day, oxygen 2 liters nasal cannula, and regular diet as tolerated. The patientâs vital signs are temperature 100.8° F, heart rate 88 respiratory rate 18, B/P 100/68, pulse oximetry 91%. The patient has tenting at the clavicle. The patient has a productive cough with green-yellow sputum and is short of breath with all activities. An intravenous infusion of normal saline is infusing at 100 mL per hour. The chest x ray shows consolidation in the bases. The RN has included the following NANDA-I nursing diagnoses in the plan of care:
· Impaired gas exchange
· Ineffective airway clearance
· Activity intolerance
· Deficient fluid volume
Initial Discussion Post:
· Cluster the relevant data to support one (1) of the identified NANDA-I nursing diagnoses
· Write a three (3)-part nursing diagnostic statement and an outcome for this patient
· Describe the nursing considerations associated with development of an appropriate patient outcome for the nursing diagnostic statement you have developed
Nursing Question:
The RN is developing a plan of care for a 78-year-old patient who was admitted from home with a medical diagnosis of pneumonia and dehydration. Medical orders read: out of bed 3 times a day, oxygen 2 liters nasal cannula, and regular diet as tolerated. The patientâs vital signs are temperature 100.8° F, heart rate 88 respiratory rate 18, B/P 100/68, pulse oximetry 91%. The patient has tenting at the clavicle. The patient has a productive cough with green-yellow sputum and is short of breath with all activities. An intravenous infusion of normal saline is infusing at 100 mL per hour. The chest x ray shows consolidation in the bases. The RN has included the following NANDA-I nursing diagnoses in the plan of care:
· Impaired gas exchange
· Ineffective airway clearance
· Activity intolerance
· Deficient fluid volume
Initial Discussion Post:
· Cluster the relevant data to support one (1) of the identified NANDA-I nursing diagnoses
· Write a three (3)-part nursing diagnostic statement and an outcome for this patient
· Describe the nursing considerations associated with development of an appropriate patient outcome for the nursing diagnostic statement you have developed
