Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
Related questions
Question
Impaired gas exchange related to insufficient availability of blood
Make ncp follow this format

Transcribed Image Text:Sample Nursing Care Plan Format (4 Columns)
Client: Jon Stark
Care Plan by: W. Smith, RN
Date initiated: 12-29-2018
NURSING DIAGNOSIS GOALS & OUTCOMES
Ineffective airway
clearance RT tracheal
bronchial inflammation,
edema formation,
increased sputum
production AEB coughing,
dyspnea, purulent sputum
After 8 hours of nursing
intervention, the patient
will display/maintain patent
airway with breath sounds
clearing: absence of
dyspnea, cyanosis, as
evidenced by keeping a
patent airway and
effectively clearing
secretions.
INTERVENTIONS
1. Assess the rate, rhythm,
and depth of respiration.
chest movement, and use
of accessory muscles.
2. Elevate head of bed.
change position
frequently.
3. Suction as indicated:
frequent coughing.
adventitious breath
sounds, desaturation
related to airway
secretions.
EVALUATION
After 8 hours of nursing
intervention, the patient
was able to maintain
patent airway with breath
sounds clearing AEB
absence of dyspnea,
cyanosis, and effectively
clearing secretions.
Nurseslabs
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