Nursing Care Plan (One Page per Nursing Diagnosis) Nursing Diagnosis Planning Interventions Evaluation Impaired breathing Client Goals: Client will be List Interventions: Achievement of Expected able to improve breathing Administration of Outcomes: pattern related to pattern and be able to breathe Goal met when decreased lung bronchodilators as prescribed by with greater ease without using expansion as physician’s order. respiratory rate and the accessory muscles. This goal evidence by Monitor O2sats hourly. O2sats are within was established by asking the shortness of breath, normal range (with Teach client inspiratory muscle client what his goals were use of accessory monitoring training and breathing retraining regarding increasing the level of muscles, and respiratory status). Rationale for Interventions: comfort. decreased mobility. Bronchodilators help smooth Client Expected Outcomes: muscle relaxation, thus dilating respiratory rate will decrease constricted bronchial tubes within 24hs by monitoring helping with breathing (Day, respiratory rate every hour.
Nursing Care Plan (One Page per Nursing Diagnosis) Nursing Diagnosis Impaired breathing pattern related to decreased lung expansion as evidence by shortness of breath, use of accessory muscles, and decreased mobility. Planning Client Goals: Client will be able to improve breathing pattern and be able to breathe with greater ease without using the accessory muscles. This goal was established by asking the client what his goals were regarding increasing the level of comfort. Expected Outcomes: Client respiratory rate will decrease within 24hs by monitoring respiratory rate every hour. Interventions List Interventions: Administration of bronchodilators as prescribed by physician’s order. Monitor O2sats hourly. Teach client inspiratory muscle training and breathing retraining Rationale for Interventions: Bronchodilators help smooth muscle relaxation, thus dilating constricted bronchial tubes helping with breathing (Day, Evaluation Achievement of Expected Outcomes: Goal met when respiratory rate and O2sats are within normal range (with monitoring respiratory status).