Assessment

Subjective Data: The client verbalized: Noong isang araw pa po ako inuubo tapos umiinom ako ng gamow sa ubo Uminom po ako ng juice kaninang recess Wala po akong baong tubig Objective Data: + Crackles + Mucus Secretions (Color = Yellowish, Consistency = Slightly sticky) RR = 33 cpm + Nasal flaring

Nursing Diagnosis

Goal/Objectives

Intervention
Reassess the client.

Rationale
Reassessing the client will serve as a baseline data to know the present health status of the client. It will give knowledge to the client about proper management of his condition.

Ineffective airway Goal: clearance related to presence of mucus After nursing intervention, the secretions as evidenced by client will be able to: + Crackles and + Yellowish Maintain airway patency mucus secretions Objectives: After 1 hour of nursing intervention, the client will be able to: Know and identify ways on how to do proper management towards his condition. Know different ways on how to prevent such complication from arising. Familiarize ways on how to prevent the occurrence of cough. Verbalize understanding about different ways on how to do proper management upon his condition, ways on how to prevent complications from arising and ways on how to prevent its occurrence. Show willingness that he will do the different ways discussed to him.

Discuss ways on how to do proper management about the clients condition such as: - Increase fluid intake - Take medicine regularly - Have an adequate rest and sleep - Practice appropriate dietary habits - Proper hygiene Discuss ways on how to prevent complications from arising which also involves: Increase fluid intake Take medicine regularly Practice appropriate dietary habits Proper hygiene Adequate rest and sleep Discuss ways on how to prevent the occurrence of cough to an individual such as: Take vitamins/supplements Having an adequate fluid intake Having an appropriate

It will give an awareness and knowledge to the client on how to prevent complications that may arise from his conditions when its not being manage properly or ignored.

It will help the client to evade cough from occurring and also it will give knowledge to the client.

dietary habits Having an adequate rest and sleep Practicing proper hygiene Encourage the client to perform those things that were discussed. It will help to motivate the client to do those ways that are helpful for his condition.