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Objective cues: Impaired gas In pneumonia, >After 2 hours Assessed Manifestations of The client
exchange oxygen is the gas of nursing respiratory rate, respiratory distress demonstrated
> Use of related to exchange affected interventions, depth & ease. are dependent on improved ventilation
accessory muscles alveolar most; therefore, the client will inactive of the degree and oxygen tissues
when breathing capillary hypoxemia is the demonstrate of the lung and absence of
membrane primary problem. improve involvements in symptoms of
>crackles on lower changes. Carbon dioxide ventilation & underlying general respiratory distress as
lobe of the lungs retention is common oxygen tissues health status. manifested by the
in pneumonia. & absence of (Pediatric Nursing decrease in apical
>non – productive symptoms of Care Plan, Axton, et. pulse- 132 beats per
cough respiratory Al, pg. 296) minute and respiratory
(Medical-Surgical distress. rate of 48 breaths per
>tachypneic- 58 Nursing Monitored heart Tachycardia is usually minute.
breath per minute Pathophysiological rate. present as a result of
Concept, pge 496) fever dehydration but
>mouth breather may represent a
response to
>cyanosis in lips hypoxemia. (Pediatric
and nail bed Nursing Care Plan,
Axton, et. Al, pg.
>nasal flaring 296)