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Nursing Care Plan #1:

Nursing Diagnoses Rationale (with


with Subjective and Nursing Goals Nursing Interventions references documented) Implementation Evaluation
Objective Cues

Subjective Cues: Short term goal: 1. Position client with head of bed - Allows increased 1. Conduct health teaching about
“Minsan nahihirapan After 30 minutes of elevated, in a semi-Fowler's thoracic capacity, full the proper way on how to do
akong humihinga lalo health teaching the position as tolerated. descent of diaphragm, deep breathing and coughing
na pag client will be able to: and allows lung exercises: Sit or lie flat in a
pinapagsisikapan ko.” 2. Encourage to frequently change expansion preventing the comfortable position.
As verbalized. a. Verbalized position when lying down and abdominal contents from Belly Breathing – Steps:
(“Sometimes I understanding of teach the client on how to do crowding.  Put one hand on your belly just
experienced difficulty causative factors deep breathing and coughing. below your ribs and the other
on breathing especially and appropriate - To promote optimum hand on your chest.
when I exert effort.” As interventions. 3. Encourage alternate rest and chest expansion and  Take a deep breath in through
verbalized.) b. Demonstrate activity periods. improves air exchange. your nose, and let your belly
proper deep push your hand out. Your chest
Objective Cues: breathing and 4. Encouraged the client to - To reduce fatigability should not move.
1. Easy fatigability coughing increase oral fluid intake. and promote rest. Rest  Breathe out through pursed lips
2. Smokes 10 sticks of exercises. prevents tissue oxygen as if you were whistling. Feel the
cigarettes a day 5. Encourage the client to stop demand and enhances hand on your belly go in, and use
3. V/S: Long term goal: smoking: tissue oxygen perfusion. it to push all the air out.
 RR: 30 bpm - Conduct health teaching  Do this breathing 3 to 10 times.
a. Verbalized and about the harmful effects of - To promote adequate Take your time with each breath.
Nursing Diagnosis: demonstrate smoking to the body; hydration and blood  Notice how you feel at the end of
Impaired Gas improved Cigarettes contains nicotine circulation. the exercise.
Exchange related to ventilation and that causes vasoconstriction,
fatigue adequate makes arteries all over the - To reduce the likelihood 2.
oxygenation. body become smaller of having respiratory
making it harder for the diseases and
heart to pump through the cardiovascular diseases
constricted arteries, which (Hypertension, stroke,
can cause high blood MI)
pressure.
Nursing Care Plan #2:

Nursing Diagnoses Rationale (with references


with Subjective and Nursing Goals Nursing Interventions documented) Implementation Evaluation
Objective Cues

Subjective Cues:
Smokes 10 sticks of
cigarette a day

Objective Cues:
V/S:
 RR: 30 bpm

Nursing Diagnosis:
Knowledge deficit
related to

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