Nursing Care Plan for Ineffective Airway Clearance




Nursing Care Plan for Ineffective Airway Clearance: Nursing Diagnosis for Ineffective Airway Clearance | Definition of Ineffective Airway Clearance; Defining Characteristics of Ineffective Airway Clearance; Related Factors of Ineffective Airway Clearance



Nursing Diagnosis: Ineffective Airway Clearance

Definition of Ineffective Airway Clearance


Inability to clear secretions or

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Nursing Diagnosis - Hypothermia : Definition, Related Factors, Outcomes and Interventions

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Hypothermia: Definition : Body temperature below the normal range Defining Characteristics : body temperature below normal range, cool, pale skin, dizziness, hypertension, increased heart rate, lack of coordination, piloerection, shivering, slow capillary refill Related Factors : alcohol and drug use, decreased metabolic rate, exposure to cold environment, extreme evaporative heat loss from skin, illness, inability to shiver, inadequate nutrition, poor clothing, medications, trauma NOC: Thermoregulation Thermoregulation: neonate Expected Outcomes: Body temperature in the normal range Pulse and respiratory rate are in the normal range NIC: Temperature Regulation Monitor temperature at least every 2 hours. Plan temperature monitoring continuously. Blood pressure monitor, pulse, and respiratory rate. Monitor skin color and temperature. Monitor signs of hyperthermia and hypothermia. Increase intake of fluids and nutrients. Cover the patient to prevent loss of body warmth. Teach patients ho...
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Nursing Diagnosis for Hyperemesis Gravidarum

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Nursing Diagnosis for Hyperemesis Gravidarum Hyperemesis Gravidarum Hyperemesis gravidarum (HG) is a severe form of morning sickness, with "unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids." Hyperemesis is considered a rare complication of pregnancy but, because nausea and vomiting during pregnancy exist on a continuum, there is often not a good diagnosis between common morning sickness and hyperemesis. Estimates of the percentage of pregnant women afflicted range from 0.3% to 2.0% Nursing Diagnosis for Hyperemesis Gravidarum 1. Fluid and electrolyte imbalances related to excessive vomiting or lack of fluid intake. 2. Imbalanced Nutrition Less Than Body Requirements related to nausea, vomiting or lack of nutritional intake. 3. Anxiety related to hyperemesis influence on the health of the fetus. 4. Knowledge deficit related to lack of information about the treatment of hyperemesis. 5. Sleep pattern disturbance r...
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Nursing Diagnosis and Interventions for Fear

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Nursing Diagnosis : Fear r/t invasive procedure, hospitalization, unfriendly experience. Fear Definition Response to perceived threat that is consciously recognized as a danger Defining characteristics: Panic Terror Avoidance or attack behavior Impulsive Pulse, respiration, systolic BP increases Anorexia Nauseous vomit Pale Stimulus as a threat Tired Tense muscles Sweat increases Uproar Tension increases Express fear Cry Protest Escape Outcomes : Fear Control The client : Don't attack or avoid scary sources. Use relaxation techniques to reduce fear. Able to control the response. Does not run away. Duration of fear decreases. Cooperative when done care and treatment. Anxiety Control The client : Adequate sleep. There is no physical manifestations. There is no behavioral manifestations. Want to interact socially. Interventions : Coping Enhancement Assess the patient's fearful response: objective and subjective data. Explain to the client / family about the disease process. Expla...
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