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NCP Pcap

The nursing care plan assesses an ineffective airway clearance in a patient related to retained secretions, characterized by an unproductive cough. The plan includes monitoring vital signs and regulating IV fluids to serve as a baseline and ensure proper hydration. After 8 hours of nursing interventions including promoting rest, increasing oral fluids, and administering medications, the goal is for the patient to be able to maintain airway patency and expectorate secretions, with a reassessment of the care plan.

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Lhexie Cooper
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823 views1 page

NCP Pcap

The nursing care plan assesses an ineffective airway clearance in a patient related to retained secretions, characterized by an unproductive cough. The plan includes monitoring vital signs and regulating IV fluids to serve as a baseline and ensure proper hydration. After 8 hours of nursing interventions including promoting rest, increasing oral fluids, and administering medications, the goal is for the patient to be able to maintain airway patency and expectorate secretions, with a reassessment of the care plan.

Uploaded by

Lhexie Cooper
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CHAPTER VIII

NURSING CARE PLAN

Assessment Diagnosis Planning Intervention Rationale E


Subjective Data: Ineffective airway After 8 hours of nursing Independent: GOAL PA
clearance related to interventions, the patient Assessed vital signs To serve as a baseline data After 8 ho
“Inuubo siya pero dry”, retained secretions will be able to: and check the general interventi
as verbalized by the characterized by condition of the patient verbalized
mother. unproductive cough - Maintain airway better but
patency This is to ensure that the unproduc
Objective Data: - Expectorate secretions Monitored and client is receiving the right there is a
regulated IVF amount of IV fluid, and to reassessm
VS taken accordingly prevent complications of IV plan of ca
T: 38.0*C infusion
RR: 33
PR:130 To meet the patient’s
O2 Sat: 98% comfort needs

Promoted rest Hydration can help improve


secretion clearance

Instructed the mother


and the client to
increase oral fluid
intake and avoid cold For treatment
drinks.

Dependent:
Administered
medication as ordered
by the physician

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