Nursing diagnosis: Impaired gas exchange related to ventilation perfusion imbalance as evidenced by oxygen saturation of 90%.
Expected outcome: Patient will demonstrate oxygen saturation greater than 95% within 24 hours.
Nursing diagnosis: Ineffective airway clearance related to retained secretions as evidenced by crackles in the right middle and lower lobes.
Expected outcome: Patient will demonstrate clear breath sounds in bilateral upper and lower lobes within 24 hours.
Nursing diagnosis: Ineffective breathing pattern related to hyperventilation as evidenced by shortness of breath and RR of 28 breaths per minute.
Expected outcome: Patient will demonstrate RR between 12-20 breaths per minute within 24 hours.
Nursing diagnosis: Activity intolerance related to imbalance between oxygen supply and demand as evidenced by shortness of breath when ambulating.
Expected outcome: Patient will demonstrate no shortness of breath with ambulation within 24 hours.
The patient has been receiving treatment for the past 24 hours and currently has a respiratory rate of 20 breaths per minute crackles in the right lower lobe breath sounds clear in all other lobes oxygen saturation of 94% on 2 liters of oxygen via nasal cannula and denied shortness of breath when ambulating to the bathroom an hour ago.
Initial Discussion Post:
Base your initial post on your readings and research of this topic.Your initial post must contain a minimum of 250 words. References citations and repeating the question do not count towards the 250 word minimum.