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  • Implement interventions to improve gas exchange.
  • Re-evaluate the patient's vital signs in 15 minutes.
  • Develop expected outcomes for the nursing diagnosis.
  • Administer oxygen immediately.
  • Document the findings and continue monitoring.
  • Elevate the head of the bed, re-assess the patient, and notify the physician of the worsening respiratory status.
  • Encourage the patient to deep breathe and cough.
  • Impaired Physical Mobility related to chronic illness
  • Risk for Falls related to impaired vision, use of walker, and medication side effects
  • Activity Intolerance related to aging process
  • Self-Care Deficit related to reliance on assistive devices
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