- Increase oxygen intake
- Improve carbon dioxide elimination and prevent airway collapse
- Strengthen inspiratory muscles
- Reduce respiratory rate significantly
No category found.
- Standard precautions only.
- Droplet precautions, including wearing a mask when within 3 feet of the patient.
- Contact precautions, including wearing a gown and gloves.
- Airborne precautions, including wearing an N95 respirator.
- Fluid volume deficit
- Fluid volume excess
- Normal fluid balance
- Dehydration
- Change the bag for the patient.
- Reassure the patient that many people struggle initially and provide continued practice and encouragement.
- Tell the patient it's easy.
- Document that the patient is uncooperative.
- Subjective data
- Objective data
- Indirect data
- Historical data
- Frequent changes of bed linens only.
- Daily bathing and skin inspection, along with frequent repositioning and moisture management.
- Restricting fluid intake.
- Using only harsh soaps to clean the skin.
- Crush the pill without checking.
- Withhold the medication.
- Check if the medication can be crushed or comes in a liquid form, and consult with the pharmacist or physician if unsure.
- Give the patient a large glass of water.
- Assessment, Diagnosis, Implementation
- Planning, Evaluation, Diagnosis
- Assessment, Intervention, Outcome
- Data Collection, Analysis, Action
- Using abbreviations.
- Documenting immediately after care.
- Backdating entries or entering false information.
- Using objective language.
- Increase the oxygen flow rate.
- Discontinue oxygen therapy.
- Consider adding humidification to the oxygen delivery system.
- Apply petroleum jelly inside the nostrils.
- Constipation
- Muscle atrophy
- Respiratory complications like atelectasis and pneumonia
- Skin breakdown
- Remove the tube and reinsert it.
- Increase the suction pressure.
- Check for kinks in the tubing, ensure connections are secure, and verify the suction unit is functioning.
- Call the physician immediately.
- Quality
- Quantity
- Quietness
- Quickness
- Impaired Physical Mobility
- Disturbed Body Image
- Risk for Infection
- Deficient Knowledge
- Crushing all medications and mixing them in food.
- Administering liquid forms of medication when available, or crushing tablets (if safe) and mixing with a small amount of soft food.
- Giving all medications intravenously.
- Withholding medications if the patient cannot swallow.
- Disease management
- Environmental modification
- Medication adjustment
- Nutritional counseling
- Passive range of motion exercises.
- Active range of motion exercises only.
- Ambulation only.
- Isometric exercises only.
- Administer a strong sedative.
- Close the door, dim lights, and reduce unnecessary noise in the hallway.
- Tell the patient to get used to the noise.
- Transfer the patient to a private room immediately.
- Ask the patient to hold their breath.
- Count respirations immediately after taking the pulse or blood pressure, without the patient's awareness.
- Count respirations while the patient is speaking.
- Count respirations during a strenuous activity.
