Nursing Care Plan For Colds q478

Nursing Care Plan for Colds Assessment S“Nahihirapan akong huminga dahil sa sipon ko”, as verbalized by the patient. O- D.O.B nasal flaring Presence of discharges (whitish yellow and semi- thick in appearaince)

Nursing Diagnosis

Inference

Impaired breathing pattern related to presence of semi- thick nasal discharges

Presence of semi thick discharges

Goal of Care

Implementation

After 2-4 Independent hours of Nursing Actions: nursing 1. Placed the intervention client in the client will semidemonstrate fowlers Obstruction to enhance using the nares breathing pillows. pattern. Impaired Breathing pattern

Rationale

To facilitate lung expansion

2. Encouraged to increase fluid intake.

To decrease the viscosity of the discharges

3. Advised to take citrus fruits.

Citrus fruits contains vitamin C that boosts the immune system.

Evaluation After 2-4 hours of Nursing intervention the client demonstrated enhanced breathing pattern.