Webrisk for ineffective Airway Clearance is possibly evidenced by risk factors of tracheo-bronchial obstruction—mucosal edema and loss of ciliary action with smoke inhalation; circumferential full-thickness burns of the neck, thorax, and chest, with compression of the airway or limited chest excursion, trauma—direct upper airway injury by flame, steam, … WebChapter 12 diagnosing. Term. 1 / 47. the nurse is conducting the diagnosing phase of the nursing process for a client with a seizure disorder which step exists between data analysis and formulating the diagnositc statement? a. assess the clients needs. b. delineate the clients problems and strengths. c. determine which interventions are most ...
A Comprehensive Overview of Impaired Skin Integrity Nursing Diagnosis …
WebTherefore we identify the risk factors that predispose the individual to a potential problem. The correct statement for a NANDA-I nursing diagnosis would be: Risk for _____ as evidenced by _____ (Risk Factors). Risk Diagnosis Example: Risk for infection as evidenced by inadequate vaccination and immunosuppression (risk factors). WebOct 11, 2024 · Nursing Care Plan 1. Nursing Diagnosis: Impaired skin integrity related to immobility as evidenced by stage 2 pressure ulcer to the sacrum. Desired outcome: Patient will not experience worsening of pressure ulcer. Wound care differs depending on the type of skin breakdown, location on the body, and size of the wound. just wireless bt 38 bluetooth headset
Mobility and Immobility: NCLEX-RN - Regi…
WebJan 12, 2024 · 1. Determine etiology (e.g., acute or chronic wound, burn, dermatological … WebDec 4, 2014 · Nursing diagnosis is an outcome of PATIENT ASSESSMENT. A patient who is bedbound due to end stage MS, paralyzed with contractures definately has a risk for impaired skin integrity. Just because you have used that nursing diagnosis + care plan for a previous patient does not mean it is inappropriate for this client. WebNursing Diagnosis: Risk for ineffective airway clearance related to respiratory muscle failure and impaired gas exchange secondary to muscular dystrophy. Desired Outcomes: The patient will be able to keep clear and open airways after the interventions as evidenced by normal breath sounds, and normal depth of respiration. just wireless bt-15 bluetooth headset