Using a care plan approach describe the nursing care?
Patient: 65-year-old female with a history of hypertension and diabetes. She was admitted to the hospital with a diagnosis of pneumonia.Nursing Diagnoses:
1. Risk for impaired gas exchange related to pneumonia
2. Risk for fluid volume deficit related to decreased oral intake
3. Impaired mobility related to weakness and fatigue
Nursing Care Plan:
Risk for impaired gas exchange related to pneumonia
- Interventions:
- Monitor respiratory status, including oxygen saturation, respiratory rate, and depth, and breath sounds.
- Encourage the patient to cough and deep breathe.
- Administer oxygen as prescribed.
- Elevate the head of the bed.
Risk for fluid volume deficit related to decreased oral intake
- Interventions:
- Monitor fluid intake and output.
- Encourage the patient to drink fluids.
- Provide the patient with a variety of fluids to choose from.
- Offer the patient small, frequent meals.
Impaired mobility related to weakness and fatigue
- Interventions:
- Assess the patient's strength and mobility.
- Assist the patient with activities of daily living as needed.
- Encourage the patient to participate in physical therapy.
- Provide the patient with a safe environment.
Evaluation:
The patient will demonstrate:
- Improved respiratory status, including oxygen saturation, respiratory rate, and depth, and breath sounds.
- Adequate fluid intake and output.
- Improved mobility and strength.
- Self-care abilities.