Saturday, September 23, 2006

#36

OUTCOME STATEMENT FOR CLIENT WITH NURSING DIAGNOSIS OF INEFFECTIVE AIRWAY CLEARANCE

Client Will (Specify Time Frame):


-Demonstrate effective coughing and clear breath sounds; is free of cyanosis and dyspnea
-Maintain a patent airway at all times
-Relate methods to enhance secretion removal
-Relate the significance of changes in sputum to include color, character, amount, and odor
-Identify and avoid specific factors that inhibit effective airway clearance

I GOT THIS FROM EVOLVE

1 comment:

Kelly said...

Nurse's Pocket Guide diag, interventions, rationales 9th edition

OUTCOME STATEMENT FOR INEFFECTIVE AIRWAY CLEARANCE:

 Maintain airway patency
 Expectorate/clear secretions readily
 Demonstrate absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange
 Absence of cyanosis, ABG results within client norms.
 Verbalize understanding of cause(s) and therapeutic management regimen.
 Demonstrate behaviors to improve or maintain clear airway.
 Identify potential complications and how to initiate appropriate preventive or corrective actions.