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
Saturday, September 23, 2006
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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.
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