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Controlled
coughing is
c. Encourage to take accomplished by
a deep breath, hold closure of the
for 2 seconds, and glottis and the
NURSING ANALYSIS/HEALTH GOAL AND NURSING
CUES RATIONALE EVALUATION
DIAGNOSIS IMPLICATION OBJECTIVES INTERVENTIONS
cough two or three explosive
times in succession expulsion of air
from the lungs by
the work of
abdominal and
chest muscles
(Fundamentals
of Nursing by
Kozier, 7th edition
page 1327)
A variety of
respiratory
therapy
d. Provide treatments may
supplemental be used to open
humidification, if constricted
needed airways and
liquefy
secretions
(Fundamentals
of Nursing by
Kozier, 7th edition
page 1328)
Oxygen demand
is greater during
(3) Provide oxygen a. Instruct the client febrile illness
therapy about importance of and physical
leaving oxygen stress. At low
delivery device on PO2 level in the
atmosphere,
oxygen
saturation falls
rapidly; therefore
oxygen should
be maintained ,
especially during
activity
A variety of
NURSING ANALYSIS/HEALTH GOAL AND NURSING
CUES RATIONALE EVALUATION
DIAGNOSIS IMPLICATION OBJECTIVES INTERVENTIONS
respiratory
therapy
treatments may
be used to open
constricted
airways and
liquefy
secretions
(Fundamentals
of Nursing by
Kozier, 7th edition
page 1328)
To ascertain
status and note
(4) Respiratory a. Auscultate breath progress
monitoring sounds and assess (Nurse’s Pocket
air movement Guide by
Doenges,
Moorhouse and
Geissler-Murr, 9th
NURSING ANALYSIS/HEALTH GOAL AND NURSING
CUES RATIONALE EVALUATION
DIAGNOSIS IMPLICATION OBJECTIVES INTERVENTIONS
edition, page 71)