Bronchopneumonia - Nursing Diagnosis,

Interventions and Evaluation

Bronchopneumonia Bronchopneumonia - Nursing Diagnosis Interventions and
Evaluation Nursing Diagnosis Nursing Interventions

Nursing Diagnosis and Interventions for Bronchopneumonia -

1. Ineffective airway clearance related to accumulation of secretions.

Goal: Airway clearance back effectively.

Outcomes: secretions can come out.

Interventions:

 Monitor respiratory status every 2 hours, assess the increase in respiratory and abnormal
breath sounds.

 Do suction as indicated.

 Give oxygen therapy every 6 hours.

 Create an environment / convenient so patients can sleep.

 Give a comfortable position for the patient.

 Monitor blood gas analysis to assess respiratory status.

 Perform chest percussion.

 Provide sputum for culture / sensitivity test.

2. Impaired gas exchange related to changes in alveolar capillaries.

Goal: back to normal gas exchange.

Outcomes: The client showed improved ventilation, gas exchange and oxygenation optimally
adequately.

Interventions:
 Observation of level of consciousness, respiratory status, signs cianosis.

 Give appropriate sleeping position fowler / semi-Fowler.

 Give oxygen according to the program.

 Monitor blood gas analysis.

 Ciprtakan comfortable environment.

 Help prevent fatigue.

3. Fluid volume deficit related to excessive output.

Goal: Client will maintain normal body fluid.

Outcomes: no sign of dehydration.

Interventions:

 Record intake and output of fluids (fluid balance).

 Encourage the mother to continue to provide oral fluid.

 Monitor fluid balance, mucous membranes, skin turgor, rapid pulse, decreased consciousness,
vital signs.

 Maintain a drip infusion accuracy.

 Observation of vital signs (pulse, temperature, respiration).

4. Risk for Imbalanced nutrition less than body requirements related to inadequate nutritional
intake.

Goal: The nutritional requirements are met.

Outcomes: The client can maintain / improve nutritional intake.

Intervetions:
 Assess the client's nutritional status.

 Perform a physical examination of the abdomen (auscultation, percussion, palpation, and

inspection).

 Measure the client's body weight every day.

 Assess for nausea and vomiting.

 Give the diet a little but often.

 Provide food in a warm state.

 Collaboration with the nutrition team.

5. Increased body temperature related to the infection process.

Goal: There is an increase in body temperature.

Outcomes: Hyperthermia / increase in temperature can be resolved with no infection process.

Interventions:

 Observation of vital signs.

 Provide and encourage families to provide water compress on the forehead area and armpits.

 Involve the family in every action.

 Give drink orally.

 Replace wet clothing with sweat.

 Collaboration with doctors in febrifuge.

6. Knowledge Deficit : parents, about the care of clients related to a lack of information.

Goal: Knowledge parents about the child's illness increased after the act of nursing.

Outcomes: Parents know about the child's illness.

Interventions:
 Assess the level of parental knowledge about the child's illness.

 Assess the client's level of parental education.

 Help parents to develop a plan of nursing care in the hospital such as: diet, rest and activity
accordingly.

 Emphasize the need to protect children ..

 Explain to the client's family about the definition, causes, signs and symptoms, treatment, and
prevention of complications by providing health education.

 Give parents the opportunity to ask clients about things not yet understood.

7. Anxiety children related to the effects of hospitalization.

Goal: Anxious children is reduced / lost.

Outcomes: The client can be quiet, anxious lost, comfortable feeling fulfilled after the act of
nursing.

Interventions:

 Assess the client's level of anxiety.

 Encourage the mother / family to give suport to the child by way of the mother is always near
to the client.

 Facilitating a sense of comfort by way of participating mothers caring for their children.

 Make a visit, contact with clients.

 Encourage other family visiting clients.

 Give A toy according client's home.

Evaluation

The evaluation is expected in patients with Brochopneumonia are:

1. Normal gas exchange.

2. Effective airway clearance.

3. Intake and output balance.

4. Adequate nutritional intake.

5. Body temperature within normal limits.

6. Increase family knowledge.

7. Anxiety resolved.