Question

Create A NURSING CARE PLAN FOR A CHILD DIAGNOSED WITH

1) ASTHMA

2) CYSTIC FIBROSIS.

Write a 350-word paper using APA Format Assignment.

Answer 1

Nursing care plan for asthma in a child:
Nursing diagnosis: Ineffective breathing pattern related to swelling of bronchial tubes as evidenced by tachypnea.
Expected outcome: Child will maintain optimal breathing pattern.
Nursing intervention:
• Assess the child's vital signs.
• Assess the respiratory rate, depth and rhythm.
• Assess the level of anxiety
• Monitor oxygen saturation
• Provide rest in-between activities
• Head of the bed to be elevated
• Teach purse lip breathing
• Administer medication
Nursing diagnosis: Ineffective airway clearance related to bronchospasm as evidenced by wheeze sound.
Expected outcome: Child will maintain airway patency.
Nursing intervention:
• Assess respiratory rate, depth and rhythm.
• Auscultate lung sounds
• Monitor oxygen saturation and chest x-ray
• Provide rest in between activities
• Reduce child's anxiety
• Increase fluid intake
• Administer oxygen and medication
Nursing diagnosis: Activity intolerance related to fatigue as evidenced by prolonged dyspnea.
Expected outcome: Child will do normal activities without feeling tired.
Nursing intervention:
• Assess the level of weakness
• Encourage activities like reading, quiet play which involves less strain
• Provide adequate rest and a peaceful environment
• Assist in doing activities to save their energy
• Reinforce exercise limitations
Nursing care plan for cystic fibrosis:
Nursing diagnosis: Impaired gas exchange related to airway obstruction as evidenced by dyspnea.
Expected outcome: Child will maintain optimal gas exchange
Nursing intervention:
• Monitor respiratory status
• Provide rest in between activities and minimal interrupted sleep
• Place child in semi fowlers position
• Administer oxygen
Nursing diagnosis: Ineffective airway clearance related to increased mucopurulent production as evidenced by dyspnea
Expected outcome: The child will maintain clear and open airway.
Nursing intervention:
• Assess respiratory status
• Auscultate lung sounds
• Assess sputum colour, amount and consistency
• Monitor oxygen saturation
• Provide exercise and physical therapy
• Encourage frequent and effective cough
• Administer bronchodilators
Nursing diagnosis: Infection related to viral organism as evidenced by fever
Expected outcome: Child will be free from infection
Nursing intervention:
• Assess the signs and symptoms of infection
• Obtain sputum culture and sensitivity
• Provide oxygen therapy
• Assess for WBC counts
• Provide antipyretics
• Administer IV antibiotics