The RN is developing a plan of care for a 78 year old patient who was admitted from home with a medical diagnoses of pneumonia and dehydration.The medical order reads: Out of bed 3 times a day, oyygen 2LPM per nasal canula and regular diet as tolerated.The patient's vital signs are T100.8, HR88 RR18 BP100/68 Sat 91%. Tinting at the clavicle.The patient has productive cough with green - yellow sputum and is short of breath with all activity.An intravenius infusion of Normal saline is infusing at 100ml per hours.The chest X rays show consilidation in the base.The Rn has included the following NANDA, NURSING DIAGNOSES IN THE PLAN OF CARE.1)ineffective air way clearance(2) Activity intolerance(3) Deficient..QUESTIONS:(A) Identify what relevant data you will cluster to support one of the identified Nursing diagnoses you chose(3) Writer a three part nursing diagnoses statement for the nursing diagnoses you have chosen (4)Write a measurable out come with a time frame for this patient , provide a rationale for the nursing diagnoses you chose;:Please use APA format, Cite author.I have a comprehensive outline of this assignment but i don,t have time to proof check it please call me if you need some output.
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