Final answer:
In order to maintain a patent airway and improve comfort and ease for each nursing diagnosis, there are various assessment, action, and education interventions that can be implemented, along with specific goals and outcomes.
Step-by-step explanation:
In order to maintain a patent airway and improve comfort and ease, there are several interventions and goals that can be implemented for each nursing diagnosis:
Assessment Interventions:
- Perform a thorough respiratory assessment to identify any changes in lung sounds or respiratory rate.
- Collect sputum samples for microbiological evaluation and cytology to determine the presence of any infections or abnormalities.
Action Interventions:
- Administer bronchodilators and expectorants to help open and clear the airways.
- Encourage deep breathing exercises and the use of incentive spirometry to facilitate lung clearance and improve lung function.
- Provide postural drainage and chest percussion techniques to help mobilize and remove secretions.
Education Intervention:
- Educate the patient on proper coughing techniques and the importance of staying hydrated to help mobilize and clear sputum.
Planning (Goals and Outcomes):
Goal: Maintain a patent airway.
- Patient's lungs will be clear to auscultation.
- Patient coughs effectively and moves sputum out of the airway.
Goal: Improve comfort and ease.
- Patient experiences relief from respiratory distress.
- Patient is able to breathe comfortably without shortness of breath.