Question

1. State 3 Nursing Diagnosis for the Respiratory system and the

nursing actions that may help to resolve the stated problem. 2.
State 3 Nursing Diagnosis for the Cardiac system and the nursing
actions

Answer 1

Three Nursing Diagnoses for the respiratory system are Impaired Gas Exchange, Ineffective Airway Clearance, and Activity Intolerance, with corresponding nursing actions for each. Similarly, three Nursing Diagnoses for the cardiac system include Decreased Cardiac Output, Ineffective Tissue Perfusion, and Risk for Fluid Volume Imbalance, along with appropriate nursing interventions.

Step-by-step explanation:

To state 3 Nursing Diagnoses for the respiratory system along with the nursing actions that may help to resolve the stated problems:

1. Impaired Gas Exchange related to altered oxygen supply as evidenced by cyanosis, shortness of breath, and altered blood gases. Nursing actions include monitoring vital signs, administering oxygen, positioning the patient to optimize breathing, and monitoring arterial blood gas results.
2. Ineffective Airway Clearance related to increased secretions or bronchoconstriction as evidenced by abnormal breath sounds and difficulty expectorating. Nursing actions include promoting adequate hydration, performing chest physiotherapy, encouraging deep breathing exercises, and suctioning if necessary.
3. Activity Intolerance related to reduced oxygenation and dyspnea on exertion. Nursing actions encompass pacing activities, providing assistance as needed, and planning for periods of rest.

To state 3 Nursing Diagnoses for the cardiac system, the nursing actions include:

1. Decreased Cardiac Output related to altered heart rate or rhythm, as evidenced by fatigue, weakness, and altered blood pressure. Nursing actions include monitoring heart rate and rhythm, administering prescribed cardiac medications, and educating the patient on energy-conserving techniques.
2. Ineffective Tissue Perfusion related to decreased cardiac pump effectiveness as evidenced by cool extremities, prolonged capillary refill, and decreased urine output. Nursing actions involve assessing for signs of decreased perfusion, monitoring hemodynamic status, and ensuring adequate fluid balance.
3. Risk for Fluid Volume Imbalance related to compromised regulatory mechanisms as evidenced by edema, weight gain, and changes in urine output. Nursing actions include monitoring intake and output, daily weights, and administering diuretics as prescribed.