Nursing Diagnoses

[ehund64]

I am having a little trouble with nursing diagnoses. I was just looking for a little guidance and wanted to check if I was on the right track.

My Diagnosis is:

Impaired gas exchange secondary to anemia as evidenced by shortness of breath with any exertion.

HGB is 9mg/dL

I need an assess, do, teach.

I was thinking my interventions would be respiratory monitoring and oxygen therapy.

Assess:

I would assess the lungs for areas of decreased ventilation and the presence of adventitious sounds.

DO: Position patient with proper body alignment

Teach: appropriate breathing and coughing techniques

Assess:

I would monitor for changes in BP and HR

Do: change patient's position every 2 hours

Teach: Explain the need to restrict and pace activities to decrease oxygen consumption during an acute episode.

Or should I assess Oxygen therapy? use a pulse ox to monitor for oxygen saturation

Do:

Teach: Home health services for nursing care or oxygen management.

I'm completely lost with this. If anyone has any advice or any kind of direction I would appreciate it. Thanks in advance.

[Rose_Queen, BSN, MSN, RN]

Esme and GrnTea are posters here who have offered some awesome advice about nursing care plans. If you enter their names into the search bar in the upper right of the screen as well as nursing diagnosis or care plan, you will find a wealth of help.

[NurseGirl525, ASN, RN]

You can't have a secondary to without a related to. You are trying to make this out of a medical dx. You are writing a nursing dx. Do you have a nursing dx book? A Nanda dx book? You cant make up a related to or interventions. You use your AEB from your patient assessment. What is your assessment?