Nursing Diagnosis!!!

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I had a 74 yo pt with a Right pleural effusion. I have to do a knowledge deficit care plan on him by tomorrow and I am having a terrible time coming up with one. Can anyone help?!?!

knowledge deficit related to impaired airway clearance? Try focusing on teaching regarding cough and deep breathing, repositioning. I have a great exercise where you have a pt put their hands just below their xiphoid process with the tips of the middle fingers touching. When they take a deep breath that expands the lungs to the bases, the tips of the fingers move apart and on expiration, they move back together. This is also a really good technique for teaching s/p pain control. The very act of placing your hands on your abdomen that way is very comforting, it's almost like a self-hug. I use this ALL the time..... anyway-I find this technique even more effective for teaching deep breathing than using incentive spirometry. hope this helps!!!

Try one of those three. I like the impaired gas exchange. It's so generic that a lot of ventilatory/respiratory conditions can be tied back to it to make it sound all nursey.

Breathing Pattern, ineffective

Gas Exchange, impaired

Ventilation, impaired spontaneous

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