PNS202 Dropbox Assignment Week 10 - Nursing Care Plan Example

PNS202 Dropbox Assignment Week 10 – Nursing Care Plan Example

Learner’s Name: J. Otto, RN Date Due: 12/10/23

Patient’s Initials: L. K. Room #: 3319 Age: 52 Medical Diagnosis: Asthma

NANDA Nursing Diagnosis

Assessment Data:

O –

O – T 99.1 F orally, P – 98, RR – 20, BP 142/82 mmHg, SpO2 94% on R/A

O – Integument:

S – Pain R

Nursing Diagnosis:

(NOTE to student: NO AEB S & O data in ND statement b/c is a “Risk for” problem)

(NOTE to student: You are to do only Actual problems in your NCP, not “Risk for” problems)

Patient Goal

(“Patient will”, “as evidenced by”)

Short-Term Goal/Desired Outcomes:

end of the teaching session this shift.

Long-Term Goal/Desired Outcomes:

Nursing Interventions and Rationales

1. Assess

Rationale:

Evaluation of Short-Term Goal/Desired Outcomes

Short-Term Goal:

Reference

Ackley, B. & Ladwig, G. (2020). Nursing diagnosis handbook. An evidence-based guide to planning care (12 Ed.). St. Louis: Elsevier.

PNS202 Dropbox Assignment Week 10 – Nursing Care Plan Example