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:
2.
Rationale:
3.
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.