Medical Ward Ncp Essay Example

The patient is having difficulty maintaining an open airway due to inflammation and increased secretions, resulting in ineffective airway clearance diagnosed as pneumonia-related secretions. The nursing goal is to improve the patient's breathing and relieve respiratory distress. In the short term (within 3-4 hours), respiration will improve, while in the long term (after 3-4 days), a patent airway will be maintained. To achieve these goals, the nurse should establish rapport with the patient and significant other, assess their condition, monitor vital signs regularly, and accurately document them. During lung auscultation, listen for decreased or absent airflow and abnormal breath sounds. Additionally, assist with changing positions every 30 minutes, elevate the head of bed for proper alignment. Teach effective coughing techniques and deep breathing exercises while encouraging increased fluid intake. These interventions are expected