2. Write one of the North American Nursing Diagnosis Association (NANDA) nursing diagnoses related to and and develop two patient-specific interventions for the client. : when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences. All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5 Discussions must have a minimum of two references, not older than 2015.
One of the nursing diagnoses related to the North American Nursing Diagnosis Association (NANDA) that can be used for a client is Impaired Gas Exchange. This diagnosis is related to any condition that affects the exchange of oxygen and carbon dioxide at the alveolar-capillary membrane, such as respiratory disorders, chest trauma, or neuromuscular disorders. Some of the defining characteristics for this nursing diagnosis include abnormal arterial blood gases, abnormal breath sounds, cyanosis, dyspnea, decreased oxygen saturation, and abnormal respiratory rate.
When developing patient-specific interventions for a client with Impaired Gas Exchange, it is important to consider the individual’s specific needs and condition. Two possible interventions could include oxygen therapy and respiratory support.
The first intervention, oxygen therapy, involves providing supplemental oxygen to the client in order to increase oxygen levels and improve gas exchange. This can be done through the use of a nasal cannula, face mask, or other devices depending on the client’s needs. The amount of oxygen administered should be based on the client’s oxygen saturation levels and prescribed by the healthcare provider. In addition to administering oxygen, it is important to assess the client’s response to therapy, monitor oxygen saturation levels, and educate the client on the risks and benefits of oxygen therapy.
The second intervention, respiratory support, focuses on assisting the client in improving their breathing and lung function. This can include interventions such as positioning the client in a high Fowler’s position to promote lung expansion, providing chest physiotherapy to help mobilize secretions, and encouraging deep breathing exercises and coughing techniques to improve clearance of mucus. Additionally, the nurse should monitor the client’s respiratory rate and effort, auscultate breath sounds, and provide education on the importance of respiratory hygiene and proper breathing techniques.
It is important for the nurse to collaborate with other members of the healthcare team, such as respiratory therapists or physicians, to ensure appropriate interventions are implemented. Regular assessment of the client’s respiratory status, including monitoring vital signs and oxygen saturation levels, is crucial to evaluate the effectiveness of the interventions and make any necessary adjustments.
In conclusion, Impaired Gas Exchange is a nursing diagnosis that can be used for clients with conditions that affect the exchange of oxygen and carbon dioxide. Oxygen therapy and respiratory support are two possible interventions that can be implemented to improve gas exchange for the client. These interventions should be individualized to meet the specific needs of the client and should be regularly evaluated for effectiveness. Collaboration with other members of the healthcare team and ongoing assessment of the client’s respiratory status are essential for providing optimal care to clients with Impaired Gas Exchange.