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Original Question

Topic: Gas Exchange Provide the expected outcomes for each of the following Nursing interventions: Diagnosis: Risk for aspiration related to Dysphagia Nursing Intervention, rationale and Expected outcome 1. Interventions: Position patient upright during feedings. Rationale: The elevated head helps keep food in the stomach and reduces aspiration. Expected outcome: 2.Intervention: Assist patient with oral intake Rationale: Assisting helps the strategy for safe swallowing. Expected outcome: 3. Intervention: Perform oral care before and after meal. Rationale: Oral care after eating removes food residues that could cause aspiration at a later time. Expected outcome: 4.Intervention: Patient placed on their side. Rationale: This position decreases the risk for aspiration by promoting drainage of secretions out of the mouth instead of pharynx. Expected outcome: Diagnosis: risk for impaired Gas exchange related to patient’s history of smoking. Nursing intervention/Rationale/Expected out 5.Intervention: Position client with head of bed elevated, in a semi-Fowler’s position as tolerated. Rationale: Semi-Fowler’s position allows increased lung expansion because the abdominal contents are not crowding the lungs. Expected outcome: 6.Intervention: Assess the patient’s nutritional status. Rationale: Malnutrition can be lead to loss of muscle mass, this can affect breathing muscle. Expected outcome: 7.Intervention: Monitor vital signs. Rationale: With initial hypoxia and hypercapnia, blood pressure (BP), heart rate, and respiratory rate all rise. Expected outcome: 8.Intervention: Assess skin color for development of cyanosis. Rationale: To ensure that adequate amount of oxygen is supplied to tissues and organs. Expected outcome:

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