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NURSING DIAGNOSIS: Airway Clearance, ineffective May be related to Thick, viscous, or bloody secretions Fatigue, poor cough effort Tracheal/pharyngeal edema Possibly evidenced by Abnormal respiratory rate, rhythm, depth Abnormal breath sounds (rhonchi, wheezes), stridor Dyspnea Desired Outcomes Respiratory Status: Airway Patency (NOC) Maintain patent airway. Expectorate secretions without assistance. Demonstrate behaviors to improve/maintain airway clearance. Participate in treatment regimen, within ...

NURSING DIAGNOSIS: Infection, risk for [spread/reactivation] Risk factors may include Inadequate primary defenses, decreased ciliary action/stasis of secretions Tissue destruction/extension of infection Lowered resistance/suppressed inflammatory process Malnutrition Environmental exposure Insufficient knowledge to avoid exposure to pathogens Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Identify interventions to prevent/reduce risk of spread of infection. Demonstrate ...