Perform oral care before and after meal

Topic: Gas Exchange and Perform oral care before and after meal

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: