Nursing diagnosis

Discuss assessment, nursing diagnosis, planning, implementation, and evaluation as they apply to the administration of drugs. 

From Cbrpenito, L. J. (1995). Nursing diagnosis Application to clinical practice (6th ed pp. 601-602). Philadelphia Lippincott-Raven Hussar, D. A. (1995, October). Nursing95, pp. 62-64. 

Mr. Potter, age 57 years, is admitted to the pulmonary unit in acute respiratory distress. The primary health care provider orders IV aminophylline. In developing a care plan for Mr. Potter, you select the nursing diagnosis Ineffective Airway Clearance. Suggest Jiursing interventions that would be most important in managing this problem. 

Diagnosis The patient s problem(s) based on an analysis of assessment data. Diagnosis is a nursing diagnosis, which differs from a medical diagnosis. 

A nursing diagnosis is a problem statement(s) describing the patient s actual or potential response to a health problem that the nurse is licensed and competent to treat based on guidelines developed by the North American Nursing Diagnosis Association (NANDA). A problem statement may include the cause of the problem and symptoms that manifested the problem. 

After the nursing diagnosis is defined, a plan is developed describing how the healthcare team will treat the patient s problem(s). The plan must define ... 

Assessment is data collection. During the assessment step, the nurse is gathering subjective and objective data from the patient that will later be used to arrive at a nursing diagnosis. Subjective data is information that is reported by the patient such as, I m feeling warm. Objective data is information that can be measured or observed, such as the patient s temperature or the color of the patient s skin. 

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