Ineffective Breathing Pattern

Defining Characteristics (Specify shortness of breath, tachypnea, fremitus.) Related to Decreased lung expansion. Defining Characteristics (Specify apnea, dyspnea, respiratory depth changes.) Related to Tracheobronchial obstruction. Defining Characteristics (Specify dyspnea, head bobbing in infant, drooling, tachypnea, abnormal arterial blood gases, cyanosis (skin, circumoral, mucous membranes), nasal flaring, respiratory depth changes, use of accessory muscles and retractions, altered chest...

Nursing Diagnoses Ineffective Airway Clearance

Related to (Specify tracheobronchial infection, obstruction, secretions.) Defining Characteristics (Specify, e.g., abnormal breath sounds fine or coarse crackles, rhonchi, wheezes, changes in rate or depth of respirations, tachypnea, cyanosis, fever, provide data.) Related to Decreased energy and fatigue. Defining Characteristics (Specify, e.g., ineffective cough with or without sputum, labored respirations, inability to feed self, sleeplessness, lack of activity, weakness.) Goal Infant child...

Disorganized Infant Behavior

Related to Environmental stimulation. Defining Characteristics Specify, e.g., alterations in heart rate, respirations, color changes, erratic body movements, difficulty with feedings or prolonged periods of wakefulness. Goal Infant will display increased organization of behavior by date time to evaluate . Outcome Criteria V Infant demonstrates quiet alert state and ability to habituate to environmental stimuli. V Color changes with handling and movement are decreased. V Demonstrates smoother...