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5. Ineffective breathing pattern Normal range of value for 5. The client will maintain 1. Maintain calm attitude, while To as to maintain and improve
O: RR 30 bpm. related to abdominal pain/ RR is 15 - 20 bpm. an effective breathing dealing with client to limit anxiety. rapport.
Patient having deep,tenderness as evidenced by RR 30 pattern as evidenced by 2. Assist client in use of relaxation So as to relax the client from
shallow, irregular bpm, anxiety/ decreased energy, RR within normal limits, techniques. the tension and anxiety she is
breathing. fatigue. relaxed respiratory effort suffering.
Demonstrate approp.
coping behaviors.
S: Patient uttered, 6. Anxiety related to change in Anxiety is a vague feeling 6. The client will express 1. Assess the client's level of To determine what interventions
"Tangala na ini na health status, change in of apprehension as to what and demonstrate anxiety by listening and observing. are suitable for the client.
adi tak may irong." environment, fear of pain returning will happen next. It is a normal decreasing 2. Reassure the client and To let the client feel secured,
& irritation brought about by the defense mechanism of the manifestations of acknowledge that the unknown is that she is not alone.
O: Fatigue, touchi NGT tube attached. body. anxiety as evidenced of frightening.
the NGT tube which displaying behavior 3. Allow significant others to
she wants to be associated with remain with the client.
removed. relaxation.