Nursing Care Plan for BRONCHIOLITIS
ASSESSMENT NURSING DIAGNOSIS PLAN INTERVENTION
Related to Evidenced by
* Assess airway for Ineffective Possibly evidenced by *Child will demonstrate * Provide for periods of rest by organizing
patency. airway Diminished or effective coughing and procedures and care and disturbing
* Assess respirations. clearance absent breath clear breath sounds; is free infant/child as little as possible in acute
Note quality, rate, related to sounds of cyanosis and dyspnea. stages of illness.
pattern, depth, Tracheobronchial Crackles, wheezes, * Elevate head of bed at least 30° for
flaring of nostrils, obstruction, rhonchi child and hold infant and young child in
dyspnea on exertion, secretions, infect Paroxysmal, lap or in an upright position with head on
evidence of splinting, ion nonproductive, and shoulder; older child may sit up and rest
use of accessory harsh, head on a pillow on overbed table.
muscles, and position hacking cough * Encourage fluid intake at frequent
for breathing. Change in rate and intervals over 24-h time periods, specify
* Assess breath depth of amounts.
sounds by respirations * Reposition on sides q 2h; position child
auscultation. Dyspnea and in proper body alignment.
* Assess shallow respiratory * Assist to perform deep breathing and
cough mucus excursion coughing exercises in child when in a
production: Hyperresonance relaxed position for postural
Increased mucus drainage unless procedures are
and nasal discharge contraindicated
Tachypnea * Teach parents and possibly older child
Fever (specify) administration of medications
via proper route with name and action of
each drug: dosage; why given;
frequency; time of day or night; side
effects to report;
*Assess source and Anxiety related to Possibly evidenced by *Child will experience * Communicate openly with parents and
level of anxiety, how Change in the Increased decreased anxiety and will answer questions calmly and honestly.
anxiety is health status of apprehension that appear relaxed. * Allow expression of concerns and
manifested, and the infant or condition might opportunity to ask questions about the
need for information small child/ worsen condition and recovery of ill infant/small
that will Threat of or Expressed concern child.
relieve anxiety. actual and worry about * Encourage parents to remain calm and
hospitalization of impending involved in care and decision-making
infant/small child hospitalization regarding infant/small child noting any
Need for treatment improvement that results.
such as mist tent, *Encourage parents to stay with infant/
IV therapy while small child or allow open visitation and
ASSESSMENT NURSING DIAGNOSIS PLAN INTERVENTION
Related to Evidenced by
* Assess airway for Ineffective Possibly evidenced by *Child will demonstrate * Provide for periods of rest by organizing
patency. airway Diminished or effective coughing and procedures and care and disturbing
* Assess respirations. clearance absent breath clear breath sounds; is free infant/child as little as possible in acute
Note quality, rate, related to sounds of cyanosis and dyspnea. stages of illness.
pattern, depth, Tracheobronchial Crackles, wheezes, * Elevate head of bed at least 30° for
flaring of nostrils, obstruction, rhonchi child and hold infant and young child in
dyspnea on exertion, secretions, infect Paroxysmal, lap or in an upright position with head on
evidence of splinting, ion nonproductive, and shoulder; older child may sit up and rest
use of accessory harsh, head on a pillow on overbed table.
muscles, and position hacking cough * Encourage fluid intake at frequent
for breathing. Change in rate and intervals over 24-h time periods, specify
* Assess breath depth of amounts.
sounds by respirations * Reposition on sides q 2h; position child
auscultation. Dyspnea and in proper body alignment.
* Assess shallow respiratory * Assist to perform deep breathing and
cough mucus excursion coughing exercises in child when in a
production: Hyperresonance relaxed position for postural
Increased mucus drainage unless procedures are
and nasal discharge contraindicated
Tachypnea * Teach parents and possibly older child
Fever (specify) administration of medications
via proper route with name and action of
each drug: dosage; why given;
frequency; time of day or night; side
effects to report;
*Assess source and Anxiety related to Possibly evidenced by *Child will experience * Communicate openly with parents and
level of anxiety, how Change in the Increased decreased anxiety and will answer questions calmly and honestly.
anxiety is health status of apprehension that appear relaxed. * Allow expression of concerns and
manifested, and the infant or condition might opportunity to ask questions about the
need for information small child/ worsen condition and recovery of ill infant/small
that will Threat of or Expressed concern child.
relieve anxiety. actual and worry about * Encourage parents to remain calm and
hospitalization of impending involved in care and decision-making
infant/small child hospitalization regarding infant/small child noting any
Need for treatment improvement that results.
such as mist tent, *Encourage parents to stay with infant/
IV therapy while small child or allow open visitation and
