University of the East

RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER INC.

Aurora Boulevard, Quezon City
College of Nursing

Jona Joyce M. Junsay

N3B

ACTIVITY: Pick one of the Infectious Diseases and do the following:

1. Create Pathophysiology
2. Make 3 possible Nursing Diagnosis
3. Nursing Management for the Nursing Diagnosis

Novel Corona Virus

 1.

1. Make 3 possible Nursing Diagnosis

a. Impaired breathing pattern related to shortness of breath.
b. Hyperthermia related to increase in metabolic rate.
c. Infection related to failure to avoid pathogen secondary to exposure to COVID-
19.
Assessment Nursing Planning Intervention Rationale Evaluation
Diagnosis
Objectives: Impaired bre Short Term: INDEPENDENT Monitor the Include the
Fever athing After 1 hour of patient’s time frames
Dry cough pattern relate nursing Monitor vital temperature Short term
Shortness of d to shortness intervention, signs. the infection and long
breath of breath. usually term
Patient will Monitor O2 begins with a
understand on saturation. high
how to reduce temperature Patient will
or prevent the Monitor the monitor the understand
transmission patient’s O2 respiratory on how to
of corona saturation rate of the reduce or
virus. patient as prevent the
Maintain shortness of transmission
Long Term: respiratory breath is of corona
After a 1-2 isolation. another virus. Patient
weeks of common will restore
nursing Enforce strict symptom. breathing
interventions,  hand hygiene. pattern back
Keep tissues to normal.
Patient will at the
restore Manage patient’s
breathing hyperthermia. bedside;
pattern back DEPENDENT: dispose
to normal. Administering secretions
antipyretic properly;
medications intsruct the
as prescribed, patient to
and readying cover mouth
oxygen when
therapy in the coughing or
event of sneezing;
respiratory use masks,
problems and advise
resulting from those
the metabolic entering the
demands for room to wear
oxygen. masks as
well; place
COLLABORATI respiratory
VE:
stickers on
Teach the
chart, linens,
patient and
and so on.
folks to wash
hands after
coughing to
reduce or
prevent the
transmission
of the virus.
 Educate the
patient and
folks. Provide
information on
disease
transmission,
diagnostic
testing,
disease
process,
complications,
and protection
from the virus.

Objectives: Hyperthermia Short Term: INDEPENDENT Normal O2 Include the

Fever related to After 1 hour of Monitor vital saturation as time frames
Dry cough nursing signs measured with Short term
increase in pulse oximeter
Shortness of intervention, and long
metabolic Monitor O2 should be 94
breath Patient will term
rate. saturation or higher;
improve body patients with
temperature Manage fever – severe The patient
levels/ use appropriate COVID-19 had improved
Reducing therapy for symptoms can body
fever hyperthermia, develop temperature
hypoxia, with levels
DEPENDENT values
Long Term: Increasing dropping low
After a 1-2 intravenous (IV) enough to
fluids as warrant
weeks of
allowed, supplemental
nursing administering oxygen.
interventions, antipyretic
medications as
Patient will  prescribed, and
readying
oxygen therapy
in the event of
respiratory
problems
resulting from
the metabolic
demands for
oxygen during a
fever.

COLLABORATI
VE:
Educate the
patient and
patient’s family
 members of the
transmission of
COVID-19, the
tests to
diagnose the
disease,
disease
process,
possible
complications,
and ways to
protect oneself
and one’s family
from
coronavirus.

Objectives: Infection Prevent the INDEPENDENT Monitor the Patient was

Fever related to spread of patient’s able to
Dry cough infection. Monitor vital temperature prevent the
failure to
Shortness of avoid Learn more signs. the infection spread of
breath about the usually infection.
pathogen disease and Monitor O2 begins with a Patient was
secondary to its saturation. high able to learn
exposure to management. temperature more about
COVID-19. Monitor the monitor the the disease
patient’s O2 respiratory and its
saturation rate of the management
patient as .
Maintain shortness of
respiratory breath is
isolation. another
common
Enforce strict symptom.
hand hygiene.
Keep tissues
at the
Manage patient’s
hyperthermia. bedside;
DEPENDENT: dispose
Administering secretions
antipyretic properly;
medications intsruct the
as prescribed, patient to
and readying cover mouth
oxygen when
therapy in the coughing or
event of sneezing;
respiratory use masks,
problems and advise
resulting from those
the metabolic entering the
demands for
oxygen. room to wear
masks as
COLLABORATI well; place
VE: respiratory
Teach the stickers on
patient and chart, linens,
folks to wash and so on.
hands after
coughing to
reduce or
prevent the
transmission
of the virus.

Educate the
patient and
folks. Provide
information on
disease
transmission,
diagnostic
testing,
disease
process,
complications,
and protection
from the virus.