Here are the revised Nursing Care Plans (NCPs) with short-term and long-term goals and

separated nursing interventions and rationales while following your requested format.

Nursing Care Plan – Emergency Room Patient 1

Assessment:

Subjective: “I’m having trouble breathing,” as verbalized by the patient.

Objective:

• Shortness of breath

• Respiratory rate: 28 breaths per minute

• Use of accessory muscles for breathing

• Oxygen saturation: 88% on room air

Nursing Diagnosis:

Impaired gas exchange related to respiratory distress as evidenced by dyspnea, low oxygen
saturation, and use of accessory muscles.

Goals/Outcome Criteria:

Short-term goal: The patient’s oxygen saturation will improve to ≥95%, with a decrease in
respiratory distress within 30 minutes of intervention.

Long-term goal: The patient will maintain adequate oxygenation and demonstrate effective
breathing patterns without accessory muscle use.
Nursing Interventions:

Independent:

• Position the patient in a semi-Fowler’s or high-Fowler’s position.

• Monitor respiratory rate, depth, and oxygen saturation every 5 minutes.

Dependent:

• Administer supplemental oxygen as prescribed.

• Administer bronchodilators or corticosteroids as ordered.

Collaborative:

• Notify the physician if there is no improvement.

• Work with the respiratory therapist for nebulization or possible intubation.

Rationale:

• Proper positioning facilitates lung expansion and oxygenation.

• Frequent monitoring ensures early detection of deterioration.

• Oxygen therapy improves oxygen saturation.

• Bronchodilators and corticosteroids reduce airway resistance and inflammation.

• Collaboration with other healthcare providers ensures timely interventions.

Evaluation:
Short-term: The patient’s oxygen saturation improved to 96%, with reduced respiratory distress.

Long-term: The patient maintained normal oxygen levels and effective breathing without
distress.

Nursing Care Plan – Emergency Room Patient 2

Assessment:

Subjective: “I feel very weak and dizzy,” as stated by the patient.

Objective:

• Blood pressure: 80/50 mmHg

• Heart rate: 120 bpm

• Pale, cool, clammy skin

• Delayed capillary refill

Nursing Diagnosis:

Ineffective tissue perfusion related to hypovolemia as evidenced by hypotension, tachycardia,

Goals/Outcome Criteria:

Short-term goal: The patient’s blood pressure will stabilize at ≥100/60 mmHg, and heart rate will
return to normal within 1 hour of intervention.

Long-term goal: The patient will maintain adequate tissue perfusion without recurrent episodes
of hypotension.
Nursing Interventions:

Independent:

• Monitor vital signs every 5-10 minutes.

• Keep the patient in a supine position with legs elevated.

Dependent:

• Administer IV fluids as prescribed.

• Administer vasopressors if ordered.

Collaborative:

• Work with the physician to determine the cause of hypotension.

• Coordinate with laboratory personnel for urgent blood tests.

Rationale:

• Frequent monitoring allows for quick assessment of treatment effectiveness.

• Supine positioning with leg elevation promotes venous return and cardiac output.

• IV fluids restore intravascular volume, improving perfusion.

• Vasopressors increase blood pressure if fluids alone are insufficient.

• Identifying the cause ensures appropriate long-term management.

Evaluation:
Short-term: The patient’s blood pressure increased to 110/70 mmHg, with improved skin
perfusion.

Long-term: The patient maintained stable hemodynamics without recurrent hypotension.

Nursing Care Plan – Medical-Surgical Ward Patient 1

Assessment:

Subjective: “My surgical wound is painful and swollen,” as stated by the patient.

Objective:

• Redness, swelling, and warmth at the surgical site

• Pain score: 7/10

• Purulent drainage from the wound

• Elevated WBC count

Nursing Diagnosis:

Risk for infection related to surgical wound as evidenced by redness, swelling, and presence of
purulent drainage.

Goals/Outcome Criteria:

Short-term goal: The patient’s wound inflammation and drainage will decrease within 48 hours.

Long-term goal: The patient will have complete wound healing without complications or
reinfection.
Nursing Interventions:

Independent:

• Educate the patient on proper wound care.

• Encourage adequate hydration and nutrition.

Dependent:

• Administer prescribed antibiotics.

• Administer analgesics for pain control.

Collaborative:

• Work with the wound care team for dressing changes.

• Coordinate with laboratory for wound culture testing.

Rationale:

• Proper wound care prevents bacterial growth and infection.

• Hydration and nutrition support immune function and healing.

• Antibiotics eliminate infection, while pain management improves patient comfort.

• Dressing changes and wound cultures help track healing progress.

Evaluation:
Short-term: The patient showed reduced wound redness and swelling with decreased drainage.

Long-term: The wound healed completely without signs of reinfection.

Nursing Care Plan – Medical-Surgical Ward Patient 2

Assessment:

Subjective: “I don’t feel like eating and I’m nauseated,” as verbalized by the patient.

Objective:

• Poor oral intake

• Weight loss of 5 kg in two weeks

• Weakness and fatigue

• Hypoalbuminemia (low protein levels)

Nursing Diagnosis:

Imbalanced nutrition: Less than body requirements related to decreased appetite and nausea as
evidenced by weight loss and hypoalbuminemia.

Goals/Outcome Criteria:

Short-term goal: The patient will increase oral intake and maintain weight within one week.

Long-term goal: The patient will maintain a balanced diet and achieve optimal nutritional status.

Nursing Interventions:
Independent:

• Assess dietary preferences and encourage small, frequent meals.

• Educate the patient on the importance of nutrition.

Dependent:

• Administer antiemetics as prescribed.

• Provide nutritional supplements as ordered.

Collaborative:

• Work with a dietitian for meal planning.

• Collaborate with physical therapy to maintain muscle strength.

Rationale:

• Small, frequent meals prevent nausea and increase intake.

• Nutritional education helps the patient make better food choices.

• Antiemetics reduce nausea, while supplements provide additional nutrients.

• Dietitian consultation ensures a well-balanced diet, and physical therapy helps prevent muscle
loss.

Evaluation:

Short-term: The patient’s oral intake improved, and weight stabilized within one week.

Long-term: The patient maintained proper nutrition and body weight.