Question

Short term goals can usually be achieved by the end of your shift. Long term goals are usually achieved by discharge. Write one short term and one long term goal for the following nursing diagnosis.

Impaired physical mobility related to ventilation-perfusion mismatch as evidenced by shortness of breath on ambulation and inability to ambulate more than 10 feet independently.

Registered nurses perform interventions based on the following actions: (MEATA): Monitor, Evaluate, Assess, Teach, Administer

Provide 2 RN interventions for each goal that you developed. Provide rationale for each intervention being performed by an RN.

Answer 1

Short term goal

• Provide patient good nutritional diet to balance self and maintain a steady gait
  • Provide calorie rich diet to gain energy go walk
  • Provide high protein diet which can enhance the musculoskeletal system
• Administer medication to relive shortness of breath
  • Administer bronchodilator as pe order to relievediscomfort
  • Assess the patient vital signs for any abnormal changes
• Teach patient about breathing exercises to enhance lung capacity
  • Purse lip breathing techniques improves lung function with adequate oxygen
  • Provide patient Fowler's position while lying down ,this can ncrease the lung capacity

Long term goal

• Patient should be able to walk independently
  • Teach patient about the use of walking aids,this may prevent accidental fall from using the mobility device in home or when alone
  • Patient should be aware of how long the devices to be
• Maintain good respiratory status
  • Teach patient about the preventive measures from dyspnea while walking
  • Encourage patient to have periodic follow up with the provider to assess the prognosis