Desired Outcome: Within 2 hours of nursing interventions, the patient will demonstrate improved gas exchange as evidenced by heart rate and oxygen saturation within normal range. An alteration in the balance of oxygen and carbon dioxide results in the nursing diagnosis of Impaired Gas Exchange. - Rationale: Rapid and shallow breathing patterns and hypoventilation This is a 75 year old female dx aspiration pneumonia and with a tracheostomy. 11. Monitor the chest drainage system of post-lobectomy or lung resection patient. Analysis* statement 3 part nanda nursing diagnosis analysis: Nurse knowledge exchange, also known as change of shift report, is a real time exchange of information that promotes accountability and teamwork it is also an opportunity to involve the patient and family in the patient's plan of care. Provide reassurance and reduce anxiety.Anxiety increases dyspnea, respiratory rate, and work of breathing. 3. Chest tubes nursing care management assessment nclex review drainage system. 5ith initial hypoxia and hypercapnia blood pressure $B*% heart rate and respiratory rate all, increase! To improve the delivery of oxygen in the airways and to reduce shortness of breath and risk for airway collapse. Pursed lip breathing and deep breathing exercises also prevents atelectasis or lung collapse. 21. Adequate gas exchange is a basic physiological need. Expected outcomes The patient maintains maximum gas exchange as evidenced by normal mental status, unlabored respirations at 12 to 20 per minute, oximetry results within the normal range, baseline HR for the patient, and blood gases within the normal range. Web. conditions/treatme nts in the pathophysiology in this client and referenced in this care plan. Monitor patients behavior and mental status for the onset of restlessness, agitation, confusion, and (in the late stages) extreme lethargy.Changes in behavior and mental status can be early signs of impaired gas exchange. Airway obstruction blocks ventilation that impairs gas exchange.