Nursing Care Plan 5920 PDF

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Nursing Care Plan...

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Module 5 Written Assignment 1.

What precautions will you take to prevent this patient from obtaining a nosocomial infection?

In order to avoid the patient from obtaining an nosocomial infection you must use proper equipment when providing dressing changes, as well as maintain a sterile field. Some simple steps are simply using proper hand hygiene and gloves. The most primary mode of infection for wounds is direct or indirect contact, either through the hands of the personnel caring for the patient or from contact with inappropriately decontaminated equipment. It is important to use standard precautions and to monitor the wound for any sins of an infection. After the patient leaves the room should be cleaned fully and thoroughly before another patient may enter.

2.

Care Plan

Nursing Diagnosis Risk of Infection Subjective: History of smoking, Objective: midline incision with penrose drain, a stab wound with a Jackson Pratt drain to incision. Goal: The patient will remain free from any signs of an infection. Nursing Interventions: Routinely monitor patients white blood cell count, serum protein, and serum albumin. Nursing Diagnosis: Risk for Bleeding Subjective: N/A Objective: at risk for a decrease in blood volume that may compromise health. Goal: client will not experience bleeding Nursing Interventions: monitor platelet counts and coagulation test results (INR, PT, PTT) Nursing Diagnosis: Risk for impaired skin integrity r/t physical immobility Subjective: N/A Objective: Trauma to the skin Goal: the patient will maintain integrity of skin surface Nursing Interventions: Assess site of impaired tissue integrity and its condition Nursing Diagnosis: Risk for aspiration and inadequate nutrition r/t intolerance to tube feeding Subjective: N/A Objective: Tube feedings Goal: Patient is free of signs of aspiration and the risk of aspiration is decreased. Nursing Interventions: monitor respiratory rate, depth, and effort. Note any signs of aspiration such as dyspnea, cough, cyanosis, wheezing, or fever

RESOURCES:

Wayne, G., Wayne, G., & Wayne. (2017, September 23). Risk for Aspiration – Nursing Diagnosis & Care Plan. Retrieved from https://nurseslabs.com/risk-for-aspiration/

Infection. (n.d.). Retrieved from http://www.nandanursingdiagnosislist.org/functionalhealth-patterns/infection/...