Scribd
Upload
892 views2 pages

Assessment Dianosis Planning Intervention Rationale Evaluation

The patient was at risk for infection after 8 hours of nursing intervention. The nurse assessed for signs of infection like fever and instructed the patient on proper hand hygiene and wound care to prevent infection. The nurse changed the wound dressing using aseptic technique and ensured the patient understood the importance of keeping the wound clean and dry and taking antibiotics as prescribed. After 8 hours, the goal of identifying interventions to reduce infection risk was met.

Uploaded by

kyaw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
892 views2 pages

Assessment Dianosis Planning Intervention Rationale Evaluation

The patient was at risk for infection after 8 hours of nursing intervention. The nurse assessed for signs of infection like fever and instructed the patient on proper hand hygiene and wound care to prevent infection. The nurse changed the wound dressing using aseptic technique and ensured the patient understood the importance of keeping the wound clean and dry and taking antibiotics as prescribed. After 8 hours, the goal of identifying interventions to reduce infection risk was met.

Uploaded by

kyaw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

ASSESSMENT DIANOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective Data: Risk for Infection After 8 hours of nursing -assess signs and - fever may indicate After 8 hours
intervention the patient symptoms of infection infection and provide nursing intervention
will be able to identify especially temperature baseline data the goal was met.
interventions to prevent The patient was able
or reduce risk of -stress proper hand -it serves as a first line of to identify
infection hygiene to the patient defense against infection interventions to
and to the significant prevent risk of
others infection

-maintain aseptic -regular wound dressing


technique when promotes fast healing
changing and drying of wounds
Objective Data: wound dressing or
-Vital Sign disposing of
Temperature: 36.7 C contaminated materials
PR: 78 bpm -wet area prone in
RR: 18 cpm - instruct the patient to invading of bacteria
BP: 110/80 mmhg keep the area wound
-weak in appearance clean and dry
-clean and intact wound -discontinuation of
dressing -emphasized the treatment when client
necessity of taking the begin to feel well may
antibiotics as ordered result in in-effectivity of
the drug

You might also like