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    Assessment Nursing Diagnoses Planning Intervention Rationale Evaluation

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    Dayan Cabriga
    The patient had a C-section one day ago and complained of decreased energy. On assessment, the patient had decreased hemoglobin and hematocrit levels as well as increased neutrophils, suggesting risk of infection. The nursing plan was to maintain strict asepsis during wound care, increase fluids and hand washing, provide skin care, and monitor for signs of infection like fever in order to reduce the risk of infection and meet the goals of treatment.

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    Assessment Nursing Diagnoses Planning Intervention Rationale Evaluation

    Uploaded by

    Dayan Cabriga
    52 views3 pages
    The patient had a C-section one day ago and complained of decreased energy. On assessment, the patient had decreased hemoglobin and hematocrit levels as well as increased neutrophils, suggesting risk of infection. The nursing plan was to maintain strict asepsis during wound care, increase fluids and hand washing, provide skin care, and monitor for signs of infection like fever in order to reduce the risk of infection and meet the goals of treatment.

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    The patient had a C-section one day ago and complained of decreased energy. On assessment, the patient had decreased hemoglobin and hematocrit levels as well as increased neutrophils, suggesting risk of infection. The nursing plan was to maintain strict asepsis during wound care, increase fluids and hand washing, provide skin care, and monitor for signs of infection like fever in order to reduce the risk of infection and meet the goals of treatment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    52 views3 pages

    Assessment Nursing Diagnoses Planning Intervention Rationale Evaluation

    Uploaded by

    Dayan Cabriga
    The patient had a C-section one day ago and complained of decreased energy. On assessment, the patient had decreased hemoglobin and hematocrit levels as well as increased neutrophils, suggesting risk of infection. The nursing plan was to maintain strict asepsis during wound care, increase fluids and hand washing, provide skin care, and monitor for signs of infection like fever in order to reduce the risk of infection and meet the goals of treatment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Nursing

    Assessment Planning Intervention Rationale Evaluation


    Diagnoses
    Subjective: Risk for After 8 hours of Maintain strict aseptic to reduce the risk of After 8 hours of
    “kakaanak ko pa Infection nursing technique on the colonization / nursing
    lang nung isang related to intervention the procedure / infection of bacterial. intervention, goal
    araw, Cesarian ako” inadequate patient’s will treatment of wounds. was partially met as
    as verbalized by the secondary identify behaviors evidenced by the
    patient. defenses of to prevent or to patient able to
    decreased reduce the risk of verbalize
    Objective: hemoglobin infection. understanding of
    - (+) surgical Increase good hand to prevent cross health teachings
    incision washing; by the care contamination / provided to prevent
    -decreased Hgb = givers and patients. bacterial spread of infection.
    103.0 colonization.
    - decreased Hct
    =0.31 Give skin care, oral reducing the risk of
    - decreased MCH = and perianal damage to the skin /
    26.8 carefully. tissue and infection.
    - decreased MCV =
    81.3
    - increased RBW = Increase enter to assist in the
    20 adequate fluids. dilution secret
    - increased breathing to ease
    Neutrophils = 78.8 spending and
    prevent stasis of
    body fluids such as
    respiratory and
    kidney.
    Motivation changes in increased pulmonary
    position / ambulation ventilation all
    often, coughing and segments and help
    deep breathing mobilize secretions
    exercises. to prevent
    pneumonia.

    Monitor body the process of


    temperature. Note inflammation /
    the chills and infection require
    tachycardia with or evaluation /
    without fever. treatment.
    Administer topical may be used to
    antiseptic and reduce colonization
    systemic antibiotics or prophylactic
    as ordered treatment for local
    infection process

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