Nursing Care Plan


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Medical Diagnoses: Risk for Infection; Chronic disease and inadequate secondary defenses.

Assessment

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders and Rationale

*I

Evaluation

Goals

Interventions

Subjective

Unable to gather information- did not assess patient.

     

     

     

     

     

Objective

Unable to gather  information- did not assess patient.



Problem

Risk for infection

    

    

 

Long Term:

Client will remain free of infection until discharge.



 

Observe and report signs of infection such as redness, warmth, discharge, and increased body temperature. EB: Prospective surveillance study for nosocomial infection on hematology-oncology units should include fever of unknown origin as the single most common and clinically important entity (Engelhart et al, 2002).

    

Unable to evaluate- did not care for patient.


Unable to evaluate- did not care for patient.

R/T

Chronic disease and inadequate secondary defenses.

    

    

    

    

    

    

Short Term:

Client will maintain white blood cell count and differential within normal limits until discharge.

Note and report laboratory values (e.g., white blood cell count and differential, serum protein, serum albumin, and cultures). EB: The white blood cell count and the automated absolute neutrophil count are better diagnostic tests for adults and most children (Cornbleet, 2002).

    


   

Unable to evaluate- did not care for patient.


Unable to evaluate- did not care for patient.

AEB

History of chronic disease such as COPD and history of MRSA.

    

 

  

    

    

    

    


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