University:
West Coast University
Course:
NURS 122 | Introduction to Medical Surgical Nursing
Academic year:

2021
Views:

369

Pages:

1
Author:

folclord7m

Nursing Care Plan Nursing Care Plan Patient with Neutropenia Nursing Diagnosis Risk for Infection Risk factors: Inadequate secondary defenses (immunosuppression), altered response to microbial invasion, environmental exposure to pathogens Patient Goals 1. Adheres to infection control and protection practices 2. Has no signs or symptoms of infection, reducing the risk of septic shock Outcomes (NOC) Risk Control: Infectious Process  Acknowledges personal risk factors for infection ___  Identifies infection risk in daily activities ___  Identifies strategies to protect self from others with infection ___  Monitors environment for factors associated with infection risk ___  Develops effective infection control strategies ___  Practices infection control strategies ___  Monitors changes in general health status ___ Measurement Scale 1 = Never demonstrated 2 = Rarely demonstrated 3 = Sometimes demonstrated 4 = Often demonstrated 5 = Consistently demonstrated Interventions (NIC) and Rationales Infection Protection  Maintain isolation techniques, as appropriate, to reduce patient’s exposure to environmental pathogens.  Screen all visitors for communicable disease to prevent the transmission of harmful pathogens to patient.  Remove fresh flowers and plants from patient areas to avoid introduction of pathogens.  Follow neutropenic precautions to avoid patient exposure to pathogens.  Monitor for signs and symptoms of systemic and localized infection to promote early detection of infection.  Monitor laboratory test results for absolute granulocyte count, WBC count, and differential to identify signs of and potential for infection.  Inspect skin and mucous membranes for redness, extreme warmth, or drainage to detect infection.  Teach patient, caregiver(s), and family member(s) personal hygiene techniques of hand washing, oral care, skin hygiene, and pulmonary hygiene to avoid infection.  Teach the patient, caregiver(s), and family member(s) about signs and symptoms of infection and when to report them to the health care provider to receive early treatment of infection.  Report suspected infections to infection control personnel to promptly initiate antibiotic therapy.  Teach patient to take antibiotics as prescribed to prevent microbial resistance.