Nursing Diagnosis: Risk for Infection RT Leukopenia Secondary to Chemotherapy
Outcomes: Infection Severity, Immune Status (NOC). Client will remain free of infection as evidenced by temperature remaining within normal limits. Client will verbalize interventions that prevent infection.
Interventions | NIC | Rationales |
| Monitor vital signs to check for infection | Infection Protection | An elevated temperature is frequently the initial sign or manifestation |
| Practice proper hand-washing and use aseptic technique when providing care | Infection Protection | Hand washing is the single most effective intervention to decrease the risk of infection. Aseptic technique minimizes risk of nosocomial infections. |
| Keep neutropenic clients separate from others | Infection Protection | Neutropenic clients are at greatest risk for infection |
| Monitor laboratory results, especially complete blood count, white blood cell count (WBC), differential and absolute neutrophils | Infection Protection | Abnormal results provide data that provide a basis for early detection of infection |
| Monitor respiratory, urinary, mucosal and skin systems | Infection Protection | Changes in these systems are often a basis for early detection of infection. Neupogen decreases infection risk by increasing WBCs in clients receiving chemotherapy who develop neutropenia |
| Teach manifestations of infection and those to report immediately | Infection Protection | Infection in neutropenic clients is life threatening |
| Teach measures for prevention of infection, such as avoiding crows and not cleaning fish tanks or litter boxes | Infection Protection | These are high-risk sources of infection |
Evaluation: The client will remain free of infection or seek treatment promptly if manifestations of infection appear. The client will verbalize methods that minimize this condition from occurring.
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