NURSING DIAGNOSIS: Risk for Infection Risk factors may include Inadequate primary defenses (decreased ciliary action, stasis of secretions) Inadequate acquired immunity (tissue destruction, increased environmental exposure) Chronic disease process Malnutrition Desired Outcomes Knowledge: Infection Control (NOC) Verbalize understanding of individual causative/risk factors. Identify interventions to prevent/reduce risk of infection. Demonstrate techniques, lifestyle changes to promote safe environment. Nursing Interventions & [...]

Appendectomy is the surgical removal of the appendix. Here are 4 nursing care plans for appendectomy

Nursing Diagnosis: Risk for Infection Risk factors may include Inadequate primary defenses: broken skin, traumatized tissues; environmental exposure Invasive procedures, skeletal traction Desired Outcomes:  Achieve timely wound healing, be free of purulent drainage or erythema, and be afebrile. Nursing Interventions Rationale  Inspect the skin for preexisting irritation or breaks in continuity.  Pins or wires should not be inserted through skin [...]

Nursing Diagnosis: Infection, risk for Risk factors may include Inadequate primary defenses: destruction of skin barrier, traumatized tissues Inadequate secondary defenses: decreased Hb, suppressed inflammatory response Environmental exposure, invasive procedures Desired Outcomes Achieve timely wound healing free of purulent exudate and be afebrile. Nursing Interventions Rationale  Implement appropriate isolation techniques as indicated  Dependent on type/extent of wounds and the choice [...]

Nursing Diagnosis: Infection, risk for Risk factors may include Inadequate primary defenses; perforation/rupture of the appendix; peritonitis; abscess formation Invasive procedures, surgical incision Desired Outcomes Achieve timely wound healing; free of signs of infection/inflammation, purulent drainage, erythema, and fever. Nursing Priorities Prevent complications. Promote comfort. Provide information about surgical procedure/prognosis, treatment needs, and potential complications. Discharge Goals Complications prevented/minimized. Pain [...]

Nursing Diagnosis: Risk for [Spread] of Infection Risk factors may include Inadequate primary defenses (decreased ciliary action, stasis of respiratory secretions) Inadequate secondary defenses (presence of existing infection, immunosuppression), chronic disease, malnutrition Desired Outcomes Achieve timely resolution of current infection without complications. Identify interventions to prevent/reduce risk/spread of/secondary infection. Nursing Interventions Rationale  Monitor vital signs closely, especially during initiation of [...]

Nursing Diagnosis:  Risk for Infection Risk factors may include: High glucose levels, decreased leukocyte function, alterations in circulation Preexisting respiratory infection, or UTI Desired Outcomes: Identify interventions to prevent/reduce risk of infection. Demonstrate techniques, lifestyle changes to prevent development of infection. Nursing Interventions Rationale Observe for signs of infection and inflammation, e.g., fever, flushed appearance, wound drainage, purulent sputum, cloudy [...]

Nursing Diagnosis: Risk for Infection Risk factors may include Inadequate secondary defenses and immunosuppression, e.g., bone marrow suppression (dose-limiting side effect of both chemotherapy and radiation). Malnutrition, chronic disease process Invasive procedures Desired Outcomes Remain afebrile and achieve timely healing as appropriate. Identify and participate in interventions to prevent/reduce risk of infection. Nursing Interventions Rationale  Promote good handwashing procedures by [...]