Cues

Objective: Inadequate immunity Chemotherapy Invasive procedure Increased environmental exposure

Nursing Diagnosis
Risk for infection r/t pharmaceutical agents and immunosuppressants .

Analysis
Infection is the growth of a parasitic organism within the body. (A parasitic organism is one that lives on or in another organism and draws its nourishment therefrom.) A person with an infection has another organism (a "germ") growing within him, drawing its nourishment from the person. Reference: www.MedicineNet.co m

Goals & Objectives

Goals: After 20 minutes of nursing intervention, the client will gain knowledge in infection control. Objectives: After 10 minutes of nursing interventions the client will understand how to recognize early signs and symptoms of infection. After 10 minutes of nursing

Nursing Intervention
Independent: - Monitor WBC count.

Rationale

Evaluation

-Elevated total WBC count indicates infection. - To decrease transfer of pathogens. - Hand washing prevents spread of pathogens to other objects and food.

- Wash hands before doing any procedure. - Teach patient how to properly wash hands before and after meals and after using bathroom, bedpan, or urinal. - Instruct patient to report incidents of loose stools or diarrhea.

Was the client able to understand how to recognize early signs and symptoms of infection?

- Diarrhea or loose stools may indicate need to discontinue or change antibiotic

Was the client able to demonstrate

interventions the client will demonstrate techniques to prevent risk of infection.

- Provide reverse isolation as indicated.

therapy.

techniques to prevent risk of infection?

- Monitor visitors/caregivers. - Review individual nutritional needs, appropriate exercise program, and need for rest. Dependent: - Assist with medical procedures. - Administer and monitor medication regimen and note clients response.

- Reduce risk of crosscontamination.

- To prevent exposure of client. - To promote wellness.

- To reduce existing risk factors. - To determine

effectiveness of therapy and presence of side effects.