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AGORILLA, Mary Andrea G.

2NUR-1
OB WARD - NCP

SIGNS and NURSING SCIENTIFIC OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


SYMPTOMS DIAGNOSIS EXPLANATION
SUBJECTIVE: Risk for infection Because of the SHORT TERM: 1. Teach the patient the 1. To reduce risk of SHORT TERM:
“Ni-raspa ako dahil related to patient’s condition, After an 8 hour proper way of perineal ascending urinary tract After an 8 hour
nalalag yung baby inadequate primary which is newly shift, the patient will care infection shift, the patient
ko.” as verbalized by defenses as subjected under the D be able to: 2. Monitor the patient’s 2. Elevated temperature, is a was able to:
the patient evidence by tissue & C procedure, the 1) Identify the vital signs especially classic sign of infection. 1) Identify the
damage due to patient has still fresh signs and the temperature 3. An increasing WBC count signs and
OBJECTIVE: complete curettage wound, therefore has symptoms of
3. Monitor white blood cell (> 11,000) indicates the symptoms of
- Weak in infection count body’s efforts to combat infection
procedure high risk for being
appearance 2) Demonstrate 4. Advise the patient that pathogens. A very low 2) Demonstrate
invaded by
- Post D & C proper perineal intercourse should be WBC count may indicate a proper perineal
pathogenic agents, washing avoided until after post- severe risk for infection. washing
which will be harmful operative check-up and (< 4,500)
for the patient LONG TERM: after vaginal discharge 4. This precaution reduces LONG TERM:
After 2 days, the has ceased the risk of infection After 2 days, the
patient will be free 5. Teach the patient and 5. Friction and running water patient was free
from infection. the family to wash effectively removes from infection.
hands before contact microorganisms from the
with each other hands which reduces risk
for infection as well