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ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

Subjective: Risk for infection Short term: 1. Note risk factors - to evaluate - After 3 days of
____ related to tissue After 30 minutes of for occurrence of presence/ character nursing
destruction; nursing infection. of infection. intervention, all the
Objective: invasive procedures. intervention, the interventions were
patient will 2.observed for - to evaluate met which was
___ verbalize localized sign of presence/ character made evident by the
understanding of infection at of infection. absence of sign and
and willingness to insertion sites of symptom related to
follow up invasive lines, infection.
prescribed regimen. surgical incisions or
wounds.
Long term:
After 3 days of 3. administer and -to determine
nursing instruct precautions effectiveness of
intervention, the regarding therapy and if there
patient will be free medication regimen is a presence of side
of sign and and note clients effect.
symptom r/t response.
infection - to inform the
4. emphasize client the risk of
necessity of taking discontinuation of
antibiotics , as treatment.
directed.

5.Review -to assess if there is


environmental a need of avoidance
factors. or modification of
environment to
reduce incidence of
infection.