Nursing Diagnosis Need Desired Interventions Rationale Evaluating Intervention Rationale

Outcome statement Modification

Impaired Skin After 8 hours of

Integrity related to P nursing

post surgical H intervention the

Independent
incision Y client will be

S able to: Continue Continuation

Subjective and I • Vital signs help Goal met. The nursing of the
• The • Check and
Objective Cues: O monitor and client intervention ininterventions
patient will monitor vital
 Has L assess the participated in order to achievewas
participate in signs as well as
presence of O client’s condition the prevention optimum suggested
the prevention the intake and
surgical incision G especially when and treatment wellness. since it is
measures and output of the
at the left side of I there are program by effective but
treatment patient.
the thorax C abnormalities. following the the desired
programs.
 Characteristics: Intake and output orders of the outcome
• Display
(-) redness N helps determine doctor and cannot be
timely healing
(-) foul smelling E if patient complying observed
of skin wound
odor E experiences fluid with the immediately.
without
(-) swelling D retention / edema medications.
complication 232
(+) dry S as well as The post

 Skin is not intact complication surgical

since he upon excretion incision has

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