Scribd Logo
Upload

Welcome to Scribd!

  • 4K views

    CA Risk For Infection NCP

    Uploaded by

    JheanAlphonsineT.Means
    1) The client had an episiotomy that was swollen and reddish, putting her at risk for infection due to impaired skin integrity. 2) The nurse established rapport, monitored vital signs and assessed for signs of infection such as fever or chills. 3) Interventions included teaching proper perineal cleaning and providing pain relief to promote healing and prevent infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CA Risk For Infection NCP

    Uploaded by

    JheanAlphonsineT.Means
    4K views2 pages
    1) The client had an episiotomy that was swollen and reddish, putting her at risk for infection due to impaired skin integrity. 2) The nurse established rapport, monitored vital signs and assessed for signs of infection such as fever or chills. 3) Interventions included teaching proper perineal cleaning and providing pain relief to promote healing and prevent infection.

    Original Description:

    Risk for Infection Ncp

    Original Title

    CA Risk for Infection Ncp

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) The client had an episiotomy that was swollen and reddish, putting her at risk for infection due to impaired skin integrity. 2) The nurse established rapport, monitored vital signs and assessed for signs of infection such as fever or chills. 3) Interventions included teaching proper perineal cleaning and providing pain relief to promote healing and prevent infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    4K views2 pages

    CA Risk For Infection NCP

    Uploaded by

    JheanAlphonsineT.Means
    1) The client had an episiotomy that was swollen and reddish, putting her at risk for infection due to impaired skin integrity. 2) The nurse established rapport, monitored vital signs and assessed for signs of infection such as fever or chills. 3) Interventions included teaching proper perineal cleaning and providing pain relief to promote healing and prevent infection.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 2

    NCP#3: Risk for infection r/t impaired skin integrity secondary to medial episiotomy.

    Assessment: Diagnosis: Objective: Nursing Intervention: Rationale: Evaluation:


    Subjective data: Risk for Short term: Communication Short term:
    Client verbalized: “naa infection r/t After 3 hours of • Establish rapport. • To gain patient’s trust • Did not manifest
    pay mgananggawas impaired nurse-patient Provide reassurance and cooperation. the signs of
    ngadugo sa akong skin interactions: and comfort. infection (fever
    kinatawo”; “sakit pa e integrity • Not exhibit Safe and Quality and chilling); vital
    lihok ang sa akong secondary any signs and Nursing Care: signs within
    paadapit” to medial symptoms of • Monitor vital signs normal limits.
    episiotomy. infection such especially temperature • A slight elevation in • Listened upon
    Objective data: as fever and temperature suggests explanation on the
    Method of delivery: chilling. • Note signs/symptoms fever. factor (impaired
    NSVD with thick • Identify of fever, pallor and skin integrity) of
    meconium staining interventions chills. developing
    Episiotomy area is to prevent/ infection.
    swollen and reddish in reduce risk of • Perform surgical • To assess if infection is • Was able to
    color. infection. handwashing before occurring. verbalize
    • Verbalized and after doing understanding of
    understanding perineal care on the • To prevent infection to the risk factors.
    of individual site of episiotomy. the area and inhibit cross
    risk factors. contamination. Long term:
    • Do perineal care and • The patient was
    Long term: teach the mother on the free from any type
    After 2 days of importance of proper of infections.
    nursing intervention: perineal cleaning.
    • The patient will be • Perineal area should be
    free from any type of Health Education cleansed well to prevent
    infection. • Explain why the growth of
    and how microorganism.
    infection is
    likely to happen.
    • Assist with use
    of breathing • To give the client the
    techniques idea on the causative
    during surgical factors of infection
    repair, as formation/process.
    appropriate. • Breathing helps direct
    • Encourage the attention away from the
    use of relaxation discomfort, promotes
    techniques such relaxation.
    as deep
    breathing and
    imagery. • May help decrease pain
    Collaboration and perception by
    Teamwork interrupting the
    • Provide optimal conduction of nerve pain
    pain relief with impulse.
    the physician’s
    prescribed
    analgesics and
    antibiotics. • Each client has a right to
    maximum pain relief.
    Medications ordered
    PRN should be offered
    to the patient whenever
    the next dose is
    available. Antibiotics
    help prevent and fight
    infection.

    You might also like