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OBJECTIVE Risk for Persons at risk for infection are those After 8hours of INDEPENDENT
infection r/t whose natural defense mechanisms are Nurse-patient
- presence of Inadequate inadequate to protect them from the interaction, the
lacerated wounds primary inevitable injuries and exposures that client will be able Assess for presence, This will help you Plan
on the face. defenses: occur throughout the course of living. to: existence of, and history for further interventions.
broken skin, Infections occur when an organism of risk factors .
- attachment of injured (e.g., bacterium, virus, fungus, or other
CTT tissue, body parasite) invades a susceptible host. a. Client will remain
fluid stasis Breaks in the integument, the body’s free of infection, as
- untidy first line of defense, and/or the mucous evidenced by temp
environment membranes allow invasion by < 38C Monitor for signs and fever above 37.7° C
pathogens. If the host’s (patient’s) symptoms of infection. (99.8° F) suggests
- still for immune system cannot combat the (Redness, swelling, infection; fever spikes
Laboratory Work invading organism adequately, an b. Client will show increased pain,and that occur and subside
– ups infection occurs. Open wounds, no signs and Elevated temperature, are indicative of wound
traumatic or surgical, can be sites for symptoms of Color of respiratory infection; very high
- on O2 inhalation infection; soft tissues (cells, fat, muscle) infection secretions and fever accompanied by
and organs (kidneys, lungs) can also be Appearance of urine) sweating and chills may
- V/S sites for infection either after trauma, indicate septicemia.
BP: 90/70 invasive procedures, or by invasion of Yellow or yellow-green
T: 36.8 pathogens carried through the sputum is indicative of
P: 80 bloodstream or lymphatic system. respiratory infection.
RR: 24 Infections can be transmitted, either by loudy, foul-smelling
contact or through airborne urine with visible
“ wa pa siya'y transmission, sexual contact, or sharing sediment is indicative of
kaon ky ingin man of intravenous (IV) drug paraphernalia. urinary tract or bladder
sa ako nga kuhaan Being malnourished, having inadequate infection.
pa siya ug dugo resources for sanitary living conditions,
pero wa pa man and lacking knowledge about disease
karon. “ as transmission place individuals at risk
verbalized by SO for infection. Health care workers, to
protect themselves and others from
disease transmission, must understand
how to take precautions to prevent
transmission. Because identification of
infected individuals is not always
apparent, standard precautions Assess for nutritional Patients with poor
recommended by the Centers for status. nutritional status may be
Disease Control and Prevention (CDC) anergic, or unable to
are widely practiced. muster a cellular
immune response to
pathogens and are
therefore more
susceptible to infection.
COLLABORATIVE