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VS:
T: 37 C
P: 68 bpm
R: 14 cpm
BP: 120/80
mmHg
Assessment Diagnosis Scientific Planning Intervention Rationale Evaluation
Explanation
Objective: Risk for Impaired skin Short term: Independent: Short term:
infection integrity
Suture: related to After 2 hours of Monitor vital signs Inflammation, purulent After 2 hours of
7 postoperative nursing and watch out for drainage, erythema and nursing
stitches surgical intervention the any signs of fever may reflect intervention, goal
on the incision patient and the SO infection developing infection was met. The
left secondary Open portal for will be able to: patient and the
eyebrow
Multiple facial pathogens Verbalize One purpose of a fever is SO were able to:
bone fracture understand thought to be raise the Verbalized
5
ing about body’s temperature understan
stitches
infection enough to kill of certain ding about
suborbita control bacteria and viruses’ infection
l Increased Demonstrat sensitive to temperature control
3 susceptibility e behaviors changes Demonstr
stitches to infection to prevent (Sceience.howstuffworks ated
cringode and reduce .com) behaviors
ntal the risk of to prevent
infection Inspect dressings Early detection of and
Intact Risk for and wound. Note developing infection reduce the
dressing infection Long term: characteristics of provides opportunity for risk of
drainage timely intervention and infection
VS: After 3-5 days of prevention of more
T: 37 C nursing serious complications Long term:
intervention the
P: 68 bpm patient will: Maintain aseptic Aseptic technique To be
R: 14 cpm Be free technique with any decreases the chances evaluated
from any procedures. of transmitting or
BP: 120/80 signs Provide routine spreading pathogens to
related to wound care, as the patient
mmHg
infection appropriate
Practice proper This minimizes the risk of
hand hygiene and contamination and
teach the patient development of infection
and SO to do so
Dependent: