NCP No.

Cues Nursing Diagnosis Objective/Evaluation Nursing Intervention Rationale Evaluation

criteria
O: Independent intervention:
Risk for Infection Short term: Within 4 1. Monitor laboratory results 1. Laboratory results can help in determining Short term: After 4 hours of
-5 days post AP hours of nursing 2. Enumerate ways preventing infection if there are any alterations nursing interventions the
interventions the SO will such as changing clothes every day or if 2. To minimize the accumulation of infection pt. was able to identify
become wet. 3. To prevent entry of microorganisms and
-Incision site at the be able to identify interventions to prevent or
3. Monitor v/s specially the temperature production
lower right quadrant of interventions to prevent 4. Observe for localize signs of infection at 4. Increase in temperature may also help to reduce risk of infection.
the abdomen or reduce risk of the incision area. indicate the occurring of infection Goal Met.
infection. Health teachings to be given as follows; 5. To prevent or minimize the occurrence and
Laboratories: 5. Provide health teachings to SO such as worsening of the pressure sores Long term: After 1 days of
Long term: Within 1 performing hand hygiene and proper 6. To provide immediate intervention to the nursing interventions the
-WBC 26.5 days of nursing cleaning of the incision site. occurrence of infection patient was able to remain
interventions the patient 6. Emphasize the important of hand hygiene
Increase will be able to remain of the SO before contact with the incision 7. A first-line of defense against healthcare free of infection evidenced
free of infection as area of the pt. associated infection by incisions is clean and
-Neutrophils 0.86 7. Instruct pt. to eat green leafy vegetables dry.
evidenced by incision is
and rich I protein to increase healing of 8. To help in repairing tissues since egg white
Increase clean and dry. wound such as egg white and red meat every is rich in protein
meal
-Lymphocytes 0.06 8. Emphasize of necessity of taking
antibiotics as doctors prescribe 9. Premature discontinuation of treatment
Increase when client begins to feel well may result in
9. Maintain adequate hydration by drinking return of infection and development of drug
-Monocytes 0.08 8-10 glasses per day resistance
10. Encourage SO to contact physician with 10. To lessen the chance of getting infected
Increase regards to signs and symptoms of infection 11. To be aware what are the things needed to
such as foul odor, body weakness, increase be assessed
- poor hygiene temperature etc.

Dependent Interventions:

11. Administer medications as prescribed by

the physician such as antibiotics
Collaborative Interventions: 12. To improve condition and to ease comfort
12. Refer to laboratory such as CBC results
13. For any alteration findings