Nursing

Assessment Nursing Diagnosis Planning Rationale Evaluation

Interventions

Subjective: Risk for infection Short term: 1. Observe for  To assess the Short term:
related to Within 1hour of localized signs of causative factors. Within 1hour of
Objective: inadequate primary Nursing infection at surgical nursing
-disruption on the defenses. (broken interventions, client incision/wounds. interventions, client
skin surface skin) will be able to gain was able to gain
 To promote
-presence of open knowledge on how 2. Cleanse incisions knowledge on how
wound healing.
wound to prevent and sites daily observing to prevent and
reduce possible aseptic technique reduce possible
infection. using aseptic infection.
solutions indicated
Long term: by the physician. Long term:
After 5-8 hours of After 5-8 hours of
 To prevent
Nursing 3. Change dressings nursing
infections.
interventions, client as needed/indicated. interventions, client
will demonstrate was able to
timely wound 4. Encourage  To conserve demonstrate timely
healing without adequate periods of energy. wound healing
complications. rest and sleep without
complications.
5. Administer  To promote
antibiotics as wellness
prescribed

Name: Frank Smith Age: 42 y/o

Diagnosis: Pituitary Prolactinoma