Laserna, Chelziah Mica M.

MCN SKILLS LAB

BSN 2-2 February 20, 2020

PLANNING,
NURSING
NURSING INFERENCE CLIENT GOAL,
ASSESSMENT INTERVENTI RATIONALE EVALUATION
DIAGNOSIS DESIRED
ON
OUTCOMES
Candida
Subjective cues: Risk for albicans is an  In 8 hours Independent Aseptic After 8 hours
“Ang kati-kati po ng fetal/matern opportunistic of nursing Maintain or technique of nursing
pwerta ko. Masakit al infection fungal interventi teach asepsis decreases the intervention,
din po pag umiihi transmission pathogen that on, patient for dressing changes of patient
ako.” As verbalized by related to is responsible will changes, transmitting or verbalize of
the patient colonization for candidiasis verbalize catheter care spreading individual
of in human host. understan and handling pathogens to causative/risk
Objective cues: pathogenic They grow in ding of the patient. factors – goal
(+) Restless organism several individual Interrupting met.
(+) Discomfort morphological causative/ the
Looks anxious forms, ranging risk transmission of
Afebrile from factors. infection. At the end of
unicellular  At the end the shift, the
Vital Signs: budding yeast of the Teach the Patients can patient
Temperature - to true hyphae shift, patient to spread manifest
37.5 C with parallel- patient wash hands infection from behaviors to
BP - 110/70 side wall. will initiate often, one part of the limit the
PR - 64 bpm behaviors especially body to spread of
RR - 12 cpm Vulvovaginal to limit the after another – infection, as
candidiasis or spread of toileting, and handwashing appropriate,
Lab result: a “yeast infection, before and reduces these and reduce
infection” is as after risks. the risk of
the appropriat administerin complications
overgrowth of e, and g self-care – goal met.
C. albicans in reduce the
the vagina, risk of Dependent
and results in complicati Teach the Antibiotics
rash, itchiness, ons. patient to work best
and discharge take when a
from the antibiotics as constant blood
genital region. prescribed. level is
It is usually Instruct maintained
transmitted patient to which is done
from mother take the full when
to infant course of medications
through antibiotics are taken as
childbirth. even if prescribed. Not
symptoms completing the
prescribed
 Reference: improve or antibiotic
Test Diagnosti Sudbery P, disappear. regimen can
performe c Gow N,
d
lead to drug
Berman J.
2004. The resistance in
distinct the pathogen
NaCl wet Fungal
mount elements
morphogenic and
states reactivation of
preparati observed
of Candida
on on wet
albicans.
symptoms.
mount
Trends in
preparatio
Microbiology.
n
12(7):317-24.
Vaginal 3-10
gram budding
stain yeasts
observed
per oil
immersio
n field on
Gram
stain
Vaginal Culture of
microbiol C. albicans
ogic
culture