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Assessmen T Nursing Diagnosis Planning Interventions Rationale Evaluation

The nursing assessment identified the patient's risk for infection due to high blood glucose levels. The plan was for the patient to identify ways to prevent or reduce infection risk after 8 hours of nursing interventions. Interventions included observing for signs of infection, promoting handwashing, providing skin care, and obtaining cultures if needed. After 8 hours the patient could identify interventions to prevent or reduce infection risk.

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Kurtt Evan Valino
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98 views

Assessmen T Nursing Diagnosis Planning Interventions Rationale Evaluation

The nursing assessment identified the patient's risk for infection due to high blood glucose levels. The plan was for the patient to identify ways to prevent or reduce infection risk after 8 hours of nursing interventions. Interventions included observing for signs of infection, promoting handwashing, providing skin care, and obtaining cultures if needed. After 8 hours the patient could identify interventions to prevent or reduce infection risk.

Uploaded by

Kurtt Evan Valino
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Assessmen t

Nursing Diagnosis
Risk for infection related to high glucose levels

Planning
After 8 hours of nursing interventions, the patient will identify interventions to prevent or reduce risk of infection.

Interventions
Independent: -Observe for signs of infection and inflammation.

Rationale

Evaluation
After 8 hours of nursing intervention s, the patient was able to identify intervention s to prevent or reduce risk of infection.

Patient may be admitted with infection, which could have precipitated the ketoacidotic state, or may develop a nosocomial infection. -Reduces the risk of cross contamination -Peripheral circulation may be impaired, placing patient at increased risk for skin irritation or breakdown and infection -Identifies organisms so that most appropriate drug therapy can be instituted.

-Promote good handwashing by nurse and patient -Provide conscientious skin care, gently massage bony areas. Keep the skin dry, linens dry and wrinkle free. Collaborative: -Obtain specimen for culture and sensitivities as indicated.

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