Rfi Ncp
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NURSING CARE PLAN
Assessment
Diagnosis
Subjective: Objective: Vital signs: Temp = 36 C BP = 130/90 Pulse = 80 bpm Resp = 22 bpm
Risk for Infection related to potential bacterial contamination of abdominal cavity
Expected Outcome
Plan of Care
Long Term: To achieve normal healing process of incision site within seven to ten (7-10) days after surgery.
Evaluation
Independent: Monitor vital signs After nine (9) days of including temperature nursing intervention, the patient has Assess abdomen achieved a normal every four (4) hours healing process of and as indicated. incision site. Encourage coughing Short Term: and deep breathing The patient’s After one (1) hour of exercises. incision site is free Place the patient in nursing intervention, from complication the patient’s incision semi-fowler’s resulting to infection site has been free position and within one to two from complication encourage (1-2) hours post resulting to infection. ambulation as operative. allowed. Dependent: Administer antibiotics as ordered by the physician
Assessment
Diagnosis
Subjective: Objective: Vital signs: Temp = 36 C BP = 130/90 Pulse = 80 bpm Resp = 22 bpm
Risk for Infection related to potential bacterial contamination of abdominal cavity
Expected Outcome
Plan of Care
Long Term: To achieve normal healing process of incision site within seven to ten (7-10) days after surgery.
Evaluation
Independent: Monitor vital signs After nine (9) days of including temperature nursing intervention, the patient has Assess abdomen achieved a normal every four (4) hours healing process of and as indicated. incision site. Encourage coughing Short Term: and deep breathing The patient’s After one (1) hour of exercises. incision site is free Place the patient in nursing intervention, from complication the patient’s incision semi-fowler’s resulting to infection site has been free position and within one to two from complication encourage (1-2) hours post resulting to infection. ambulation as operative. allowed. Dependent: Administer antibiotics as ordered by the physician
