nosocomial infection

You are the nurse caring for a 64-year-old male client who is postoperative day four on the medical-surgical unit after having an emergency right colectomy due to cancer. The client is NPO with a nasogastric (NG) tube to low intermittent suction. The client has a history of smoking and no other health problems.

Vital signs:

  • Temperature: 99.2° F
  • Heart rate: 91 beats/min
  • Respirations: 20 breaths/minute
  • O2 saturation: 93% on 2L oxygen via nasal cannula
  • Blood pressure: 110/68 mm Hg
  • Pain: “6/10”

Focused assessment findings:

  • Alert and oriented to person, place, and time
  • Moves all four extremities, refuses to ambulate
  • Apical pulse is regular at 91 beats/minute
  • Lungs clear to auscultation, diminished bilaterally
  • Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
  • Midline abdominal incision well approximated with staples intact, no erythema, Penrose drain intact with scant serous drainage
  • Right lower quadrant Jackson-Pratt drain with sutures intact, no erythema, 30 mL of serosanguineous drainage

Student Name: __________________________

Date: ______________________

Client Gender: ____________    Client Age: ________

Client Diagnosis: __________________________________________________________________________________________________

Assessment data for Nursing Diagnosis Nursing Diagnosis (3) Expected Outcomes with Indicators

(1 per Nursing Diagnosis)

Nursing Interventions

(2 per Expected Outcome)

Evidence-based Rationale for each Nursing Intervention (Cited/referenced)  Evaluation

(How do you know it worked?)

           

 

Respond to this critical thinking question:

Describe evidence-based precautions to prevent this client from obtaining a nosocomial infection. Provide supporting rationales.

Support your response with evidence from credible sources.

nosocomial infection

You are the nurse caring for a 64-year-old male client who is postoperative day four on the medical-surgical unit after having an emergency right colectomy due to cancer. The client is NPO with a nasogastric (NG) tube to low intermittent suction. The client has a history of smoking and no other health problems.

Vital signs:

  • Temperature: 99.2° F
  • Heart rate: 91 beats/min
  • Respirations: 20 breaths/minute
  • O2 saturation: 93% on 2L oxygen via nasal cannula
  • Blood pressure: 110/68 mm Hg
  • Pain: “6/10”

Focused assessment findings:

  • Alert and oriented to person, place, and time
  • Moves all four extremities, refuses to ambulate
  • Apical pulse is regular at 91 beats/minute
  • Lungs clear to auscultation, diminished bilaterally
  • Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
  • Midline abdominal incision well approximated with staples intact, no erythema, Penrose drain intact with scant serous drainage
  • Right lower quadrant Jackson-Pratt drain with sutures intact, no erythema, 30 mL of serosanguineous drainage

Student Name: __________________________

Date: ______________________

Client Gender: ____________    Client Age: ________

Client Diagnosis: __________________________________________________________________________________________________

Assessment data for Nursing Diagnosis Nursing Diagnosis (3) Expected Outcomes with Indicators

(1 per Nursing Diagnosis)

Nursing Interventions

(2 per Expected Outcome)

Evidence-based Rationale for each Nursing Intervention (Cited/referenced)  Evaluation

(How do you know it worked?)

           

 

Respond to this critical thinking question:

Describe evidence-based precautions to prevent this client from obtaining a nosocomial infection. Provide supporting rationales.

Support your response with evidence from credible sources.

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