Question

nursing diagnosis care plan for risk for infection related to immature immunological defense and environmental exposure

Interventions Rationals Evaluation

1. 1. 1.

2. 2. 2.

3. 3. 3.

4. 4. 4.

Answer 1

Risk for Infection related to immature immunological defence.

1. Intervention : Assessing for the presence of any wounds,injuries, abrasions , catheters etc.

Rationale : This determines the alteration in the body defence in the first step.

Evaluation : Found to have a urinary catheter placed.

2. Intervention : Assess white blood count

Rationale: Increase in WBC indicates the presence of infection.

Evaluation : WBC of the patient was found to be greater than 12000 which indicates immune defence is compromised.

3. Intervention : Encourage fluid intake of 2000 to 3000ml per day.

Rationale : To promote frequent emptying of bladder which reduces the risk of UTI.

Evaluation : Patient is frequently voiding and enough hydration is maintained.

4. Intervention : Wash hands before contact with the patient every time.

Rationale: It reduces the risk of transmitting infections.

Evaluation : Found to be followed best hygienic practices that made patient feel so secure and comfortable.