Question

Case Study: AB is a 55-year-old woman with a wound infection to her right leg. A C&S was obtained and found the infection is to Pseudomonas aeruginosa. Her temp is elevated at this time to 103.8. Amikacin sulfate is to be administered IV in 100 mL of 5% dextrose in water (D5W) over 45 minutes every 8 hours. The dosage is 15 mg/kg/day in three divided doses. AB weighs 165 pounds.

• Identify one nursing diagnosis and intervention – rationale for the intervention.

Answer 1

Answer: Nursing intervention for wound infection:

Diagnosis: The diagnosis of the wound reveals about the large grayish colonies non pigmented, soft and smooth.

Outcome: Reduce the spreading of the infection to other body parts. Reduce in the symptoms.

Intervention: Nurse should intervene about the wound and the color of the wound grayish showing presence of fluid in it. Avoid moisture contact to the wound.

Rationale: The moisture won't lead the wound to heal and the presence of fluid increase the spread of infection in more areas. Make the area dry as well as reduce the contact with moisture.