Nursing Diagnosis: Risk for [Spread] of Infection
Risk factors may include
- Inadequate primary defenses (decreased ciliary action, stasis of respiratory secretions)
- Inadequate secondary defenses (presence of existing infection, immunosuppression), chronic disease, malnutrition
Desired Outcomes
- Achieve timely resolution of current infection without complications.
- Identify interventions to prevent/reduce risk/spread of/secondary infection.
8 Pneumonia Nursing Care Plan (NCP)
- Ineffective Airway Clearance — Pneumonia Nursing Care Plan (NCP)
- Impaired Gas Exchange — Pneumonia Nursing Care Plan (NCP)
- Risk for Deficient Fluid Volume — Pneumonia Nursing Care Plan (NCP)
- Imbalanced Nutrition — Pneumonia Nursing Care Plan (NCP)
- Acute Pain — Pneumonia Nursing Care Plan (NCP)
- Activity Intolerance — Pneumonia Nursing Care Plan (NCP)
- Risk for Infection — Pneumonia Nursing Care Plan (NCP)
- Deficient Knowledge — Pneumonia Nursing Care Plan (NCP)
Risk for Infection — Pneumonia Nursing Care Plan (NCP)
| Nursing Interventions | Rationale |
| Monitor vital signs closely, especially during initiation of therapy. | During this period of time, potentially fatal complications (hypotension/shock) may develop. |
| Instruct patient concerning the disposition of secretions (e.g., raising and expectorating versus swallowing) and reporting changes in color, amount, odor of secretions. | Although patient may find expectoration offensive and attempt to limit or avoid it, it is essential that sputum be disposed of in a safe manner. Changes in characteristics of sputum reflect resolution of pneumonia or development of secondary infection. |
| Demonstrate/encourage good handwashing technique. | Effective means of reducing spread or acquisition of infection. |
| Change position frequently and provide good pulmonary toilet. | Promotes expectoration, clearing of infection. |
| Limit visitors as indicated. | Reduces likelihood of exposure to other infectious pathogens. |
| Institute isolation precautions as individually appropriate. | Dependent on type of infection, response to antibiotics, patient’s general health, and development of complications, isolation techniques may be desired to prevent spread/protect patient from other infectious processes. |
| Encourage adequate rest balanced with moderate activity. Promote adequate nutritional intake. | Facilitates healing process and enhances natural resistance. |
| Monitor effectiveness of antimicrobial therapy. | Signs of improvement in condition should occur within 24–48 hr. |
| Investigate sudden changes/deterioration in condition, such as increasing chest pain, extra heart sounds, altered sensorium, recurring fever, changes in sputum characteristics. | Delayed recovery or increase in severity of symptoms suggests resistance to antibiotics or secondary infection. Complications affecting any/all organ systems include lung abscess/empyema, bacteremia, pericarditis/endocarditis, meningitis/encephalitis, and superinfections. |
| Prepare for/assist with diagnostic studies as indicated. | Fiberoptic bronchoscopy (FOB) may be done in patients who do not respond rapidly (within 1–3 days) to antimicrobial therapy to clarify diagnosis and therapy needs. |
acute pain related to meningitis ncp, nursing diagnosis for abscess, nursing diagnosis bacteremia, nursing diagnosis for abscess wound, outcome goals for risk of infection, risk for infection pneumonia ncp
The post Risk for Infection — Pneumonia Nursing Care Plan (NCP) appeared first on Nurseslabs.