Description
You are the nurse receiving report on your patient that was admitted as an emergency earlier in the day. A 64-year-old female underwent a right colectomy. The right side of her colon was removed due to cancer. She has a history of smoking & no other health problems. She is currently being transferred to you in PACU. She has a midline incision with a Penrose drain, a stab wound w/ a Jackson Pratt drain to incision. She also has a NG tube, attached to intermittent suction. She is alert, oriented and can move all 4 extremities. BP is 110/68, Respiratory rate is 14, O2 stats are at 93% w/ additional oxygen given via nasal cannula.
All labs are normal. You are asked to change the dressings daily and document the drainage. What precautions will you take to prevent this patient from obtaining a nosocomial infection?
Answer the question and develop a care plan for this patient. Using nursing reference materials, build a care plan using the Active Learning Template: System Disorder.
Student Name:
______
Rasmussen University
Professional Nursing 1 Care Plan
Surgical Procedure: _____________________________________________
Date: _____________
Definition of Surgical Procedure: ________________________________
Patient Initials: ______ Age: ___
Date of Care: _______________
Medical Diagnosis: __________________________________________________________________________________________________
Assessment data for
Nursing Diagnosis
Nursing Diagnosis &
Collaborative
Problems (3)
Expected Outcomes
with Indicators
(1 per ND)
Nursing Interventions
(2 per EO)
Scientific Rationale for
Nursing Interventions
Realistic Evaluation
(How do you know it
worked?)
ACTIVE LEARNING TEMPLATE:
System Disorder
STUDENT NAME______________________________________
DISORDER/DISEASE PROCESS___________________________________________________________ REVIEW MODULE CHAPTER____________
Alterations in
Health (Diagnosis)
Pathophysiology Related
to Client Problem
Health Promotion and
Disease Prevention
ASSESSMENT
SAFETY
CONSIDERATIONS
Expected Findings
is
ar stu
ed d
vi y re
aC s
o
ou urc
rs e
eH w
er as
o.
co
m
Risk Factors
Laboratory Tests
Diagnostic Procedures
PATIENT-CENTERED CARE
Medications
Client Education
sh
Th
Nursing Care
Complications
Therapeutic Procedures
Interprofessional Care
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ACTIVE LEARNING TEMPLATES
https://www.coursehero.com/file/80266584/ATI-System-Disorder-Hyperglycemiapdfpdf/
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