Nursing Diagnosis for Nasopharyngeal Carcinoma : Risk for Infection
Objectives: After nursing intervention, there were no risk factors for infection in the client,
evidenced by adequate client imune status: free of symptoms of infection, normal leukocyte numbers (4-11000).
Nursing Interventions:
Control of infection:
1. Clean up the environment after use for other patients.
2. Maintain isolation techniques.
3. Limit visitors when necessary.
4. Instruct family to wash their hands when contact and thereafter.
5. Use anti-microbial soap to wash hands.
6. Make hand washing before and after nursing actions.
7. Use clothes and gloves as a protective device.
8. Maintain aseptic environment during the installation of equipment.
9. Perform wound care and infusion dresing every day.
10. Increase the intake of nutrients.
11. Give antibiotics according to the program.
Protection against infection
1. Monitor signs and symptoms of systemic and local infections.
2. Monitor granulocytes and WBC count.
3. Monitor susceptibility to infection.
4. Maintain aseptic technique for each action.
5. Maintain isolation techniques if necessary.
6. Inspection of the skin and mucous mebran redness, heat, drainage.
7. Inspection of the condition of wounds, surgical incisions.
8. Take culture if necessary
9. Push the input of nutrients and adequate fluid.
10. Encourage adequate rest.
11. Monitor changes in energy levels.
12. Encourage increased mobility and exercise.
13. Instruct the client to take antibiotics according to the program.
14. Teach family / client about the signs and symptoms of infection.
15. Report suspicion of infection.
16. Report if positive cultures.
Objectives: After nursing intervention, there were no risk factors for infection in the client,
evidenced by adequate client imune status: free of symptoms of infection, normal leukocyte numbers (4-11000).
Nursing Interventions:
Control of infection:
1. Clean up the environment after use for other patients.
2. Maintain isolation techniques.
3. Limit visitors when necessary.
4. Instruct family to wash their hands when contact and thereafter.
5. Use anti-microbial soap to wash hands.
6. Make hand washing before and after nursing actions.
7. Use clothes and gloves as a protective device.
8. Maintain aseptic environment during the installation of equipment.
9. Perform wound care and infusion dresing every day.
10. Increase the intake of nutrients.
11. Give antibiotics according to the program.
Protection against infection
1. Monitor signs and symptoms of systemic and local infections.
2. Monitor granulocytes and WBC count.
3. Monitor susceptibility to infection.
4. Maintain aseptic technique for each action.
5. Maintain isolation techniques if necessary.
6. Inspection of the skin and mucous mebran redness, heat, drainage.
7. Inspection of the condition of wounds, surgical incisions.
8. Take culture if necessary
9. Push the input of nutrients and adequate fluid.
10. Encourage adequate rest.
11. Monitor changes in energy levels.
12. Encourage increased mobility and exercise.
13. Instruct the client to take antibiotics according to the program.
14. Teach family / client about the signs and symptoms of infection.
15. Report suspicion of infection.
16. Report if positive cultures.