Cholecystectomy Nursing Care Plan: Risk for Infection

Assessment
S:
O: pt. may
manifest:
>inadequate
secondary
defenses
>insufficient
knowledge to
avoid exposure to
pathogen

Nursing
Diagnosis
Risk for infection
r/t impaired
primary defense.

Scientific
Explanation
The patient is at
risk of acquiring
infection due to
the break in the
continuity of the
first line defense
which is the skin.
The patient shall
have undergone
cholecystectomy,
thus there is an
incision and suture
made in the
abdomen. If there
is a breakage in the
skin, the pathogens
will easily invade
the bodys system
thus increasing risk
for infection.

Planning
(Objective/Goal)
Short-term:

Interventions

1. monitor v/s and

assess patients
After 1 hour of nursing
condition
interventions, the
2. stress proper
patient will
hand washing
demonstrate
techniques
techniques in reducing
risk of having
3. strict
infection.
compliance to
hospital control,
sterilization,
Long-term:
and aseptic
policies
After 1 day of nursing
interventions, the
4. increase oral
patient will achieve
fluid intake if
timely wound healing,
not
be free of purulent
contraindicated
drainage, be afebrile.
5. tell patient to
comply to
antibiotic
therapy as
prophylaxis
6. monitor
medication
regimen

Rationale
1. for baseline
data
2. a first line
defense
against
nosocomial
infection or
cross
contaminatio
n
3. to establish
mechanism to
prevent
occurrence of
infection
4. to hasten
wound
healing
5. to prevent
the
occurrence of
infection
6. to determine
effectiveness
of therapy

Evaluation
Short-term:
After 1 hour of
nursing
interventions, the
patient shall have
demonstrated
techniques in
reducing risk of
having infection.
Long-term:
After 1 day of
nursing
interventions, the
patient shall have
achieved timely
wound healing,
be free of
purulent
drainage, be
afebrile.