NURSING CARE PLAN FOR COVID-19 PATIENT

Nursing Assessment

Assessment of a patient suspected of COVID-19 should include:

Travel history: Health care providers should obtain a detailed travel history for patients being
evaluated with fever and acute respiratory illness.

Physical examination: Patients who have fever, cough, and shortness of breath and who have
traveled to places where the coronavirus is epidemic such as Wuhan, China recently must be
placed under isolation immediately.

S/N NURSING OBJECTIVES INTERVENTION EVALUATION

DIAGNOSIS

1 Ineffective Patient will Monitor the respiratory Patient was able to

breathing pattern achieve and status of the patient maintain normal respiratory
related to maintain including rate, rhythm and pattern and rate with no
inflammation from normal character. adventitious breath sounds
viral infection respiratory Utilize pulse oximetry to to auscultation
evidenced by pattern rhythm check oxygen saturation
cough, shortness and rate with and heart rate Patient’s respiration and
of breath, no adventitious Monitor oxygen saturation oxygen levels returned to
increased work of breath sounds and notify the physician if and remained within normal
limits
breathing to auscultation less than 90%.
before hospital Administer oxygen as Patient indicates both
discharge. ordered. verbally and shows signs of
Encourage patient to comfort when breathing.
maintain semi-Fowler’s or
high Fowler’s position as Skin color, temperature,
tolerated. capillary refill and central
versus peripheral refill were
Place patient in a prone all nirmal.
position if oxygen
saturation is below 93%

Encourage and provide

fluid intake of at least
2L/day unless
contraindicated

Mask patient and

immediately implement
respiratory isolation
precautions
2 Hyperthermia Patient will Monitor the patient’s Patient was able to
related to maintain body temperature as needed maintain body temperature
infectious process temperature of Encourage increased fluid of 36.20C -37.20C
evidenced by 36.20C -37.20C intake as tolerated
temperature > within 24-48 Provide tepid sponge
37.5 0C hours of baths
hospitalization. Use cooling blankets if
temperature will not
decrease with use of other
methods
Administer antipyretics as
ordered

3 Risk for infection Prevent/ limit Enforce strict hand Patient was able to prevent
related to failure the spread of hygiene. the spread of infection.
to avoid pathogen infection. Teach the patient and
secondary to relatives to wash hands
exposure to after coughing
COVID-19. Teach the patient, family,
and caregivers, the
purpose and proper
technique for maintaining
isolation
Keep tissues at the
patient’s bedside;
Dispose secretions
properly;
Instruct the patient to
cover mouth when
coughing or sneezing; use
masks, and advise those
entering the room to wear
masks as well;
Limit visitors

Place respiratory stickers

on chart, linens.

4 Activity Patient will Have the patient perform Patient will be able to
intolerance show activity activity in a paced time maintain normal oxygen
related to tolerance with more rest or pauses, saturation during physical
 compromised during physical and provide assistance if activity.
oxygen transport activity as necessary.
AEB exertional evidenced by a Patient will report the ability
dyspnea normal Encourage adequate bed to perform required
evidenced by fluctuation of rest. activities of daily living
shortness of vital signs
breath, upon discharge Provide bedside commode
excessively as indicated.
increased or
decreased RR Utilize pulse oximetry to
check oxygen saturation
and heart rate
Monitor oxygen saturation
and notify the physician if
less than 93%.
Administer oxygen as
ordered.

Assess the patient’s

nutritional status.

5 Anxiety related to Patient's Assess patients level of Patient was able to reduce
unknown anxiety will anxiety (mild, moderate or anxiety.
prognosis of the reduce by the severe)
disease end of patient- Familiarize patient with
evidenced by nurse the environment and new
apprehension, encounter. experiences or people as
irritability. needed
Interact with patient in a
peaceful manner
Allow patient to verbalize
anxious feelings
Use empathy to
encourage patient to
interpret anxiety
symptoms as normal

6 Knowledge deficit Patient will Educate the patient and Patient was able to learn
related to learn more relatives more about the disease
unfamiliarity with about the Provide information on and its management.
disease disease and its disease transmission,
transmission management diagnostic testing, disease
information. before hospital process, complications,
discharge and protection from the
 virus.

Compiled by:

1. Idris Seye(RN), UCH, Ibadan Nigeria (+2348137055778)

2. Idris Titilope(RN), OAUTHC, Ile Ife , Nigeria
3. Adebiyi Ayomidamope(RN), California USA

4.Oyinlola Romilola(RN), Indianapolis, USA