NURSING CARE PLAN

Name: Ms. B                                                                                          Age:                                                                                                                                     Sex: F 

Chief Complaint: Decreased urinary output, fever, and tenderness at the transplant site                                                 Admitting/Working Diagnosis: 
 NURSING CARE PLAN
Name: Ms. B                                                                                          Age:                                                                                                                                     Sex: F 
Chief Complaint: Decreased urinary output, fever, and tenderness at the transplant site                                                 Admitting/Working Diagnosis: 

Cues Nursing Outcome Criteria Intervention Rationale Evaluation Discharge Planning

Diagnosis

Subjective: Independent: M- Advice the patient to complete

l the dose of the antibiotics.
Risk for post-op 1. After 30 mins of 1. Met: The patient
Objective: infection related effective nursing 1. Educate patient the 1. identifies measures to E- Provide a clean environment.
to organ intervention,The patient signs and symptoms prevent infection as
transplant will be able to identify of infection. evidenced by
measures to prevent verbalization of T- Instruct patient to use aseptic
infection. “manghugas gid ako ka technique when changing the
kamot.” and demonstrates dressing and treating the wound of
2. Educate patient about . the proper hand washing the patient.
proper wound care. technique and the patient
can identify the signs and H- Educate the patient about the
symptoms of infection. signs and symptoms of an infection
and the measures to avoid or
3. Teach patient risk reduce it.
factors contributing
to surgical wound O- Instruct the patient to comply
infection. with follow-up check-ups and
immediately go to a hospital
whenever she notices and feels
4. Educate and untoward signs and symptoms.
4.Proper hand washing helps
demonstrate the prevent transmission and
D- Advise the patient to eat a well
proper hand washing. acquisition of infection by
balanced diet, and have adequate
both the nurse and the patient.
fluid intake.

S- Instruct the family to assist the

patient with activities of daily
living.
 NURSING CARE PLAN
Name: Ms. B                                                                                          Age:                                                                                                                                     Sex: F 
Chief Complaint: Decreased urinary output, fever, and tenderness at the transplant site                                                 Admitting/Working Diagnosis: 

DEPENDENT S- Encourage the patient to pray

and have faith in God. 
1. Administer
Cefazoline 0.5-1 g 1. Inhibits call-wall synthesis,
IV. promoting osmotic instability,
usually bactericidal.