Pn mod 5

Care Plan

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Module 05 Content

1.

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Scenario 

You are the nurse caring for a 64-year-old male client who is postoperative day four on the medical-surgical unit after having an emergency right colectomy due to cancer. The client is NPO with a nasogastric (NG) tube to low intermittent suction. The client has a history of smoking and no other health problems.  

Vital signs: 

· Temperature: 99.2° F 

· Heart rate: 91 beats/min 

· Respirations: 20 breaths/minute 

· O2 saturation: 93% on 2L oxygen via nasal cannula 

· Blood pressure: 110/68 mm Hg  

· Pain: "6/10" 

Focused assessment findings: 

· Alert and oriented to person, place, and time 

· Moves all four extremities, refuses to ambulate 

· Apical pulse is regular at 91 beats/minute

· Lungs clear to auscultation, diminished bilaterally 

· Bowel sounds hypoactive, abdomen soft, tender in all four quadrants

· Midline abdominal incision well approximated with staples intact, no erythema, Penrose drain intact with scant serous drainage

· Right lower quadrant Jackson-Pratt drain with sutures intact, no erythema, 30 mL of serosanguineous drainage

 

Instructions

Using the information from the scenario, create a care plan using the attached template. 

NUR2349 Professional Nursing I

Module 05 Written Assignment - Care Plan

Student Name: __________________________

Date: ______________________

Client Gender: ____________ Client Age: ________

Client Diagnosis: __________________________________________________________________________________________________

Assessment data for Nursing Diagnosis	Nursing Diagnosis (3)	Expected Outcomes with Indicators (1 per Nursing Diagnosis)	Nursing Interventions (2 per Expected Outcome)	Evidence-based Rationale for each Nursing Intervention (Cited/referenced)	Evaluation (How do you know it worked?)

Respond to this critical thinking question:

Describe evidence-based precautions to prevent this client from obtaining a nosocomial infection. Provide supporting rationales.

Support your response with evidence from credible sources.