Professional Documents
Culture Documents
Student Name
Elizabeth Nartatez
Date of Care:
04/23/15
Date Submitted:
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Long Term
Interventions
Assess for signs and symptoms of
infection such as fever, malaise
and coughing/wheezing. Monitor
vitals signs and nutritional status.
Rationale
Pulmonary infections are
associated with general symptoms
of infection such as increased
respiratory rate and heart
rate.Patient with poor nutritional
status may be anergic or unable to
muster a cellular immune
response to pathogens and are
therefore susceptible to infections.
Evaluation
Patient did not have a fever or a
cough. Patients O2 sat was 98%
and 99%. Lungs sound clear. Vital
signs within normal limits.
Patient was NPO since midnight
as a preparation to sedation.
Patient had a bottle of milk when
he returned from sedation.
Reference: Gulanick, M. & Myers, J. (2011). Nursing care plans: Diagnoses, interventions and outcomes (7th ed.). St. Louis: Elsevier.