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Nursing Care Plan: Post Operative

ASSESSMENT NURSING ANALYSIS GOALS AND NURSING RATIONALE EVLUATION

DIAGNOSIS OBJECTIVES INTERVENTION

Objective: Risk for Supported by The patient will • Assess for • To determine The patient
infection Diagnostic remain infection indicators of possible signs remains
Status Post ECCE related to Procedures free infections by that may infection free
w/ PCIOL invasive (Slit lamp test, postoperatively checking cause postoperatively.
surgical Opthalmoscopy temperature infections.
Vital signs procedure etc…) every 4 hrs
(ECCE with ↓ and assessing
T- 36.0°C PCIOL) Diagnosis of vaginal
RR - 30cpm Cataract formation discharge for
PR- 80bpm ↓ a foul odor.
BP- 120/80 Surgical
Intervention • Monitor • Increase
(+) Skin incision Extra Capsular laboratory number of
Cataract Extraction data WBC
with especially indicates
Posterior Chamber WBC. infections.
Intraocular Lens
(ECCE w/ PCIOL) • Teach the • The first line
↓ importance of defense
Incision [eye] post surgery against
↓ care. healthcare-
Exposed eye blood associated
vessels infections.
↓
Risk For Infection
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• Notify • High body

physician if temperature
temperature is indicates that
greater than infection
38°C. already
occured.