3.

Intervention
no

Diagnosis

Intervention

Rational

No.
1.

Acute Pain

related1. Observation the regional

with virus infection

and pain intensity, itch.

planning further action.

2. Recommend client

After do the nursing

not itch too

action, patient show

region of itch.

the pain is gone and

decrease.
Outcome criteria :
1. Scale

of

for

hard at

client for do the technic

be as relactation and reduce

relactation and distraction.

stimulation.

pain

5. Colaboration with doctor

in granting :
- rinse the m outh
Soak the drugs
- Analgetic
Disturbance integrity of 1. Recommend client to
skin related with the

increase

lesion, krusta on the

hygiene the skin with

skin, and pruitis.

take a bath 3x one day

Purpose:

on a regular basis with

After do the nursing

show

the integrity of skin a

good.
Outcome Criteria:
1.No lesion
2.
the skin looks
3.

clean water.
2. Recommend

personal

to

repair nutritional status

and diet.
3. Recommend for wear

intact
The

too in.
3. Can cause the muscles become

signs normal

action, patient

2. Shun beenacted the lesion that

Teach and recommend

decrease.
4. Recommend to change
2. Client not scratch
the underwear as often as
the region
with
probable.
vesicle, and vital

2.

pain

intensity with the result that can

and dermal eruption.

Purpose :

1. Know the location and

mouthwash/soak the
drugs in accordance
with

vesicles

the

suffered.

infection

4. Can

avoid

eff

loresce

bactery/virus can make heavier

condition of client.
5. Can reduce/kill lamentation
of pain.

1. restrain distributing virus with

restrain

the

occurrence

of

secunder infection.

2. Nutritional status a good, restrain

the occurrence of the more severe
infections.
3. Restrain wide spreading and
getting in of lesion.

gone

4. Teach manner oral

hygiene and vulva
hygiene

4. Restrain spreading infection.

appropriate

procedures.

3.

Hipertermia

4
related 1.

monitor

the

shun

the

with infection process

existence of signs

enhancement

herpes virus.

of

temperature.

Purpose:

hydration.

After do the nursing,

seizures

and

2. monitor the vital

patient show body

signs.
temperature in normal 3. remove the excess
range (36,5 37,50C)
Outcome Criteria:

clothing.
4. Use a cold/warm

nervous
lethargy.

or

body

of

production

the

over warm.
go down

the

body

temperature.

increase in body
temperature.
5. recommend liquid 5. Shun

florid (normal)
4. Do not experience
distress respiration,

of

development

patient.
3. substract
4.

risk

corresponding

in normal (36,5
37,50C)
2. vital signs normal.
3. Colour the skin

2. know

compress

1. body temperature

3.

1.

one oral.
6.

collaboration
giving a antipyretic,
with indication.

the

dehydration

consequence raising of body

6.

temperature.
Go down
temperature.

the

body