Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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Short-term GoalGoals/ObjectivesInterventions with Client safety and comfort will be maximized.Long-term GoalClient will exhibit no new signs or symptoms of infection. 1. [Manifestations ofTo prevent infection in an immunocompromised individual: c. Monitor vital signs at regular intervals. b. Wash hands with antibacterial soap before entering and d. Monitor complete blood counts (CBCs) for leukopenia/ a. Implement Universal Precautions.Neurological defects]Bleeding, bruisingHeadacheRash, skin lesions, white patches in mouthCough, dyspneaSwollen lymph glandsFatig ue, malaiseAnorexia, weight lossFever, night sweats, diarrheaAtaxiaon leaving client’s room.neutropenia. Selected Rationales HIV Disease ●^333

2 2506_Ch19_329-340.indd 0333 506 Ch 19 329 - 340 .indd 0 2. 333 h. Administer antibiotics as ordered. e. If client is unable to tolerate oral intake or tube feedings, f. Protect client from individuals with infections.To restore nutritional status and decrease nausea, vomit-ing, and diarrhea: f. Administer antidiarrheals and antiemetics as ordered. a. Provide low-residue, high-protein, high-calorie, soft, g. Maintain meticulous sterile technique for dressing changes e. Monitor for signs and symptoms of specifi^ b. Obtain daily weight and record intake and output. c. Monitor serum electrolytes and CBCs. d. If client is unable to eat, provide isotonic tube feedings as peralimentation. Observe hyperalimentation administra-consult physician regarding possibility of parenteral hy-intake.bland diet. Maintain hydration with adequate fland any invasive procedure.infections.tion site for signs of infection. tolerated. Check for gastric residual frequently. c opportunistic uid 1 10/1/10 9:37:40 AM 0 / 1 / 10 9 : 37 : 40 AM

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