Question

nursing diagnosis care plan for risk for infection related to immature immunological defense and environmental exposure (newborn with circumcision)

Interventions Rationals Evaluation

1. 1. 1.

2. 2. 2.

3. 3. 3.

4. 4. 4.

Answer 1

#. Diagnosis:Risk for infection related to immature immunologic defenses and environmental exposure

Interventions:

1. Review maternal record for evidence of any risk factors

2. Monitor temperature and other vital signs.

3. Have all care providers, including parents perform hand hygiene before handling newborn.

4. Provide prescribed eye prophylaxis.

5. Keep genital area clean and dry using proper cleansing techniques.

6. Keep umbilical stump clean and dry.

7. If infant is circumcised, keep site clean and apply diaper loosely.

8. Teach parents to keep neonate away from crowds and environmental irritants.

Rationales:

1. To ascertain whether neonate is predisposed to infection

2. To identify early possible evidence of infection, especially temperature instability

3. To protect newborn from infection

4. To protect newborn from eye infections

5and 6. Moisture will lead to infection

7. For proper healing and avoid contamination

8. To avoid infection