Question # 26

26. Discuss the nursing interventions for the client who has the nursing diagnoses "Risk for infection".

Pg. 640, 642(table-6) 643(table 29-6)
-Proper handwashing
-maintain the integrity of the clients skin and mucous membranes.
-ensure that the client receives a balanced diet.
-Educate the public about immunization.
-Ensure the client has adequate sleep and rest.
-Break the chain of infection by:

Ensure articles are correctly cleaned and disinfected or sterilized before use.

Educate clients and support persons about appropriate methods of cleaning,
disinfecting, and sterilizing articles.

Change dressings and bandages when they are wet or soiled.

Assist clients to carry out appropriate skin and oral hygiene.

Dispose of damp,soiled linens appropriately.

Dispose of feces and urine in appropriate receptacles.

Ensure that all fluid containers, such as bedside water jugs and suction and
drainage bottles are covered or capped.

Empty suction and drainage bottles at the end of each shift.

Avoid talking,coughing, or sneezing over open wounds or sterile fields and cover the
mouth and nose when coughing or sneezing.

Wash hands between contact, after touching body substances, and before performing
invasive procedures or touching open wounds.

Instruct clients and support persons to wash hands before handling food or eating,
after eliminating, and after touching infectious material.

Wear gloves if handing excretions and secretions.

Wear gowns if there is a danger of soiling clothing with body substances.

Place discarded soiled materials in moisture-proof refuse bags.

Hold used bedpans steadily to prevent spillage.

Initiate and implement aseptic precautions for all clients.

Wear masks and eye protection when in close contact with client who have infections
transmitted by droplets from the respiratory tract.

Wear masks during irrigation procedures.

Use sterile technique when exposing open wounds or handling dressings.

Place used and disposable needles and syringes in puncture resistant containers for
disposable.

Provide clients with their own personal care items.