NCLEX-PN

●​ Other diagnostic tests, such as urinalysis, blood cultures, or imaging studies, may be reviewed to assist in the identification and evaluation of infections. By combining the information obtained from the nursing history, physical assessment, and laboratory data, the nursing team can form a comprehensive understanding of the client's health status, assess the risk of infection, and develop an appropriate plan of care. Early identification of infections allows for timely interventions, which can significantly impact the client's recovery and overall health outcomes.

Nursing Diagnosis and Care Based on the comprehensive assessment, the LPN in collaboration with the registered nurse can identify potential nursing diagnoses for the client with an infection: ●​ Potential complication : Fever - Close monitoring of vital signs, particularly temperature , is crucial to promptly detect and manage fever. The nurse will implement appropriate interventions to address fever and its potential impact on the client's health. ●​ Imbalanced nutrition : The nurse will assess the client's nutritional status and provide tailored dietary recommendations to meet their specific needs. Offering easily digestible and nutrient-rich meals will support the body's healing process. ●​ Acute pain : Comfort measures will be provided to alleviate pain associated with the infection. The nurse will administer prescribed medications and implement strategies to manage pain effectively. ●​ Impaired social interaction : Recognizing the potential impact of isolation or illness on the client's social interactions, the nurse will encourage open communication and emotional support. Infection control measures will be observed when promoting social interaction, if required. ●​ Anxiety : The nurse will employ therapeutic communication techniques to address the client's anxiety and provide reassurance during their illness. Emotional support will be a crucial aspect of the care plan.

Major Goals of Nursing Care for the Client with Infection Maintain or restore defenses : ●​ Monitor vital signs, especially temperature, to detect and manage fever promptly.

83

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​