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University of Santo Tomas

College of Nursing
Other Learning Activity
NCM 102 Obstetrics
Section 2NUR7
Group 1
Recio R., Reyes K., Reynoso L., Rivera M., Rosario F., Sadera G., Salvador A., San Juan M., Santiago N., Santos R., and Sin J.
3 NURSING CARE PLAN OF A CLIENT WITH AN INFECTIOUS CONDITION (Sexually Transmitted)
Assessment
Subjective:
- Mayroon po
akong pulang
butlig sa
kamay, tiyan,
braso, at paa
- May sugat po
ako sa kanang
parte ng aking
puwerta
- Hindi naman
siya masakit
- Nagtatrabaho
po ako bilang
isang guest
related officer
- May ka live-in
po akong
katrabaho ko
- Medyo dry
ang skin ko
Objective:
- (+) 3x4
painless ulcer
on the R labial
fold

Nursing Diagnosis

Scientific Analysis

Goals/Objectives

Impaired Skin or
Tissue Integrity
related to
immunological
deficit

The bodys defense


against severe
infections requires
an intricate balance
to be maintained
through specially
designed protective
physiological
mechanisms.
Cytokines mediate
the inflammatory
response to tissue
injury by responding
to the surface
receptors on target
cells and replicating
the appropriate
immune cell
response
accordingly.

At the end of the 7hour shift, the patient


will be able to:
-

Understand
behaviors to
promote healing
and prevent
complications or
recurrence as
manifested by:
a. Participate in
measures of
prevention and
therapy
treatment

Intervention
1. Identify
underlying
condition or
pathology
involved.
2. Increase fluid
intake. Drink at
least 1.7L of
water (8-11
glasses) a day
3. Encourage the
patient to
practice proper
body hygiene
by daily baths
4. Advise to
abstain from
coitus while
the ulcer is
present
5. Monitor the
status of skin
around wound
6. Monitor client
skin care
practices

Rationale
1. To know the
appropriate
interventions.
2. To promote
hydration
3. Practicing
proper
hygiene
lessens the
risk for
further
infections
and promote
comfort
4. Abstaining
from coitus
will lessen
the transfer
of bacteria to
another
person
5. To check
whether
there is
progression
of

Evaluation
After nursing
interventions, the
patient was able
to understand
behaviors to
promote healing
and prevent
complications by
participating in
measures of
prevention
therapy and
treatment

Macular rash
on her trunk,
arms, hands,
and feet
Low grade
fever (38.0o)
Laboratory
Results:
CBC
WBC:
17X10^9/L
5x10^9/L
Noted whitish
vaginal
discharge
No foul smell
Noted anicteric
sclera and pink
palpebral
conjuctiva

noting type of
soap or other
cleansing
agents used,
temperature of
water, and
frequency of
skin cleansing
7. Review lab
results
8. Administer 5
million units of
Penicillin G
every 4 hours
per IV as
prescribed by
the physician.
9. Change the
position of the
patient every 2
hours
10. Maintain a
smooth and
unwrinkled
beddings

complication
s
6. To limit the
contributing
factors which
may lead
further
complication
s
7. Albumin <
3.5
correlates
decrease in
wound
healing
8. It is an
antibacterial
agent that
kills
susceptible
bacteria like
syphilis,
gonorrhea,
and
streptococcal
pharyngitis
9. To lessen
pressure and
to prevent
pressure
sores
10. To reduce
friction and
lessen
irritation in
the skin