CUES NURSING SCIENTIFIC OBJECTIVES INTERVENTION RATIONALE EVALUATION

DIAGNOSIS EXPLANATION
S: “Eto may tahi Risk for infection Due to an elective STG: After 4 hours Independent:
ako sa tyan” as related to cesarean section of nursing
verbalized by inadequate intervention,  Monitor vital  To establish
patient primary defenses | patient will be able signs baseline data
secondary to to understand
O: surgical incision patient’s skin and causative factors,  Inspect dressing  Moist from
 Dry and tissue were identify signs and and perform drainage can
intact mechanically ways to prevent proper wound be a source
dressing interrupted infection care of infection
 Presence of |
surgical LTG: After 2 days  Monitor white  Increase in
incision wound is at risk of of nursing blood count WBC
between developing infection. intervention, (WBC) indicates
umbilicus to patient will be free infection
symphisis of purulent
pubis drainage, be
 Apply abdominal  Provides
afebrile and be free
binder faster wound
of infection
healing
 Wash hands and
teach significant  Reduces the
others to wash risk of
hands before transmitting
contact with pathogens
patient

 Encourage fluid  Reduces risk

intake of urinary
tract infection
(UTI)
Dependent:  Antibiotics
 Administer have
antibiotics bactericidal
effect that
combats
pathogens