You are the nurse caring for a 64-year-old male client who is postoperative day four on the medical-surgical unit after having an emergency right colectomy due to cancer. The client is NPO with a nasogastric (NG) tube to low intermittent suction. The client has a history of smoking and no other health problems.  
Vital signs: 

Temperature: 99.2° F 
Heart rate: 91 beats/min 
Respirations: 20 breaths/minute 
O2 saturation: 93% on 2L oxygen via nasal cannula 
Blood pressure: 110/68 mm Hg  
Pain: “6/10” 

Focused assessment findings: 

Alert and oriented to person, place, and time 
Moves all four extremities, refuses to ambulate 
Apical pulse is regular at 91 beats/minute
Lungs clear to auscultation, diminished bilaterally 
Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
Midline abdominal incision well approximated with staples intact, no erythema, Penrose drain intact with scant serous drainage
Right lower quadrant Jackson-Pratt drain with sutures intact, no erythema, 30 mL of serosanguineous drainage

NUR2349Module05WrittenAssignment-CarePlan.docx

NUR2349 Professional Nursing I
Module 05 Written Assignment – Care Plan

Student Name: __________________________
Date: ______________________
Client Gender: ____________ Client Age: ________
Client Diagnosis: __________________________________________________________________________________________________

Assessment data for Nursing Diagnosis

Nursing Diagnosis (3)

Expected Outcomes with Indicators
(1 per Nursing Diagnosis)

Nursing Interventions
(2 per Expected Outcome)

Evidence-based Rationale for each Nursing Intervention (Cited/referenced)

Evaluation
(How do you know it worked?)

Respond to this critical thinking question:
Describe evidence-based precautions to prevent this client from obtaining a nosocomial infection. Provide supporting rationales.
Support your response with evidence from credible sources.