A patient admitted after abdominal surgery has a nursing diagnosis of risk for infection. Which is the most appropriate goal?
a. Patient will ambulate length of hallway this shift.
b. Patient will consume 20% of meals by the end of the week.
c. Patient's incision will be without signs or symptoms of infection at discharge.
d. Patient will verbalize need to stop antibiotics medication when symptom free.
ANS: C
Maintaining skin integrity is an appropriate goal for this patient to ensure the patient does not develop a wound infection. Ambulating will assist in preventing skin breakdown be getting the patient out of bed, but it is not the priority goal for a patient with an incision. Consuming only 20% of meals will not ensure adequate nutrition, and verbalizing the end of antibiotic administration is inappropriate. Antibiotics should be taken until the prescription is complete.
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