Assessment

The client
verbalized to
have soreness
of breast.

Nursing
Diagnosis
Risk for
infection
related to
insufficient
knowledge
regarding
avoidance of
exposure to
pathogens as
manifested by
soreness of
breast and
disease
process.

Planning

Intervention

Rationale

Evaluation

Short term:
After 30 minutes of nursing
intervention, the patien
t will verbalize
understanding of and
willingness to follow
up prescribed regimen.

1. Note for risk

factors for
occurrence of
infection.

To
evaluate presence
/ character of
infection.

2.Promote
good hand
washing

Limits
potential
sources of
infection and
secondary
overgrowth

After 1 week
of nursing
intervention,
the client will
be evident by
absence of sign
and symptoms
of infection.

3.Asses all
systems for
signs and
symptoms of
infection

Early
recognition
and
intervention
may prevent
progression
to more
serious
situation.

Long term:
After 1 week of nursing
intervention, the patien
t will be free of sign and
symptom.

4.Promote
adequate
rest/exercise
periods.

Limits
fatigue, yet
encourages
sufficient
movement
to prevent
stasis
complication
s.