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  • Nursing Diagnosis Analysis Goal & Objectives Nursing Intervention Rationale Evaluation

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    LP Benoza
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    The nursing care plan addresses a patient with hyperthermia related to an infection. The goal is to reduce the patient's fever and keep their temperature in the normal range within 8 hours. Objectives include increasing the patient and family's understanding of the condition and keeping the patient afebrile after 4 hours of interventions. Interventions include taking the temperature every 1-4 hours, increasing fluids, cooling the body through undressing and sponge baths, maintaining bed rest, applying cold compresses, and administering antipyretics and IV fluids as ordered. The goal was met as evidenced by the patient's temperature reducing from 38.8°C to 37°C.

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    NCP Hyperthermia

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    The nursing care plan addresses a patient with hyperthermia related to an infection. The goal is to reduce the patient's fever and keep their temperature in the normal range within 8 hours. Objectives include increasing the patient and family's understanding of the condition and keeping the patient afebrile after 4 hours of interventions. Interventions include taking the temperature every 1-4 hours, increasing fluids, cooling the body through undressing and sponge baths, maintaining bed rest, applying cold compresses, and administering antipyretics and IV fluids as ordered. The goal was met as evidenced by the patient's temperature reducing from 38.8°C to 37°C.

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    275 views2 pages

    Nursing Diagnosis Analysis Goal & Objectives Nursing Intervention Rationale Evaluation

    Uploaded by

    LP Benoza
    The nursing care plan addresses a patient with hyperthermia related to an infection. The goal is to reduce the patient's fever and keep their temperature in the normal range within 8 hours. Objectives include increasing the patient and family's understanding of the condition and keeping the patient afebrile after 4 hours of interventions. Interventions include taking the temperature every 1-4 hours, increasing fluids, cooling the body through undressing and sponge baths, maintaining bed rest, applying cold compresses, and administering antipyretics and IV fluids as ordered. The goal was met as evidenced by the patient's temperature reducing from 38.8°C to 37°C.

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    © All Rights Reserved
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    NURSING CARE PLAN

    Nursing Diagnosis Analysis Goal & Objectives Nursing Intervention Rationale Evaluation
    Hyperthermia r/t A body temperature above Goal: After 8 hrs. of rendering
    infection the usual range is called nursing intervention, the client’s The goal for the client was :
    pyrexia, body temperature will subside  Met
    Interaction/Subjective – hyperthermia, or (in lay and will remain in normal range. As evidenced by patient’s body
    “Maiinit ang pakiramdam terms) fever. Objectives: temperature. His temperature
    ko.” As verbalized by the Ref: Fundamental of 1. After an hour of health 1. Take an axillary To obtain accurate core subsided from 38.8 C to 37.2 C.
    client Nursing teaching and nursing temperature every 1 to 4hrs. temperature
    interventions, the client
    and family will verbalize
    Objective understanding about the
    –warm to touch client’s condition. 2. Instruct the client to To help cool the body, and
    - febrile increase oral fluid intake. reduce body temperature
    -weak in appearance
    -

    2. After 4 hrs. of nursing 1. Promote surfaces cooling by To reduce body temperature.


    Measurements- independent and means of undressing.
    BP- 120/80mmHg dependent intervention,
    T-38.8 C patient will remain 2. Provide tepid sponge bath. To reduce body temperature.
    P-99bpm afebrile.
    R-22cpm
    3. Wrap the extremities with To minimize shivering.
    bath towels.

    4.Maintain bed rest. To restore normal body function.

    5. Apply cold compress over the To reduce body temperature.


    forehead.

    6. Administer antipyretic To reduce body temperature.


    medication.

    7.Adminiter IV fluids. To reduce body temperature.


    NURSING CARE PLAN

    Assessment Diagnosis Planning/ Nursing Intervention Rationale Evaluation


    Goal & Objectives
    Interaction/Subjective – Hypertermia related to the Goal: After 8 hrs. of rendering
    “Maiinit ang pakiramdam infection process nursing intervention, the client’s The goal for the client was :
    ko.” As verbalized by the body temperature will subside  Met
    client and will remain in normal range. As evidenced by patient’s body
    Objectives: temperature. His temperature
    1. After an hour of health -Take an axillary temperature To obtain accurate core subsided from 38.8 C to 37C.
    Objective teaching and nursing every 1 to 4hrs. temperature
    –warm to touch interventions, the client
    - febrile and family will verbalize
    -weak in appearance understanding about the
    client’s condition. -Instruct the client to increase To help cool the body, and
    oral fluid intake. reduce body temperature
    Measurements-
    BP- 120/80mmHg
    T-38.8 C
    P-99bpm 2. After 4 hrs. of nursing -Promote surfaces cooling by To reduce body temperature.
    R-22cpm independent and means of undressing.
    dependent intervention,
    patient will remain -Provide tepid sponge bath. To reduce body temperature.
    afebrile.

    -Wrap the extremities with bath To minimize shivering.


    towels.

    -Maintain bed rest. To restore normal body function.

    - Apply cold compress over the To reduce body temperature.


    forehead.

    - Administer antipyretic To reduce body temperature.


    medication as ordered.

    -Adminiter IV fluids as ordered. To reduce body temperature.

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