NURSING CARE PLAN RISK FOR IMBALANCE BODY TEMPERATURE

NURSIN SCIENTI
ASSESS G FIC PLANNI INTERVENT EVALUATI
RATIONALE
MENT DIAGNO BACKR NG IONS ON
SIS OUND
SUBJEC Risk for Hypother SHORT- INDEPEND Goal met
TIVE imbalance mia TERM ENT:  To acquire After
DATA: body occurs GOAL:  Note pre- baseline, performing
“Naglamii temperatu when the After operative monitor the nursing
s met re related body’s performin temperature patients interventio
gayam to cool heat- g nursing status in ns was able
ditoy uneg environme balancing interventi intraoperativ to maintain
ti nt and mechanis ons the e body
operating anesthetic m are patient temperature temperatur
room” as agents as working will e as
verbalized evidence properly demonstra  Cover skin  Heat losses evidence
by the by but are te a areas occur as skin by:
patient decreased subjected normal outside is exposed to  Maintain
in body to extreme range of operative cool body
OBJECTI temperatu cold or body field environment. temperat
VE re. impaired temperatu ure
DATA: in some re.  Anesthetics during
- way and  Apply depress the the
Decreased cannot LONG- warming hypothalamu procedur
in body respond TERM blankets at s which e
temperatur adequatel GOAL: emergence governs the
e y to mild Patient of thermoregula
-Cold, to will anesthesia tion of the
clammy moderate maintain body
skin cold body
temperatu temperatu  To evaluate
VITAL re. re within DEPENDEN the response
SIGNS: normal T: to
Temperatu range  Administeri medication
re: 36.5°C during ng
Pulse intra- medications
Rate: 88 operative as ordered
bpm phase by the
Respiratio attending  Anesthesiolo
ns: 18 cpm surgeon gist may
BP:130/80 evaluate
mmHg COLLABORA your medical
TIVE: condition
 Refer to and
anesthesiol formulate an
ogist anesthetic
plan that
takes your
physical
condition
into account.
NURSING CARE PLAN FOR DEFICIENT KNOWLEDGE
 NURSING CARE PLAN FOR DEFICIENT KNOWLEDGE

NURSING
ASSESSM INTERVENTI
DIAGNOSI PLANNING RATIONALE EVALUATION
ENT ONS
S
SUBJECTI Risk for SHORT- INDEPENDE Goal met
VE DATA: deficient TERM NT:  Patient can After
“Kasano knowledge GOAL:  Give about easily performing
met atoy related to After the level of understand the nursing
operasyon unfamiliarity performing patient disease interventions
ko nasakit of nursing knowledge process easily was able to
ba” as information interventions about the when understand the
verbalized resources the patient specific explained at disease process
by the and lack of will disease their level of and procedure
patient exposure as verbalize process understanding as evidence by:
evidence by understandin  Verbalizatio
OBJECTIV verbalization g of disease  Prompt n of
E DATA: of problem process and  Describe the intervention understandin
- and potential usual signs reduces risk of g of the
Exaggerated statement of complication and serious disease
behaviors misconceptio and symptoms complications process
- n participation of the
Unfamiliarit in treatment disease in
y with regimen. the right
information way
resources LONG-  To prevent
TERM  Discuss undesired
VITAL GOAL: lifestyle complication
SIGNS: Patient and changes that after the
Temperature families may be operation
: 36.5°C agree on needed to
Pulse Rate: diseases, prevent
88 bpm conditions, future
Respirations prognosis, complicatio
: 18 cpm and ns or
BP:130/80 treatment disease
mmHg prognosis. control
process
 Surgeon may
DEPENDENT advocate and
: suggest
 Allow the second
surgeon to opinion or
explain the indications
procedure
 Anesthesiolog
ist may
COLLABORA evaluate your
TIVE: medical
 Refer to condition and
other health formulate an
care anesthetic plan
providers
NURSING CARE PLAN FOR DEFICIENT KNOWLEDGE

that takes your