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    Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation

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    Jade Gordoncillo
    The client presented with a high fever due to a urinary tract infection or dengue hemorrhagic fever. The nurse's objectives over a 1 week holistic nursing care plan are for the client to decrease their temperature, increase fluid intake including those high in electrolytes, get 12 hours of rest per day, and have normal vital signs. Interventions include encouraging fluid intake, rest, monitoring vitals, sponge baths, cold compresses, medication administration, and using a cooling blanket. The goal is for the client's temperature and vital signs to return to normal ranges.

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    Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation

    Uploaded by

    Jade Gordoncillo
    31 views2 pages
    The client presented with a high fever due to a urinary tract infection or dengue hemorrhagic fever. The nurse's objectives over a 1 week holistic nursing care plan are for the client to decrease their temperature, increase fluid intake including those high in electrolytes, get 12 hours of rest per day, and have normal vital signs. Interventions include encouraging fluid intake, rest, monitoring vitals, sponge baths, cold compresses, medication administration, and using a cooling blanket. The goal is for the client's temperature and vital signs to return to normal ranges.

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    NCP-Jade Angel New

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    The client presented with a high fever due to a urinary tract infection or dengue hemorrhagic fever. The nurse's objectives over a 1 week holistic nursing care plan are for the client to decrease their temperature, increase fluid intake including those high in electrolytes, get 12 hours of rest per day, and have normal vital signs. Interventions include encouraging fluid intake, rest, monitoring vitals, sponge baths, cold compresses, medication administration, and using a cooling blanket. The goal is for the client's temperature and vital signs to return to normal ranges.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    31 views2 pages

    Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation

    Uploaded by

    Jade Gordoncillo
    The client presented with a high fever due to a urinary tract infection or dengue hemorrhagic fever. The nurse's objectives over a 1 week holistic nursing care plan are for the client to decrease their temperature, increase fluid intake including those high in electrolytes, get 12 hours of rest per day, and have normal vital signs. Interventions include encouraging fluid intake, rest, monitoring vitals, sponge baths, cold compresses, medication administration, and using a cooling blanket. The goal is for the client's temperature and vital signs to return to normal ranges.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation

    Subjective: Hyperthermia related to Within my 1 week holistic Independent After my 1 week holistic
    illness (urinary tract nursing care, the client will be nursing care, the client is
    The Client’s mother infection or UTI and able to decrease her  Encourage mother  Electrolytes are minerals that able to
    verbalized “ning kalit ra Dengue Hemorrhagic temperature as evidenced by: to increase fluid intake to conduct an electrical charge when
    siyag hilanat ug taas Fever) patient, especially fluid high mixed by water. They help  Consume 3 glasses of milk
    dayun ning sunod sakit in electrolytes. regulate a variety of your body’s or 720ml a day
    iyang tiyan.” Vital signs within normal most essential functions, including  Drinks clear water at 3
    range: nerve signal, muscle contraction glasses or 720ml
    and hydration.
    T: 35.9-36.7 ̊C
    Objective: PR:60-100bpm  Advice mother to promote  Bed rest is therapeutically used as  Sleeps 12hours a day
    RR:12-20cpm bed rest, or limit activity. a means to decrease the metabolic
    Vital signs: BP:110-140/ 60-90mmHg demand on the body and promote
    T : 39.8 ̊ C recovery during an illness.
    HR: 116 bpm
    RR: 38 cpm  Monitor patient’s vital signs.  Body temperature is one of the  Manifest normal vitals
    BP: 90/100 four main vital signs that must be below noted
    monitored to ensure safe and
    effective care. Monitoring those T:35.9-36.7 ̊C
    makes us determine if there’s an P:60-100bpm
    alteration of the previous results. R:12-20cpm
    BP:110-140/ 60-90mmHg

     Perform tepid sponge bath to  Tepid sponge bath is a procedure  Manifest decrease body heat
    patient that is given to a patient with fever as noted by decrease body
    through the use of lukewarm water temperature during vital
    and application of friction to the signs taking.
    body’s surface.
     Perform cold compress to  Help to relieve pain and swelling
    patient or cool a fever.

    Dependent

     Administer medication as  Medicines are chemicals or  Take medication regularly


    ordered the physician: compounds used to cure, halt, or and on time without any
    prevent disease; ease symptoms; resistance oberved.
    Paracetamol 130mg IVTT or help in the diagnosis of illness.
    every 4hours for 24hrs then
    PRN if Temperature is higher
    than 39 degrees celcius

    Collaborative

     Provide cooling blanket  Cooling blanket is used to reduce  Sleep well 12 hours with no
    fever, usually greater than 39.5 to signs of chills and fever as
    40 degrees Celsius. noted by her vital signs at
    normal range.
    Nursing Care Plan

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