Fever Nursing Care Plan 3r2i5h

NO

NURSING DIAGNOSIS Altered body temperature related to diseases process as evidenced by temperature of patient is 37.8’C.

GOAL / EXPECTED OUTCOME After 1 hour of nursing intervention,the temperature of the patient will decrease from 37.8’ C – 36.5’C.

NURSING INTERVENTIONS

EVALUATION DATE

1.Monitor condition Rationale : To determine the need for intervention and the effectiveness of therapy for example tepid sponge bath.

After 1 hour of nursing intervention,the temperature of the patient was decreased from 37.8’C – 36.5’C.

2.Assess underlying condition and body temperature Rationale : To obtain comparative baseline data and to assess contributing factors. 3.Assess neurologic response,noting level of consciousness and orientation,reaction to stimuli and presence of posturing seizures. Rationale: To evaluate effects or degree of hyperthermia and to have a baseline data 4.Monitor vital signs Rationale: To assist with measures to reduce body temperature

5.Remove unnecessary clothing that could only aggravate heat Rationale : These decrease warmth and increase evaporative cooling 6.Promote a well – ventilated area to patient Rationale : To promote clear flow of air in the patient’s area. One way of promoting heat loss. 7.Encourage increase fluid intake Rationale : To promote hydration 8.Promote adequate rest periods Rationale : To regain energy 9.Advise patient to increase calorie diet e.g protein diet – fish Rationale : Helps in lowering the temperature

10.Provide tepid sponge bath Rationale : Promote surface cooling 11.ister antipyretic as ordered or prescribed by the physician e.g aspirin Rationale : Aids in lowering down temperature.