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    Nursing Care Plan Problem Nursing Diagnosis Rationale Objective of Care Nursing Intervention Rationale Evaluation

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    plug06
    The nursing care plan addresses a client presenting with hyperthermia secondary to acute pyelonephritis, with an elevated temperature of 38.1 degrees C and other symptoms, and includes monitoring vital signs, encouraging fluid intake, instructing loose clothing, and administering antipyretics as ordered to help lower the client's temperature and meet the objective of maintaining a normal temperature range within 2 hours.

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    Nursing Care Plan Problem Nursing Diagnosis Rationale Objective of Care Nursing Intervention Rationale Evaluation

    Uploaded by

    plug06
    2K views1 page
    The nursing care plan addresses a client presenting with hyperthermia secondary to acute pyelonephritis, with an elevated temperature of 38.1 degrees C and other symptoms, and includes monitoring vital signs, encouraging fluid intake, instructing loose clothing, and administering antipyretics as ordered to help lower the client's temperature and meet the objective of maintaining a normal temperature range within 2 hours.

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    The nursing care plan addresses a client presenting with hyperthermia secondary to acute pyelonephritis, with an elevated temperature of 38.1 degrees C and other symptoms, and includes monitoring vital signs, encouraging fluid intake, instructing loose clothing, and administering antipyretics as ordered to help lower the client's temperature and meet the objective of maintaining a normal temperature range within 2 hours.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views1 page

    Nursing Care Plan Problem Nursing Diagnosis Rationale Objective of Care Nursing Intervention Rationale Evaluation

    Uploaded by

    plug06
    The nursing care plan addresses a client presenting with hyperthermia secondary to acute pyelonephritis, with an elevated temperature of 38.1 degrees C and other symptoms, and includes monitoring vital signs, encouraging fluid intake, instructing loose clothing, and administering antipyretics as ordered to help lower the client's temperature and meet the objective of maintaining a normal temperature range within 2 hours.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Nursing Care Plan

    Problem Nursing Rationale Objective of care Nursing Rationale Evaluation


    diagnosis intervention

    Problem: Hyperhtermia Infectious agent After 2 hours of Independent: Independent: After 2 hours of
    Elevated body secondary to Acute (Pyrogens) nursing intervention, nursing intervention,
    temperature Pyelonephritis as  the client will be able a) Monitor Vital a) To check if there’s the client wias be
    manifested by High Stimulate Monocytes to maintain core Signs especially an improvement in able to maintain core
    Subjective cues: Temperature of 38.1,  temperature within temperature temperature temperature within
    “Ang init ng Loss of appetite, Releases Pyrogenic normal range normal range
    pakiramdam ko,” as Restlessness, cytokines b) Encourage fluid b) To support
    verbalized by the client. Flushed skin and  intake of 2500ml/day circulating volume & Goal met
    Warm to touch Stimulate anterior tissue perfusion
    Objective cues: hypothalamus
     c) Instruct patient to c) It promote heat
    • Temp= 38.1 Result Elevated wear loose clothes loss
    • Loss of appetite thermoregulatory set
    • Restlessness point
    • Flushed skin  d) Promote surface d) To decrease
    • Warm to touch Leads to increased cooling TSB (Tepid temperature through
    heat conservation sponge bath) evaporation &
    Increased heat conduction
    production
    Dependent: Dependent:

    Elevated body a) Administer a) To facilitate fast
    temperature antipyretics as recovery
    ordered

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