Garcia Jomari A. BSN 2h Kawa-Ncp
Garcia Jomari A. BSN 2h Kawa-Ncp
Garcia Jomari A. BSN 2h Kawa-Ncp
Use a cooling
blanket for higher
temperatures
that do not
respond to
antipyretics.
Rationale: Extra
wrapping of extremities
prevents shivering;
shivering promotes
further heat.
Encourage
adequate fluid
intake as
indicated.
Rationale: If the child is
dehydrated or
diaphoretic, fluid loss
contributes to fever.
Administer medication a
s indicated.
Aspirin
Rationale: It is an anti-
inflammatory drug that is
given to reduce
inflammation.
IV
immunoglobulin
Rationale: It is given in
single dose to treat and
reduce inflammation and
thereby lessen the
duration of fever.
NURSING CARE PLAN
Impaired oral mucous is the alteration of the lips or soft tissue of the oral cavity that
may be caused by drying or being NPO for more than 24 hours.set of point.
Rationale:
Maintains
hydration and
decreases mouth
tenderness.
Apply
soothing
ointments
to the lips.
Instruct
the use a
soft-bristle
brush or a
padded
tongue
blade
during
mouth
care.
Rationale: Soft-
bristle brush limits
mucosal irritation.
Provide
regular oral
care with
alcohol-free
mouthwash.
Rationale: Limits
the bacterial
accumulation that
can cause infection.
NURSING CARE PLAN
Impaired skin integrity a nursing diagnosis accepted by the North American Nursing
Diagnosis Association, defined as alteration in the epidermis and/or dermis. The skin is subject to
injury from a variety of external and internal factors.
IDENTIFICATION
Rationale: Moisture
promotes skin breakdown.
Encourage
adequate fluid
intake.
Rationale: Extra fluid intake
helps maintain hydration
and
decrease mouth tendernes
s.
Encourage intake
of protein-rich
foods such as eggs,
beans, chicken.
Rationale: Protein is
essential for the formation,
repair, and maintenance of
the skin.