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    The nursing care plan addresses a child presenting with hyperthermia likely due to a urinary tract infection (UTI). The plan includes goals of maintaining a normal body temperature within 8 hours and objectives of educating the child and caregiver on hyperthermia. Interventions involve discussing the meaning, signs, and symptoms of hyperthermia and ways to lessen its severity such as tepid sponge baths or water therapy. The plan also outlines monitoring vital signs every 4 hours and administering antipyretics, antibiotics, and fluids as ordered to manage fever and infection while supporting circulation. The evaluation considers whether objectives and medication compliance were met efficiently using available resources.

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    NCP

    Uploaded by

    mimingdot33
    1K views4 pages
    The nursing care plan addresses a child presenting with hyperthermia likely due to a urinary tract infection (UTI). The plan includes goals of maintaining a normal body temperature within 8 hours and objectives of educating the child and caregiver on hyperthermia. Interventions involve discussing the meaning, signs, and symptoms of hyperthermia and ways to lessen its severity such as tepid sponge baths or water therapy. The plan also outlines monitoring vital signs every 4 hours and administering antipyretics, antibiotics, and fluids as ordered to manage fever and infection while supporting circulation. The evaluation considers whether objectives and medication compliance were met efficiently using available resources.

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    The nursing care plan addresses a child presenting with hyperthermia likely due to a urinary tract infection (UTI). The plan includes goals of maintaining a normal body temperature within 8 hours and objectives of educating the child and caregiver on hyperthermia. Interventions involve discussing the meaning, signs, and symptoms of hyperthermia and ways to lessen its severity such as tepid sponge baths or water therapy. The plan also outlines monitoring vital signs every 4 hours and administering antipyretics, antibiotics, and fluids as ordered to manage fever and infection while supporting circulation. The evaluation considers whether objectives and medication compliance were met efficiently using available resources.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views4 pages

    NCP

    Uploaded by

    mimingdot33
    The nursing care plan addresses a child presenting with hyperthermia likely due to a urinary tract infection (UTI). The plan includes goals of maintaining a normal body temperature within 8 hours and objectives of educating the child and caregiver on hyperthermia. Interventions involve discussing the meaning, signs, and symptoms of hyperthermia and ways to lessen its severity such as tepid sponge baths or water therapy. The plan also outlines monitoring vital signs every 4 hours and administering antipyretics, antibiotics, and fluids as ordered to manage fever and infection while supporting circulation. The evaluation considers whether objectives and medication compliance were met efficiently using available resources.

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    NURSING CARE PLAN

    NURSING GOAL AND


    CUES ANALYSIS INTERVENTIONS RATIONALE EVALUATION
    DIAGNOSIS OBJECTIVES
    S: Mr. Lad’s Hyperthermia The classic GOAL:
    symptoms of After 8 hour shift, the
    primary care related to
    UTIs are often patient will maintain
    provider infection observed in body temperature
    children more within normal range
    verbalized,” (UTI) as
    than 2 years of (36.5-37.5).
    Paggising manifested age. These
    includes OBJECTIVES:
    nya sinabi by multiple
    enuresis or After 10 - 15 minutes
    nya sa akin factors daytime of discussion and
    incontinence in interaction, the client
    na masakit (increase in
    the child who as well as his primary
    ulo nya.” body has been toilet care giver will be able
    trained, fever or to:
    temperature Discussion
    strong or foul- a. Define Discuss to the client’s a. Was the client
    above smelling urine, hyperthermia mother the meaning identifies a problem as well as his
    increased accurately. of hyperthermia. primary care
    O: normal or establishes
    frequency of provider able
    • Temperatur range, urination,
    strategies to resolve
    to define
    dysuria or hyperthermia
    e: 37.7 °C flushed skin;
    urgency. a problem. accurately?
    (taken on warm to Yes___ No___
    (Fundamentals of Why________
    February touch).
    Nursing 7th edition by _
    11, 2010)
    b. Enumerate at Discuss to the client’s Kozier p. 329) b. Was the client
    • Warm to least 3 out of mother the signs and as well as his
    5 signs and symptoms of Discussion is to primary care
    touch
    symptoms of hyperthermia give learners an provider able
    • Pale in hyperthermia. to enumerate 3
    opportunity to apply signs and
    color
    symptoms of
    principles, concepts, hyperthermia?
    and theories and in Yes___ No___
    Why________
    that process, to _
    transfer their
    learning to new and
    different situations.
    c. Enumerate 2 Discuss to the client’s Discussions with c. Was the client
    ways of how mother the ways to as well as his
    to lessen the lessen the severity of nurses or nursing primary care
    severity of hyperthermia. provider able
    hyperthermia: students about to enumerate 2
    professional, ways to lessen
    C1. Tepid Discuss & the occurrence
    sponge bath demonstrate the societal, or ethical of
    ways on how to hyperthermia?
    perform tepid sponge
    issues can help Yes___ No___
    bath participants develop Why_______

    C2. Water Discuss the ways on and evaluate their


    Therapy how to perform water
    beliefs and positions.
    therapy
    (Teaching Strategies
    For Nurse
    Educators)

    INDEPENDENT
    NURSING
    FUNCTION:
    • To evaluate
    After every 4 • Monitor ranges of
    hours, the client axillary temperature
    will be able to temperature
    prevent • Cardiac rate
    complications that • Monitor Heart and ECG
    may occur. Rate and changes occur
    Rhythm due to
    electrolyte
    imbalance.
    • Hyperventilatio
    • Monitor n may initially
    respiration be present.
    • Oliguria or
    • Monitor or Renal failure
    record all may occur due
    sources of to hypotension.
    fluid loss such Body attempts
    as urine, or to increase
    other heat loss.
    insensible
    losses.

    DEPENDENT
    NURSING
    FUNCTION: • For Fever
    After every • Administer Was the client able
    administration of Antipyretics to comply with his
    medication, the as ordered by the medications?
    client will be able to physician and Yes___ No___
    comply with his with the Why________
    prescribed supervision of the
    medications. clinical instructor.
    • For Infection
    • Administer
    Antibiotics as
    ordered by
    the physician
    and with the
    supervision of
    the clinical
    instructor.
    • To support
    • Administer circulating
    replacement volume and
    Fluids and tissue
    electrolytes perfusion.
    as ordered by
    the physician
    and with the
    supervision of
    the clinical
    instructor. EFFICIENCY:
    Were the time,
    materials and human
    resources used
    economically?
    ___ Yes ___ No
    Why _________

    ADEQUACY:
    Were the numbers of
    interventions
    sufficient?
    ___ Yes ___ No
    Why _________

    ACCEPTABILITY:
    Were the interventions
    suitable to the client’s
    situation?
    ___ Yes ___ No
    Why _________

    APPROPRIATENESS
    :
    Were the
    interventions, setting,
    and the time realistic
    to the client’s
    situation?
    ___ Yes ___ No
    Why _________

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