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    Nursing Care Plan: Cues Objectives Interventions Rationale Evaluation

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    AkiraMamo
    The nursing care plan identifies a patient with a fever of 38.8 C likely due to a Group B streptococcal infection. Short term objectives are to monitor vital signs and lower the patient's temperature within 4 hours. Interventions include assessing temperature and vital signs, adjusting the room environment, eliminating excess clothing/covers, and providing a tepid bath. Long term objectives are to address the infection's cause and maintain a normal temperature within 16 hours. Interventions include monitoring labs, giving antipyretics as prescribed.

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    Nursing Care Plan: Cues Objectives Interventions Rationale Evaluation

    Uploaded by

    AkiraMamo
    44 views1 page
    The nursing care plan identifies a patient with a fever of 38.8 C likely due to a Group B streptococcal infection. Short term objectives are to monitor vital signs and lower the patient's temperature within 4 hours. Interventions include assessing temperature and vital signs, adjusting the room environment, eliminating excess clothing/covers, and providing a tepid bath. Long term objectives are to address the infection's cause and maintain a normal temperature within 16 hours. Interventions include monitoring labs, giving antipyretics as prescribed.

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    OB ER NCP Hyperthermia

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    The nursing care plan identifies a patient with a fever of 38.8 C likely due to a Group B streptococcal infection. Short term objectives are to monitor vital signs and lower the patient's temperature within 4 hours. Interventions include assessing temperature and vital signs, adjusting the room environment, eliminating excess clothing/covers, and providing a tepid bath. Long term objectives are to address the infection's cause and maintain a normal temperature within 16 hours. Interventions include monitoring labs, giving antipyretics as prescribed.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    44 views1 page

    Nursing Care Plan: Cues Objectives Interventions Rationale Evaluation

    Uploaded by

    AkiraMamo
    The nursing care plan identifies a patient with a fever of 38.8 C likely due to a Group B streptococcal infection. Short term objectives are to monitor vital signs and lower the patient's temperature within 4 hours. Interventions include assessing temperature and vital signs, adjusting the room environment, eliminating excess clothing/covers, and providing a tepid bath. Long term objectives are to address the infection's cause and maintain a normal temperature within 16 hours. Interventions include monitoring labs, giving antipyretics as prescribed.

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    of 1

    NURSING CARE PLAN

    Identified Problem: Fever


    Nursing Diagnosis: Hyperthermia related to Group B streptococcal infection as evidenced by a body temperature of 38.8 C

    CUES OBJECTIVES INTERVENTIONS RATIONALE EVALUATION


    Subjective: Short term objectives: Independent Short term objectives:
    Assess and monitor patient’s temperature To check for any improvements of
    and vital signs. the patient’s status and to plan
    patient care.
    After 4 hours of care, the After 4 hours of care, the patient’s
    patient’s body temperature will Room temperature may be body temperature is within the
    be within the normal range. Adjust and monitor environmental factors like accustomed to near normal body normal range.
    room temperature and bed linens into room temperature, and blankets and
    temperature. linens may be adjusted as indicated
    to regulate the patient’s
    temperature.

    Objective: Exposing skin to room air


    Body Temperature: 38.8 C decreases warmth and increases
    WBC: 18. 3 x109/L Eliminate excess clothing and covers. evaporative cooling.
    Platelet: 457 x 109/L Long term objectives: Long term objectives:
    After 16 hours of care: After 16 hours of care:
    A tepid sponge bath is a non-
    The patient’s cause of Provide a tepid bath or sponge bath. pharmacological measure to allow The patient’s cause of infection
    infection will be addressed. evaporative cooling. was addressed.

    The patient will be able to The patient was able to maintain


    maintain normal body normal body temperature.
    temperature. Collaborative Laboratory studies are done in
    Monitor patient’s laboratory study as indicated order to look for the cause of
    infection of the patient and to plan
    care.

    Dependent

    Give antipyretic medications as prescribed Antipyretic medications lower body


    temperature by blocking the
    synthesis of prostaglandins that act
    in the hypothalamus.

    Patient’s Name / Room No. | 1


    MAMORIBID, ALIA T. GROUP O

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