Ellano, Joshua Nathaniel V.

BSN III- 2
NURSING CARE PLAN
Assessment Diagnosis Planning Intervention Evaluation
Subjective
sobrang taas ng lagnat
ko at hindi ako masyado
makagalaw as
verbalized by the patient

Objective

T 38.5
P 93
R 28

Fatigue
Febrile
Risk for infection related
to increased
environmental exposure
to pathogens secondary
to contraptions as
manifested by increased
temperature
After 6 hours of giving
nursing intervention, the
patient is expected to
decrease temperature
Independent:

Provide TSB to help
lower the temperature

Health teaching for
hygiene to lower the risk
for infection

Instruct client for
ambulation for healing
purposes


Collaborative:

Administer Paracetamol
through IV as prescribed
by the physician
After 6 hours of giving
nursing intervention, the
patients temperature
lowered from 38.5 C to
37.3 C