NO

NURSING DIAGNOSIS Altered body temperature related to diseases process as evidenced by temperature of patient is 37.8C.

GOAL / EXPECTED OUTCOME After 1 hour of nursing intervention,the temperature of the patient will decrease from 37.8 C 36.5C.

NURSING INTERVENTIONS 1.Monitor condition Rationale : To determine the need for intervention and the effectiveness of therapy for example tepid sponge bath. 2.Assess underlying condition and body temperature Rationale : To obtain comparative baseline data and to assess contributing factors. 3.Assess neurologic response,noting level of consciousness and orientation,reaction to stimuli and presence of posturing seizures. Rationale: To evaluate effects or degree of hyperthermia and to have a baseline data 4.Monitor vital signs Rationale: To assist with measures to reduce body temperature

EVALUATION DATE After 1 hour of nursing intervention,the temperature of the patient was decreased from 37.8C 36.5C.

5.Remove unnecessary clothing that could only aggravate heat Rationale : These decrease warmth and increase evaporative cooling 6.Promote a well ventilated area to patient Rationale : To promote clear flow of air in the patients area. One way of promoting heat loss. 7.Encourage increase fluid intake Rationale : To promote hydration 8.Promote adequate rest periods Rationale : To regain energy 9.Advise patient to increase calorie diet e.g protein diet fish Rationale : Helps in lowering the temperature

10.Provide tepid sponge bath Rationale : Promote surface cooling 11.Administer antipyretic as ordered or prescribed by the physician e.g aspirin Rationale : Aids in lowering down temperature.