Ideal Nursing Care Plan

Subjective Nursing Goals &

Objective cues Interventions Rationale
cues diagnosis Objectives

 weak in Hyperthermia Short Term INDEPENDENT:

appearance r/t Goal: - This is for baseline
 skin warm inflammatory  Monitor and record vital comparison.
to touch response After 1 hour of signs - TSB serves as a non
 T= nursing  Provide tepid sponge pharmacologic method
39.2°C intervention, bath help in lowering the
 RR:55 body patient’s temperature
cpm temperature will - Increasign oral fluids
be maintained will prevent dehydration
within normal  Instruct significant
range. others to increase the fluid - This will help in
intake of the patient reducing metabolic
 Instruct patient to demands and oxygen
maintain bedrest consumption.
- This will promote
 Encourage patient to proper lung expansion.
do deep breathing
exercises
- Prescribed meds such
DEPENDENT: as paracetamol is a
pharmacologic method in
reducing fever by
 Administer the
directing action on
prescribed medication:
hypothalamus
- Paracetamol 500mg
heatregulating center with
P.O
consequent peripheral
vasodilation, sweating,
and dissipation of heat.
Ideal Nursing Care Plan

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