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    NCP Altered Body Temperature

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    Kristine Young
    1. A 1-year-old child presented with a fever as the mother reported the child felt "init sa katawan". 2. On examination, the child's temperature was 39°C, skin was moist, and respiratory rate was 52 breaths per minute. 3. The nursing diagnosis was an altered body temperature related to bacterial invasion in the lungs manifesting as a fever higher than normal.

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    NCP Altered Body Temperature

    Uploaded by

    Kristine Young
    16K views1 page
    1. A 1-year-old child presented with a fever as the mother reported the child felt "init sa katawan". 2. On examination, the child's temperature was 39°C, skin was moist, and respiratory rate was 52 breaths per minute. 3. The nursing diagnosis was an altered body temperature related to bacterial invasion in the lungs manifesting as a fever higher than normal.

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    1. A 1-year-old child presented with a fever as the mother reported the child felt "init sa katawan". 2. On examination, the child's temperature was 39°C, skin was moist, and respiratory rate was 52 breaths per minute. 3. The nursing diagnosis was an altered body temperature related to bacterial invasion in the lungs manifesting as a fever higher than normal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16K views1 page

    NCP Altered Body Temperature

    Uploaded by

    Kristine Young
    1. A 1-year-old child presented with a fever as the mother reported the child felt "init sa katawan". 2. On examination, the child's temperature was 39°C, skin was moist, and respiratory rate was 52 breaths per minute. 3. The nursing diagnosis was an altered body temperature related to bacterial invasion in the lungs manifesting as a fever higher than normal.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    St.

    Anthony’s College
    San Jose, Antique
    Nursing Department
    NAME: T.X.R.
    AGE: 1 year old
    Drs.: L.M.P
    E.L.Q.
    CC: fever NURSING CARE PLAN
    CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
    DIAGNOSIS
    SUBJECTIVE: GENERAL: INDEPENDENT:
    “ Medyo init Altered body Bacterial microorganisms After 8 hours of nursing  Establish rapport  To develop trust GOAL MET
    Lawas na kung temperature (e.g. pulmonary intervention, the child’s and cooperation After 8 hours of
    kaptan ko” as related to pathogens) enter the temperature will decrease of nursing
    verbalized by bacterial airway. These from 39C to normal range  Monitor vital signs the client intervention, the
    the mother invasion in the bacteria/viruses infects (36.5-37.2C) Specially  To obtain baseline child’s temperature
    lungs as the lung/s resulting to Temperature data decreased from
    manifested by inflammation in the lungs  Perform a tepid 39C to normal
    body and causes the signs and sponge bath  Sponge bath with range (36.5-37.2C)
    temperature symptoms of pneumonia warm water
    higher than (e.g. temperature may be  Encourage to wear evaporates off his
    OBJECTIVE: normal greater than 37.5C), loose clothes skin, thus cooling
    -Febrile; tachypnea, coughs with off the patient.
    39Ctemperature greenish secretions.
    (36.5-37.2C)  Encourage patient to  To maintain
    -Moist skin increase fluid intake. hydration status
    -Tachypnea; and increase fluid
    RR=52cpm (20- SOURCE: intake helps
    40cpm) http://nursingcrib.com/w  If patient feels cold lessen febrility
    p- provideblanket  To conserve body
    content/uploads/casestud DEPENDENT: heat or to reduce
    y/NCPpneumonia.pdf  Administer heat loss
    Paracetamol drops
    ( Calpol) 1ml for T°≥
    37.8 °c

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