Students Name: Year and Section: Patient's Name: Date of Assessment

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COLLEGE OF NURSING

Nursing Care Plan

Students Name: Year and Section:


Patient’s Name:
Date of Assessment:
ASSESSMENT NURSING DIAGNOSIS PLANNING IMPLEMENTATION RATIONALE EVALUATION
Subjective Data: Hyperthermia/Fever Patient After 4 hours of nursing  Monitor the
 The patient is asking for altered body temperature intervention the patient will temperature of the
assistance related to infection as normalize his body patient and take vital
evidence by raised in body temperature. sign. For basaline data
Objective Data: temperature 38.5’c above
the normal level and have a  Windows and door are
 BP: 140/100 mmHg open and air ventila

 Heart Rate 107 bpm

 Respiratory Rate 22cpm

 Temperature 38.5 ‘c

 SpO2 98%

 Perspiring and Appears


with a Flushed Skin

 The patient rated pain as


8/10 a pain scale of 0-10

 Noted pain on the right


illiac region of his
abdomen radiating from
the umbilical region.
COLLEGE OF NURSING
Nursing Care Plan

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