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

The nursing care plan is for a patient experiencing hyperthermia with a fever of 38.5°C, elevated vital signs including a heart rate of 107 bpm and blood pressure of 140/100 mmHg, and pain rated as an 8 out of 10 in the right lower abdomen. The plan is to monitor the patient's temperature and vital signs, open windows to improve ventilation, and normalize the patient's body temperature within 4 hours through nursing interventions. The rationale is to reduce the patient's fever and pain through environmental controls and monitoring to assess the effectiveness of the interventions.

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Suzete Pagaduan
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0% found this document useful (0 votes)
21 views

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

The nursing care plan is for a patient experiencing hyperthermia with a fever of 38.5°C, elevated vital signs including a heart rate of 107 bpm and blood pressure of 140/100 mmHg, and pain rated as an 8 out of 10 in the right lower abdomen. The plan is to monitor the patient's temperature and vital signs, open windows to improve ventilation, and normalize the patient's body temperature within 4 hours through nursing interventions. The rationale is to reduce the patient's fever and pain through environmental controls and monitoring to assess the effectiveness of the interventions.

Uploaded by

Suzete Pagaduan
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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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