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    Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective: Independent: Short Term

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    Ken Ignacio
    Provides Encourage oral comprehensive intake and nursing care. hydration.

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    © All Rights Reserved
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    Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective: Independent: Short Term

    Uploaded by

    Ken Ignacio
    35 views2 pages
    Provides Encourage oral comprehensive intake and nursing care. hydration.

    Original Title

    NCP 20

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    © © All Rights Reserved

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    Provides Encourage oral comprehensive intake and nursing care. hydration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    35 views2 pages

    Assessment Diagnosis Planning Intervention Rationale Evaluation Subjective: Independent: Short Term

    Uploaded by

    Ken Ignacio
    Provides Encourage oral comprehensive intake and nursing care. hydration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Subjective: Elevated body After 4 hours of Independent: Enhances heat loss Short term:
    Patient’s mother temperature r/t nursing intervention Provide tepid by evaporation and After 2 hours of
    reported that her malaise and cough the patient will sponge bath conduction comprehensive
    daughter has had for two days maintain core nursing intervention
    fever. temperature within Assess fluid loss Increase metabolic the patient will:
    normal range and facilitate oral rate and diaphoresis Maintain normal
    Objective: intake temperature of 37.5
    Temp: 38.3 below
    Provide cool Dissipates heat by
    circulating air using convection Be free of
    a fan dehydration

    Promoted bed rest Reduces body heat Maintain vital signs


    production within normal
    range
    Monitor vital signs Note progress and
    changes of Be alert and
    condition responsive

    Wash hands with Reduce cross Be comfortable in


    antibacterial soap contamination and bed
    before and after prevent the spread
    each activity and of infection.
    encourage proper Long term:
    hygiene practice After 7 days of
    nursing intervention
    Dependent: the patient was able
    Maintained IV Prevents to demonstrate
    fluids as ordered by dehydration. temperature within
    the physician. normal range and
    continue the
    activity of daily
    Administer Reduces fever. living
    antipyretic as
    ordered.

    Administer Treats underlying


    antibiotics as cause.
    ordered.

    Collaborative:
    Monitor Indicates presence
    hematologic test of dehydration and
    and other pertinent infection
    labs records.

    Discuss condition Ensures continuous


    of the patient with intervention
    the other members
    of health care team

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