Cues Nursing Nursing Objectives Nursing Rationale Expected Outcomes

Subjective/Objective Diagnosis Interventions

Subjective: Risk body for After 24 hours of Independent After 24 hours of

Parents complained Cold Imbalanced Body administering Nursing nursing interventions
Intolerance Temperature nursing intervention Intervention the goals are met as
related to the client will be able evidenced by:
hypothyroidism to: - Establish rapport to - To gain patients
the patient trust  Verbalize
 Verbalize understanding of
Scientific understanding of - Monitor and individual risk
Explanation: individual risk maintain comfortable - to reduce the effect factors and
factors and ambient environment on body temperature appropriate
At risk for failure appropriate (e.g., alterations. interventions such
to maintain body interventions. provide as healthy diet and
temperature  Demonstrate heating/cooling regular exercise
within normal behaviors for measures such as  Demonstrated
range monitoring and space heaters/fans) behaviors for
maintaining as indicated monitoring and
Reference: appropriate body maintaining
temperature. appropriate body
Nurse's Pocket - Review client’s temperature such as
Guide 13th- medications wearing warm
Doenges, Marilynn
- for possible clothes.
E. [SRG]
thermoregulatory
- Instruct in side
appropriate self-care effects.
measures (e.g.,
adding or removing - to protect from
Clothing) identified risk
factors.
- Recommend
lifestyle changes,
such as nutritious
meals, and regular - to prevent
exercise
 overheating and loss
of regulatory body
mechanisms,
and to maximize
metabolism to meet
individual needs

Reference:
Nurse's Pocket Guide, 15e: Diagnoses, Prioritized Interventions and Rationales