WESLEYAN

AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

NURSING CARE PLAN FOR FEVER

NAME OF CLIENT Patient X DIAGNOSIS: Acute gastroenteritis with mild

dehydration
AGE: 6 yrs old

ASSESSMENT NURSING Nursing Goal Nursing Intervention RATIONALE EVALUATION

DIAGNOSIS

Subjective Data Hyperthermia Short term goal Independent

Di po bumababa related to mild After 5 hours of Monitor vital signs Provide Short term
lagnat ng anak ko dehydration as nursing intervention basweline data goal
nanghihina na siya evidenced by patient maintains to intervent After 5 hours
as verbalized by the pale/weak body temperature of nursing
parent apperance below 39C Monitor fluid intake Fluid intervention
and urine output resuscitation patient
Method: may be required maintains
Interview with the to correct body
parent Long term goal dehydration temperature
After 3 consecutive below 39
Objective Data days of nursing
Adjust and monitor
 Skin warm to intervention the Blankets and GOAL MET
environmental factors
touch patient will have a linens may be
like room temperature
 Patient looks stabilized adjusted as Long term
and bed linens
dull and temperature within indicated to goal
irritable the normal range regulate room After 3
temperature of consecutive
 V/S shows the patient days of
increased nursing
body intervention
 WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

temperature Dependent The patient
V/S taken Give antipyretic Antipyretric will have a
medications as medications stabilized
T:38 C prescribed lower body temperature
P:109bpm temperature by within normal
RR: 22 bpm blocking the range
BP: 90/60 synthesis of
prostaglandins GOAL MET
Maintain IV fluids as
orderd by the Be free of
Method: physician To prevent dehydration
Observation, dehydration
Physical GOAL MET
assessment and
vital signs Be alert and
responsive

GOAL MET
Providing health
Collaborative teachings to the
Educate patient and patient and family
family members about aids in coping
the signs and with disease
sumptoms og condition
hyperthermia
 WESLEYAN
AN AUTONOMOUS METHODIST UNIVERSITY

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

Name of Student_Jenner mel Natividad____________ CHARMAINE ROSE MABAGOS MAN,RN

Year/Block #___BSN 3-1______________ Name of Instructor