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As verbalized by the patients mother referring to her daughter. Objective: Flushed skin; warm to touch Measurement: Temperature38C
Analysis Imminent cause: Be free of complications such as irreversible neurological damage, acute renal failure. Immediate cause: Dehydration Root cause: Vomiting due to acute gastro enteritis
Planning Goal: After 30 minutes of nursing intervention, the clients mother will be able to demonstrate behaviors to monitor and promote normothermia. Objectives: Independent: Promote surface cooling by means of undressing, cool environment and tepid sponge bath. Increase oral fluid intake
Rationale
To support circulating volume and tissue perfusion. To meet increased metabolic demands.