ASSESSME

NT
SUBJECTIV
E:
I have
a fever and
rashes
all over my
body
as
verbalized
by
the
patient.

NURSING
DIAGNOSIS

PLANNING

INTERVENTION

Hyperther
mia
related to
viral
infection.

After 8 hours of
nursing
interventions,
the
patient will
demonstrate
temperature
within normal
range and will
experience no
associated
complications.

1.

2.

3.

OBJECTIVE
:

Warm to
touch
Irritabili
ty
Petechia
e
V/S
taken as
follows:
T: 37.9
P: 93
R: 21
BP:
120/80

4.

5.

6.

7.

8.

SCIENTIFIC
RATIONALE

Provide
isolation 1. Body
substance
or monitor visitors
isolation should be
as indicated.
used
for
all
infectious patients
and patients with
diseases
transmitted
Wash hands with
through air may
antibacterial soap
also need airborne
before or after
and
droplet
care
of
the
precautions.
patient.
2. Reduces the risk of
Encourage patient
spreading
the
to cover mouth
infection.
and nose during
coughs sneezes.
Monitor
patient 3. Prevents
the
temperature,
spread of infection
degree
and
via
airborne
pattern.
droplet.
Observe for chills 4. Fever patter aids
and
profuse
in
the
disease
diaphoresis.
process
and
diagnosis.
5. Chills
often
Monitor
precede
environmental
temperature
temperature.
spikes in presence
of
generalized
infection.
Provide
tepid 6. Room temperature
sponge
baths,
should be altered
avoiding the use
to maintain near
of alcohol.
normal
body
Encourage to use
temperature.
calamine lotion.
7. May help reduce
the fever.
8.

To help reduce the

itchiness.