CUES OBJECTIVE INTERVENTIONS RATIONALE EVALUATIO

S N
Subjective: Short Term Independent: Short Term:
Objectives:
1. Ascertain the  This helps in  After 8
 After 8 identifying hours of
type of surgical
hours of elements of nursing
nursing procedure the risks. interventi
interventi on, the
client is having
on, the  Very thin, patient
patient 2. Note the client’s malnourished, displays
Objective: will be or dehydrated a core
body type and
able to individuals, as temperat
 Patient display age. well as the very ure within
is 85 core young or elderly normal
years temperat are more range.
old ure susceptible to
 Noted within perioperative Goal met.
BMI is normal hypothermia.
3. Note client’s
23 range.
 Albumi medication  Medications
n level including dome
regimen.
noted vasodilators,
as 3.3 antipsychotics,
g/dL and sedatives
can impair the
body’s ability to Long Term:
Long Term 4. Measure the regulate its
Objectives: temperature.  After 24
client’s
hours of
 After 24 temperature  For hypothermic nursing
hours of patients, core interventi
preoperatively,
nursing temperature can on, the
interventi and confirm that be monitored patient
on, the using a demonstr
continuous
patient temperature- ates
will be monitoring of sensitive behavior
able to pulmonary s for
temperature is
demonst artery catheter monitorin
rate occurring during or bladder g and
behavior catheter. maintaini
the procedure.
s for ng
monitorin Report a appropria
g and preoperative te body
maintaini temperat
temperature
ng ure.
appropri below the ideal
ate body Goal met.
range to the
temperat  Evidence
ure. surgical supports
commencement
team/anesthesio
of active
logist warming
preoperatively
and monitoring
Dependent:
it throughout the
Collaborative:
intraoperative
1. Implement
period.
preventive
warming
techniques
(e.g., blankets
from warmer in
holding area;
forced air
warming, warm
IV and irrigation
fluids) in the
operating room.