Cues and Evidences Nursing Diagnosis Objectives Interventions Rationale Evaluation

Subjective: Hyperthermia related to Within my 1 week holistic Independent After my 1 week holistic
illness (urinary tract nursing care, the client will be nursing care, the client is
The Client’s mother infection or UTI and able to decrease her  Encourage mother  Electrolytes are minerals that able to increases her platelet
verbalized “ning kalit ra Dengue Hemorrhagic temperature as evidenced by: to increase fluid intake to conduct an electrical charge when and decreases her
siyag hilanat ug taas Fever) patient, especially fluid high mixed by water. They help temperature :
dayun ning sunod sakit in electrolytes. regulate a variety of your body’s
iyang tiyan.” Vital signs within normal most essential functions, including
range: nerve signal, muscle contraction Sdjfnsdjkvsdklv
and hydration. sdcl,mvbncbncvjnkxcbnkdxzc
T: 35.9-36.7 ̊C hjbdszcvjkdcvhjidscbvhjkkzkj
Objective: PR:60-100bpm  Advice mother to promote  Bed rest is therapeutically used as sdjvbszduiyvbdcujikvgbsd
RR:12-20cpm bed rest, or limit activity. a means to decrease the metabolic
Vital signs: BP:110-140/ 60-90mmHg demand on the body and promote
T : 39.8 ̊ C recovery during an illness.
HR: 116 bpm
RR: 38 cpm  Monitor patient’s vital signs.  Body temperature is one of the
BP: 90/100 four main vital signs that must be
monitored to ensure safe and
effective care. Monitoring those
makes us determine if there’s an
alteration of the previous results.

 Perform tepid sponge bath to  Tepid sponge bath is a procedure

patient that is given to a patient with fever
through the use of lukewarm water
and application of friction to the
body’s surface.

Dependent

 Administer medication as  Medicines are chemicals or

ordered the physician: compounds used to cure, halt, or
prevent disease; ease symptoms;
Paracetamol 130mg IVTT or help in the diagnosis of illness.
every 4hours for 24hrs then
PRN if Temperature is higher
than 39 degrees celcius

Collaborative

 Provide cooling blanket  Cooling blanket is used to reduce

fever, usually greater than 39.5 to
40 degrees Celsius.
Nursing Care Plan