Republic of the Philippines

WESTERN MINDANAO STATE UNIVERSITY

COLLEGE OF NURSING
Zamboanga City

TONSILLITIS NURSING CARE PLAN (NCP)

PLANNING
NURSING
ASSESSMENT OBJECTIVE OF IMPLEMENTATION EVALUATION
DIAGNOSIS INTERVENTION RATIONALE
CARE
After 8 hours of After 8 hours of nursing
Objective cues: nursing interventions, the patient was
interventions, the able to:
• Red, swollen Deficient fluid volume patient will be able
tonsils related to inadequate to:
• White or oral intake secondary
yellow coating to painful swallowing. • Improve • Encourage the patient to • Hydration loosens
or patches on fluid intake. drink fluids adequately. thick secretions or • Encouraged the patient to • Improved fluid
the tonsils maintains the drink fluids adequately. intake.
• Sore throat secretions moist to
• Difficult or facilitate easy
painful removal.
swallowing
• Fever
• Measure and record • Provides information • Measured and record
• Enlarged,
intake and output hourly. about physiologic intake and output hourly
tender glands
Assess skin turgor and fluid balance and and assesed skin turgor
(lymph nodes)
moisture of mucous signs of dehydration. and moisture of mucous
in the neck
membranes membranes
• A scratchy,
muffled or
• Administer IV fluids via • Maintains hydration • Administered IV fluids
throaty voice
infusion pump as if the patient is unable via infusion pump as
• Bad breath
ordered. Monitor IV site to drink. ordered and monitored
• Stomachache hourly. IV site hourly.
• Neck pain or
stiff neck
• Headache • Relieve
pain, • Administer prescribed • To alleviate the • Administered prescribed • Relieveed pain,
• temperature pain medication symptoms of acute pain medication
of 38°C or especially especially while
pain
above while swallowing.
• coughing • Assess the patient’s vital • To monitor • Assessed the patient’s
• feeling sick swallowing. signs and characteristics effectiveness of vital signs and
• earache of pain at least 30 medical treatment for characteristics of pain at
• feeling tired minutes after relief of abdominal least 30 minutes after
• white pus- administration of pain. The time of administration of
filled spots on medication monitoring of vital medication
your tonsils sign may depend on
the peak time of the
drug administered.

• Elevate the head of the • To increase the • Did elevate the head of
bed and position the oxygen level by the bed and position the
patient in semi fowler’s allowing optimal lung patient in semi fowler’s
expansion

Cite Reference/s
Paul Martin, BSN. “ Tonsillitis Nursing Care Plans.” Nurseslabs, 18 Mar. 2022, https://nurseslabs.com/tonsillitis-nursing-care-plans/.