ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATINALE EVALUATION

Altered body After 4 hours of Monitor neonate’s To

Objective: temperature related nursing condition determine the
Temp: 38.3 to the process of interventions: need for
-Skin is warm to infection as The patient’s body intervention and
touch evidenced by a temperature will the
temperature of 38.3 decrease from 38.3- effectiveness of
37.8/36.5 therapy
for example tepid
sponge bath.

Monitor vital signs To assist with

every 2 hours measures to
reduce
body temperature
and have a baseline
data

Promote a well – To promote

ventilated area to clear flow of air in
patient the
patient’s area.
One way of
promoting
heat loss.

Provide tepid sponge Promote

Bath surface cooling

Ensure that all To ensure patient’s

equipment used for safety and
infant is sterile, Prevents the spread
scrupulously clean. of pathogens to the
Do not share infant from
equipment with equipment
other infants

Aids in
Administer lowering down
antipyretics as temperature.
ordered