NURSING CARE PLAN (Fever)

ASSESSMENT
Objective:

NURSING DIAGNOSIS

PLANNING

NURSING INTERVENTION

RATIONALE

EVALUATION

Within the shift, the patient will maintain core temperat ure within normal range

Assess patient for any signs of convulsions

Goal met. Seen patient wearing loose clothing

Skin warm to touch Temperatur e: 38 C

Assess for signs of dehydration

Temparature: 37.4 C

Monitor Vital Signs especially temperature

Note presence of sweating as the body attempts to increase heat loss by evaporation, conduction and diffusion

Instruct patient to wear loose clothes to promote heat loss

Render Tepid Sponge Bath (TSB)

Administer medications

as ordered