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Assessment NCM 101

The patient presented with a fever of 39.8 degrees Celsius, flushed skin, and feelings of bodily malaise. The nurse's goals are to lower the patient's temperature and reduce pain. Interventions include medications, cooling techniques, monitoring vitals, and encouraging fluid intake. Regular evaluation is needed to ensure the patient's condition improves and no new issues arise while the underlying cause of the fever is determined.

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Lorainne Angel U. Molina
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28 views1 page

Assessment NCM 101

The patient presented with a fever of 39.8 degrees Celsius, flushed skin, and feelings of bodily malaise. The nurse's goals are to lower the patient's temperature and reduce pain. Interventions include medications, cooling techniques, monitoring vitals, and encouraging fluid intake. Regular evaluation is needed to ensure the patient's condition improves and no new issues arise while the underlying cause of the fever is determined.

Uploaded by

Lorainne Angel U. Molina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS
S- The patient Hyperthermia Goal: Lower  -To reduce  Improved After
experiences is body the fluid mediation,
bodily
characterized temperature temperature, consumption the patient's
malaise,
which by a body and reduce provide the helps to body
indicates a temperature pain. prescribed avoid temperature
general of 39.8 antibiotics dehydration, has
feeling of pain degrees Objective: medicine. which is decreased,
and disease. Celsius, The patient's  Use frequent and they
flushed skin, body refreshing throughout report relief
O- The
temperature and patient temperature techniques, fever. from
of the patient symptoms of will be such as  Determining malaise.
was recorded bodily reduced to utilizing the true However,
at 39.8 malaise. within cooling reason is regular
degrees normal towels, to critical for monitoring
Celsius.
range. help lower effective is necessary
-Flushed skin
indicates an And patient body therapy and to maintain
increase in will report temperature. thorough health while
body improvement  Monitor vital care. identifying
temperature. from bodily indicators on  Antibiotics any possible
- malaise. a regular medications issues.
basis, paying assist to
special reduce body
attention to temperature.
temperature  The cooling
changes. of
 Remind the techniques
patient to helps to
drink more remove
fluids to excessive
prevent warmth
dehydration through the
caused by body.
fever.  Regular
 Communicate observation
with the ensures that
medical team any changes
to do in the
diagnostic patient's
testing and condition are
determine detected in a
the root timely
cause of the manner.
high fever.
MOLINA, LORAINNE ANGEL U. NCM 101: HEALTH ASSESSMENT

BSN1-E Date: February 10, 2024

NURSING CARE PLAN

 Has just arrived in the ER with the chief complaint of body malaise, flush skin, and T- 39.8 degree
Celsius.

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