This nursing care plan and diagnosis with nursing interventions is for the following conditions: Hyperthermia, Fever, High Temperature
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Hyperthermia, Fever, High Temperature
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
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An 86 year old male comes into the ER. Pt is lethargic but alert enough to tell his health history and reason for coming to the ER. Pt states he has became very weak the past week and is unable to walk to his mailbox because he is so tired. The pt’s daughter is with him. According to the daughter, the patient lives alone and his wife passed away 6 months ago. Vital signs: HR 100 regular, BP 135/78, Temperature 102.4 (orally), and O2 Saturation 95% on room air. Pt also informs you he hasn’t be able to keep any food or water down due to nausea. On assessment, you note that the patient looks dehydrated. Pt’s skin turgor is greater than 5 seconds. Lab results: WBC 19.3, UA (urinalysis) Leukocyte-esterase large and bacteria 5-10, WBC too many to count, Influenza screen negative.
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Nursing Diagnosis: |
| Hyperthermia related to infection as evidence by temperature 102.4 orally, loss of appetite, weakness, and dehydration. |
Subjective Data: |
| Pt states he has became very weak the past week and is unable to walk to his mailbox because he is so tired. According to the daughter, the patient lives alone and his wife passed away 6 months ago. Pt also informs you he hasn’t be able to keep any food or water down due to nausea. |
Objective Data: |
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Pt is lethargic but alert enough to tell his health history and reason for coming to the ER. The pt’s daughter is with him. Vital signs: HR 100 regular, BP 135/78, Temperature 102.4 (orally), and O2 Saturation 95% on room air.On assessment, you note that the patient looks dehydrated. Pt’s skin turgor is greater than 5 seconds. Lab results: WBC 19.3, UA (urinalysis) Leukocyte-esterase large and bacteria 5-10, WBC too many to count, Influenza screen negative.
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Nursing Outcomes: |
| -Pt’s temperature will between 97.8-98.6 within 24 hours of hospitalization.-Pt’s skin turgor will be less than 5 seconds within 24 hours of hospitalization.
-Pt will report increase in energy within 72 hours of hospitalization. |
Nursing Interventions: |
| -The nurse will assess every four hours the patient’s oral temperature and report any temperatures greater than 100.4 to the doctor.-The nurse will administer ordered antipyretics to the patient for a temperature greater than 100.4 per md order.
-The nurse will encourage and offer oral fluid intake every two hours to the patient. -The nurse will have the patient rate his energy level on a scale 1-10 with 10 being the highest in energy within 72 hours of hospitalization. |