Question

develop a nursing care plan for Tanya Kennedy 23 years old female c/o low grade fever, malais, and loss of appetite. The care plan must have 5 priority nursing diagnosis

Answer 1

#. Nursing diagnosis :-

Altered body temperature related to infection as evidence by raised in body temperature.

Alteration in comfort related to uneasiness due to hyperthermia.

Fluid Volume deficit related to dehydration due to fever as evidence by skin turgidity.

Ineffective breathing pattern related to decrease respiratory perfusion.

Risk for injury related to uneasiness and discomfort.

#. Nursing interventions for clients with a fever

•monitor VS

•assess skin color and temp.

•monitor WBC count, hematocrit value, and other pertinent laboratory reports for insications of infection or dehydration.

•remove excess blankets when the client feels warm, but provide extra warmth when the client feels chilled

•provide adequate nutrition and fluids (eg. 2, 500-3, 00 ml/day) to meet the increased metabolic demands and prevent dehydration

•measure I&O

•reduce physical activity to limit heat production, especially during the flush stage

•administer antipyretics (drugs that reduce the level of fever) as ordered

•provide oral hygiene to keep the mucous membranes moist

•provide a tepid sponge bath to increase heat loss through conduction

•provide dry clothing and bed linens