ASSESSMENT NURSING DIAGNOSIS RATIONALE GOALS AND OBJECTIVES INTERVENTION RATIONALE EVALUATION

OBJECTIVE: GOAL: Independent

Females have
VS Hyperthermia shorter urethra After 4 hours of 1. Monitor vital signs Regular temperature After 4 hours of
PR: related to that facilitates the nursing interventions, monitoring will identify nursing interventions,
RR: inflammatory easy travel of Clients temperature 2. Asses for underlying adequate Clients temperature
T: 38.1 C process secondary microorganism will be decreased cause. thermoregulation will be decreased
to urinary tract from the urinary from 38.1 C to 37. 6 from 38.1 C to 37. 6
infection as meatus to the 3.provide tepid sponge To promote cooling of
manifested by T: urinary tract. Body OBJECTIVES: bath(if not body surface OBJECTIVES:
38.1 C defense contraindicated)
mechanism is to After the nursing To maintain stable After the nursing
increase intervention: 4. promote ventilation of body temperature of intervention:
thermoregulation skin by means of undressing newborn and decrease
by the 1. The patient will (heat loss by radiation and the possibility of 3. The patient will
hypothalamus, be able free from conduction) complication be able free from
releasing pyrogens complications (dehydration) complications
increase body core 5. Increase caloric intake
temperature to 2. maintain body 4. maintain body
remove bacteria or temperature at a 6.Promote client safety temperature at a
invading pathogen normal range normal range

Depdendent

1. administer antipyretics Treatment of mild to

w/ correct pediatric moderate pain; fever;
dose(as ordered) various inflammatory
conditions
2. administer antibiotics
w/ correct pediatric dose
to treat underlying
cause(as ordered)

Collaborative

1. Instruct the mother to

increase adequate fluid
intake( if not
contraindicated)