Assessment

  1. Assess the patient’s temperature regularly to determine the degree of fever.
  2. Evaluate the patient’s level of consciousness, hydration status, and vital signs.
  3. Identify any underlying medical conditions or infections that may be contributing to the fever.

Nursing Diagnosis

  • Hyperthermia related to fever as evidenced by a temperature of 100.4°F (38°C).

Planning

  • The patient’s fever will be resolved and remain within normal limits (98.6°F or 37°C) for the duration of hospitalization.

Implementation

  1. Administer antipyretic medication as ordered, such as acetaminophen or ibuprofen, to reduce the fever.
  2. Encourage the patient to drink plenty of fluids to maintain hydration and prevent dehydration.
  3. Provide tepid sponge baths or cooling blankets to reduce the patient’s body temperature.
  4. Monitor the patient’s vital signs, including temperature, blood pressure, heart rate, and respiratory rate, regularly and document the results.
  5. Administer antibiotics as ordered if the fever is due to a bacterial infection.
  6. Assess for any signs and symptoms of complications related to fever, such as seizures or delirium.
  7. Provide education to the patient and family about fever management, including the importance of hydration and monitoring for complications.
  8. Monitor the patient’s response to the interventions and adjust the care plan as necessary.

Evaluation

  1. Monitor the patient’s temperature and vital signs to assess the effectiveness of the interventions.
  2. Document the patient’s response to the interventions and communicate any changes to the interdisciplinary team.
  3. Evaluate the patient for any signs or symptoms of complications related to fever and respond accordingly.

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