Homework Help is Here – Start Your Trial Now!
Science
Nursing
NURSING DIAGNOSIS Acute Pain PLANNING INTERVENTION Independent Nursing interventions: Dependent Nursing interventions: RATIONALE EVALUATION

NURSING DIAGNOSIS Acute Pain PLANNING INTERVENTION Independent Nursing interventions: Dependent Nursing interventions: RATIONALE EVALUATION

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
See similar textbooks
icon
Related questions
Question
100%

PLEASE FILL UP THE PICTURE BELOW. THIS IS A PRIORITY NURSING DIAGNOSIS FOR MENINGITIS AND THE DIAGNOSIS IS ALREADY GIVEN (ACUTE PAIN) . THE EXAMPLE PICTURE FORMAT IS ALREADY GIVEN. THANK YOU.

NURSING DIAGNOSIS Acute Pain PLANNING INTERVENTION Independent Nursing interventions: Dependent Nursing interventions: RATIONALE EVALUATION
Transcribed Image Text:NURSING DIAGNOSIS Acute Pain PLANNING INTERVENTION Independent Nursing interventions: Dependent Nursing interventions: RATIONALE EVALUATION
15 14 13 12 11 10 9 8·7·1·6·1·5·4·1·3·1·2··1····1|| FOLLOW THIS FORMAT: Intervention Planning Hyperthermia may be related to At the end of nursing infectious process (increased intervention, the metabolic rate) and dehydration, possibly evidenced by increased body temperature, warm, flushed skin; and tachycardia. Nursing Diagnosis patient will be able to verbalize: -exhibit no evidence of complication The redness, pain and swelling reduced. Independent nursing interventions: Assess the child's vital signs closely. . Assess for signs of dehydration such as dry mouth, sunken eyes, sunken fontanelle, low concentrated urine output. Promote surface cooling by means of Performing tepid sponge bath. Avoid the use of alcohol. Maintain adequate fluid intake as tolerated. ● Promote client safety (e.g., padded side rails, quiet environment) Dependent nursing interventions: ● Administer antibiotics as indicated. Administer antipyretics (e.g., ibuprofen, acetaminophen) orally or rectally as ordered. Rationale To monitor the heart rate and blood pressure of the client because as hyperthermia progresses, the HR and BP also increases. A higher metabolic rate results in a higher rate of insensible fluid loss when the body temperature is elevated. ● Tepid sponge baths may help reduce fever. Note: Use of ice water or alcohol may cause chills, actually elevating temperature. Alcohol can also cause skin dehydration To free from any injury and to be comfortable with the environment Antibiotics are given to treat the underlying causes of inflammation and thus prevent the occurrence of seizure activity. • Antipyretics decrease fever and lessen brain oxygen demand as fever increases cerebral metabolic demand. Evaluation . The client is free from any complications. The vital signs of the client are in normal level.
Transcribed Image Text:15 14 13 12 11 10 9 8·7·1·6·1·5·4·1·3·1·2··1····1|| FOLLOW THIS FORMAT: Intervention Planning Hyperthermia may be related to At the end of nursing infectious process (increased intervention, the metabolic rate) and dehydration, possibly evidenced by increased body temperature, warm, flushed skin; and tachycardia. Nursing Diagnosis patient will be able to verbalize: -exhibit no evidence of complication The redness, pain and swelling reduced. Independent nursing interventions: Assess the child's vital signs closely. . Assess for signs of dehydration such as dry mouth, sunken eyes, sunken fontanelle, low concentrated urine output. Promote surface cooling by means of Performing tepid sponge bath. Avoid the use of alcohol. Maintain adequate fluid intake as tolerated. ● Promote client safety (e.g., padded side rails, quiet environment) Dependent nursing interventions: ● Administer antibiotics as indicated. Administer antipyretics (e.g., ibuprofen, acetaminophen) orally or rectally as ordered. Rationale To monitor the heart rate and blood pressure of the client because as hyperthermia progresses, the HR and BP also increases. A higher metabolic rate results in a higher rate of insensible fluid loss when the body temperature is elevated. ● Tepid sponge baths may help reduce fever. Note: Use of ice water or alcohol may cause chills, actually elevating temperature. Alcohol can also cause skin dehydration To free from any injury and to be comfortable with the environment Antibiotics are given to treat the underlying causes of inflammation and thus prevent the occurrence of seizure activity. • Antipyretics decrease fever and lessen brain oxygen demand as fever increases cerebral metabolic demand. Evaluation . The client is free from any complications. The vital signs of the client are in normal level.
Expert Solution
steps

Step by step

Solved in 2 steps

SEE SOLUTIONCheck out a sample Q&A here
Blurred answer
Similar questions
  • SEE MORE QUESTIONS
Recommended textbooks for you
Phlebotomy Essentials
Phlebotomy Essentials
Nursing
ISBN:
9781451194524
Author:
Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:
JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession…
Gould's Pathophysiology for the Health Profession…
Nursing
ISBN:
9780323414425
Author:
Robert J Hubert BS
Publisher:
Saunders
Fundamentals Of Nursing
Fundamentals Of Nursing
Nursing
ISBN:
9781496362179
Author:
Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:
Wolters Kluwer,
Fundamentals of Nursing, 9e
Fundamentals of Nursing, 9e
Nursing
ISBN:
9780323327404
Author:
Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:
Elsevier Science
Study Guide for Gould's Pathophysiology for the H…
Study Guide for Gould's Pathophysiology for the H…
Nursing
ISBN:
9780323414142
Author:
Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:
Saunders
Issues and Ethics in the Helping Professions (Min…
Issues and Ethics in the Helping Professions (Min…
Nursing
ISBN:
9781337406291
Author:
Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:
Cengage Learning
SEE MORE TEXTBOOKS