SN Assesment NSG NSG Planning Implimentation Rational Evalutaion

diagnosis Goal
Subjective Risk for Body - Asses the -Asses the skin -Base line Body
data: patient infection temp skin pressure. on the pressure information temperature
complain of related to will be point. was
fever. surgical maintain maintained.
incision as ed. -Change the -Everyday -Prevent from
evidenced surgical dressing was infection.
Objective by raise in dressing. changed.
data: during body temp
observation I 100°F -Provide cold -Cold sponging -Relief from
found his sponging. was provided. fever.
body
temperature is -Provide quiet -Provide the -Relief from
raised at and clean clean and quiet anxiety.
100°F environment. environment as
he is in hospital
environment.

-Provide -Injection PCM -To reduce the

medicine as was provided as fever.
per prescribed order.