Emantsch

My patient comes in complaining of pain and a fever. The ER just gave her pain meds. Now while she is waiting for the ultrasound I should treat her fever. That was my opinion. the Nursing Diagnosis for treating fever, an elevated temperature is Hyperthermia: "Core body temp above the normal diurnal range due to failure of thermoregulation" -NANDA sure sounds mumbo jumbo but this is an entry level nursing class. If I told my dad I have pain and a fever, he gives me pain meds, what would he do next? He would treat my fever. overall I don't think anyone said the same as my college teacher so it's been great feedback! Thanks for participating! Have a great valentines weekend I'm off to Vegas!!!

I already posted my Nursing Diagnosis, it's the third posting in this thread

Would you be happier if my first post was about the most beautiful rainbow I saw? I have to write a paper about this and before moving forward I wanted to be sure I was correct. Apparently so far so good. I haven't seen an official Nursing Diagnosis from a book so I don't think anyone can beat my proper answer.

Pain scale is subjective, the patient may be comfortable with a 6/10. also she just got pain meds two hours ago, should we dose her again? No. I also don't believe that pain is a First Level priority.

I'm not worried about that drug, it's erroneous data meant to throw you off the patients complaints and concerns

She must have asked for it. I'm guessing nausea.

Sorry, my teacher is using old Case Studies. She said on the discussion board when I asked her "assume her last menstruation was a month ago"

Hyperthermia related to illness, as evidenced by Vital Sign 100.1 Fahrenheit and patient complaint of fever.

Help me out if you can! I'm at disagreement with my teacher over what the nursing diagnosis is for the patient below. Now I don't want to give the answer away for fear of revealing to much, but I promise that I've already faced the repercussions for the Nursing Diagnosis that I made. Thank you for your input and I look forward to your response. Thanks, E Mrs. S. is a 28 y.o. African American female admitted to your floor with c/o RUQ (Right upper quadrant) abdominal pain, fever, and Rt. Shoulder pain. Mrs. S. states this started gradually 2 days ago but got worst last night. She rates the pain 9/10 and describes it as an aching pain that is constant. She denies any activity that could of brought it on. It is worst when she rides in a car and goes over bumps in the road. Mrs. S. tried taking Ibuprofen 200mg every 4 hours for the pain with slight relief. Her PMH includes Hypertension. Her current medications include Norvasc 5mg everyday & Lotensin 20mg everyday. Her LMP (last menstrual period) was 1/1/08. Her husband is away in Iraqand she has not been sexually active for 4 months since he was last home. Mrs. S. denies smoking cigarettes or using drugs. She admits to an occasional glass of wine. She was given Demerol 75mg and Phenergan 25mg IM in the ER about 2 hours ago. Her pain has decreased to a 6/10. The ER physician has her scheduled for an ultrasound of the abdomen. Her recent blood work in the ER showed to be normal except for an elevated WBC (white blood cell count) of 15. Her VS are 100.1, 85, 12, & 140/70. Wt. 205# & Ht. 5'5” Lungs are clear to auscultation & percussion. Heart is regular rate with normal S1 & S2. Abdomen is tender over the RUQ with guarding. Bowel sounds are present x 4 quadrants