Question

according to NANDA

A.M.S is an 18-year-old female client with profound mental retardation. A.M.S mental age is less
than 3 years old. She lives at Sea Side School and is admitted to the community hospital with

bilateral pneumonia.

Ms. A.M.S is hyperthermic, with a fever of 101 degrees F. She is NPO, but receives IV fluids and
antibiotics. As her urine output decreases, the nurse recognizes the risk for dehydration. What nursing
diagnosis should be used in the care plan?

1.

2.

Answer 1

1)Hyperthermia is the elevated body temperature due to a break in thermoregulation that arises when a body produces or absorbs more heat than it dissipatches.

2)Impaired Uninary Elimination is dysfunction is urinary elimination or decrease in urine output causing dehydration.