Ulrich & Canale’s Nursing Care Planning Guides: Prioritization, Delegation, and Clinical Reasoning

Confidently plan individualized care for clients in acute care, extended care, and home care environments with Ulrich & Canale's Nursing Care Planning Guides: Prioritization, Delegation, and Clinical Reasoning, 8th Edition. This in-depth nursing care planning guide features 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans that are keyed to specific expected outcomes and interventions. With updated content and the most recent NANDA-I(R) nursing diagnoses, NIC(R) interventions, and NOC(R) outcomes, it reflects the latest nursing taxonomies and evidence-treatment protocols. You'll also receive access to a popular Online Care Planner that allows you to edit and print standardized nursing diagnosis care plans.

Table of Contents:

 

1.  Prioritization, delegation, and critical thinking in client management

2.  Nurse-sensitive indicators

Falls

Nursing Diagnosis Risk for Adult Falls NDx

Nursing Diagnosis Deficient Knowledge NDx

Hospital acquired pressure ulcers/injuries

Nursing Diagnosis Risk for Adult Pressure Injury NDx

Nursing Diagnosis Deficient Knowledge NDx

Health care–associated infections

Nursing Diagnosis Risk for Infection NDx

Nursing Diagnosis Deficient Knowledge NDx

3.  Selected nursing diagnoses, interventions, rationales, and documentation

Nursing Diagnosis Decreased Activity Tolerance NDx

Nursing Diagnosis Ineffective Airway Clearance NDx

Nursing Diagnosis Anxiety NDx

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Decreased Cardiac Output NDx

Nursing Diagnosis Readiness for Enhanced Comfort NDx

Nursing Diagnosis Acute Confusion NDx

Nursing Diagnosis Constipation NDx

Nursing Diagnosis Contamination NDx

Nursing Diagnosis Ineffective Coping NDx

Nursing Diagnosis Readiness for Enhanced Decision-Making NDx

Nursing Diagnosis Diarrhea NDx

Nursing Diagnosis Deficient Fluid Volume NDx

Nursing Diagnosis Excess Fluid Volume NDx

Nursing Diagnosis Impaired Gas Exchange NDx

Nursing Diagnosis Risk for Unstable Blood Glucose Level NDx

Nursing Diagnosis Maladaptive Grieving NDx

Nursing Diagnosis Risk-Prone Health Behavior NDx

Nursing Diagnosis Risk for Infection NDx

Nursing Diagnosis Impaired Physical Mobility NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Impaired Oral Mucous Membrane Integrity NDx

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Readiness for Enhanced Self-Care NDx

Nursing Diagnosis Readiness for Enhanced Self-Concept NDx

Nursing Diagnosis Risk for Impaired Skin Integrity NDx

Nursing Diagnosis Disturbed Sleep Pattern NDx

Nursing Diagnosis Impaired Swallowing NDx

Nursing Diagnosis Impaired Urinary Elimination* NDx

Nursing Diagnosis Urinary Retention NDx

4.  Nursing care of the client having surgery

Procedural sedation

Nursing Diagnosis Actual/Risk for Impaired Respiratory Function*

Nursing Diagnosis Risk for Injury NDx

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Risk for Acute Confusion NDx

Preoperative care

Nursing Diagnosis Fear NDx/Anxiety NDx

Nursing Diagnosis Deficient Knowledge NDx

Postoperative care

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Ineffective Airway Clearance NDx

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Risk for Thrombosis NDx

Nursing Diagnosis Risk for Imbalanced Fluid Volume NDx and Risk for Electrolyte imbalance NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Nausea NDx

Nursing Diagnosis Risk for Delayed Surgical Recovery NDx

Nursing Diagnosis Impaired Oral Mucous Membrane Integrity NDx

Nursing Diagnosis Bathing, Dressing, Feeding, and Toileting Self-Care Deficit

Nursing Diagnosis Urinary Retention NDx

Collaborative Diagnosis Risk for Paralytic Ileus

Nursing Diagnosis Deficient Knowledge NDx

5.  The client with alterations in respiratory function

Asthma

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Decreased Activity Tolerance NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Maintenance Behaviors NDx; or Ineffective Health Self-Management* NDx

Chronic obstructive pulmonary disease

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Decreased Activity Tolerance NDx

Nursing Diagnosis Risk for Infection NDx (Pneumonia)

Collaborative Diagnosis Risk for Right-Sided Heart Failure

Nursing Diagnosis Fear NDx/Anxiety NDx

Nursing Diagnosis Ineffective Health Self-Management NDx

Nursing Diagnosis Deficient Knowledge NDx or Ineffective Health Maintenance Behaviors* NDx

Mechanical ventilation

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Risk for Infection NDx (Ventilator-Acquired Pneumonia [VAP])

Nursing Diagnosis Dysfunctional Ventilatory Weaning Response NDx

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Collaborative Diagnosis Risk for Gastrointestinal Bleeding

Collaborative Diagnosis Risk for Barotrauma

Pneumonia

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Acute Pain NDx (Chest)

Nursing Diagnosis Hyperthermia NDx

Nursing Diagnosis Decreased Activity Tolerance NDx

Nursing Diagnosis Risk for Infection NDx: (Extrapulmonary (e.g., Bacteremia, Pericarditis, Endocarditis, Meningitis, Septic Arthritis) and/or Superinfection (e.g., Candidiasis)

Collaborative Diagnosis Risk for Pleural Effusion

Collaborative Diagnosis Risk for Atelectasis

Nursing Diagnosis Deficient Knowledge NDx, Ineffective Health Maintenance Behaviors NDx, or Ineffective Health Self-Management* NDx

Pneumothorax

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Impaired Gas Exchange NDx

Nursing Diagnosis Acute Pain NDx (Chest)

Collaborative Diagnosis Risk for Tension Pneumothorax with Mediastinal Shift

Nursing Diagnosis Fear NDx/Anxiety NDx

Nursing Diagnosis Deficient Knowledge NDx, Ineffective Health Maintenance Behaviors NDx, or Ineffective Health Self-Management* NDx

Pulmonary embolism

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Impaired Gas Exchange NDx

Nursing Diagnosis Acute Pain NDx (Chest)

Nursing diagnosis: Risk for bleeding NDx

Collaborative diagnoses Risk for right-sided heart failure

Collaborative Diagnosis Risk for Atelectasis

Nursing Diagnosis Fear NDx/Anxiety NDx

Nursing Diagnosis Deficient Knowledge NDx, Ineffective Health Maintenance Behaviors NDx, or Ineffective Health Self-Management* NDx

Thoracic surgery

Postoperative care plan to use in conjunction with the preoperative care plan

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Acute Pain NDx (Chest)

Collaborative Diagnosis Risk for Ineffective Lung Expansion

Collaborative Diagnosis Risk for Cardiac Dysrhythmias

Collaborative Diagnosis Risk for Acute Pulmonary Edema

Collaborative Diagnosis Risk for Bronchopleural Fistula

Collaborative Diagnosis Restricted Arm and Shoulder Movement

Nursing Diagnosis Deficient Knowledge, NDx Ineffective Health Maintenance Behaviors NDx, or Ineffective Health Self-Management* NDx

Tuberculosis

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Decreased Activity Tolerance NDx

Nursing Diagnosis Risk for Infection NDx (Extrapulmonary (e.g., Pericardial, Laryngeal, Skeletal, Joint, Renal, Brain, Adrenal, Lymphatic) and/or Superinfection (e.g., Candidiasis)

Collaborative Diagnosis Risk for Pleural Effusion

Collaborative Diagnosis Risk for Atelectasis

Patient and discharge teaching/continued care

Nursing Diagnosis Deficient Knowledge, NDx Ineffective Health Maintenance Behaviors NDx, or Ineffective Health Self-Management* NDx

6.  The client with alterations in cardiovascular function

Abdominal aortic aneurysm

Related Preoperative Nursing/Collaborative Diagnoses Anxiety NDx /Fear NDx

Nursing/Collaborative Diagnosis Risk for Imbalanced Fluid Volume NDx and Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Risk for Shock NDx

Nursing Diagnosis Risk for Thrombosis NDx

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Maintenance Behaviors NDx; or Ineffective Health Self-Management* NDx

Angina pectoris

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Nursing Diagnosis Acute Pain NDx (Radiating or Nonradiating Chest Pain/Discomfort)

Collaborative Diagnosis Risk for Cardiac Dysrhythmias

Collaborative Diagnosis Risk for Myocardial Infarction

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors NDx*

Cardiac dysrhythmias

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Nursing Diagnosis Risk for Activity Intolerance NDx

Nursing Diagnosis Risk for Falls NDx

Collaborative Diagnosis Risk for Systemic Arterial Embolism

Collaborative Diagnosis Risk for Sudden Cardiac Death

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Maintenance NDx; or Ineffective Health Management NDx*

Carotid endarterectomy

Nursing/Collaborative Diagnosis Preoperative

Nursing Diagnosis Risk for Ineffective Cerebral Tissue Perfusion NDx

Nursing Diagnosis Risk for Ineffective Cerebral Tissue Perfusion

Collaborative Diagnosis Risk for Respiratory Distress

Collaborative Diagnosis Risk for Cranial Nerve Damage (Facial, Hypoglossal, Glossopharyngeal, Vagus, and/or Accessory Nerves)

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Maintenance Behaviors NDx; or Ineffective Health Self-Management NDx*

Deep vein thrombosis

Nursing Diagnosis Ineffective Peripheral Tissue Perfusion NDx

Nursing Diagnosis Acute Pain NDx (Affected Extremity)

Nursing Diagnosis Risk for Impaired Tissue Integrity NDx

Collaborative Diagnosis Risk for Pulmonary Embolism

Nursing Diagnosis Risk for Bleeding NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Maintenance Behaviors NDx; or Ineffective Health Self-Management NDx*

Nursing Diagnosis Ineffective Peripheral Tissue Perfusion NDx

Nursing Diagnosis Acute/Chronic Pain NDx (Intermittent Claudication and Rest Pain)

Nursing Diagnosis Risk for Ineffective Peripheral Tissue Perfusion NDx

Collaborative Diagnosis Risk for Compartment Syndrome

Collaborative Diagnosis Risk for Saphenous Nerve Damage

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Self-Management NDx*

Heart failure

Nursing Diagnosis Decreased Cardiac Output NDx

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Risk for Imbalanced Fluid Volume NDx and Risk for Electrolyte Imbalance NDx

Collaborative Diagnosis Risk for Renal Insufficiency

Collaborative Diagnosis Risk for Cardiac Dysrhythmias

Collaborative Diagnosis Risk for Acute Pulmonary Edema

Nursing Diagnosis Risk for Thrombosis

Collaborative Diagnosis Risk for Cardiogenic Shock

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Self-Management NDx*

Heart surgery: Coronary artery bypass grafting or valve replacement

Related preoperative nursing/collaborative diagnoses Fear NDx/Anxiety NDx

Nursing Diagnosis Decreased Cardiac Output NDx

Nursing Diagnosis Risk for Impaired Respiratory Function*

Nursing/Collaborative Diagnosis Risk for Imbalanced Fluid Volume NDx and Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Risk for Infection NDx

Collaborative Diagnosis Risk for Cardiac Dysrhythmias

Collaborative Diagnosis Risk for Cardiac Tamponade

Nursing Diagnosis Risk for Bleeding NDx

Collaborative Diagnosis Risk for Neurological Dysfunction

Collaborative Diagnosis Risk for Impaired Renal Function

Collaborative Diagnosis Risk for Pneumothorax

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Self-Management NDx*

Hypertension

Nursing Diagnosis Ineffective Peripheral Tissue Perfusion NDx

Nursing Diagnosis Acute Pain NDx (Headache)

Collaborative Diagnosis Risk for Cerebrovascular Accident/Hypertensive Encephalopathy

Collaborative Diagnosis Risk for Impaired Renal Function

Collaborative Diagnosis Risk for Aortic Dissection

Nursing Diagnosis Ineffective Family Health Self-Management NDx

Nursing Diagnosis Deficient Knowledge NDx or Ineffective Health Maintenance Behaviors NDx*

Implantable cardiac devices

Nursing/Collaborative Diagnosis Preoperative use in Conjunction with the Standardized Preoperative Care Plan

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Collaborative Diagnoses Risk for Pacemaker/Implantable Cardioverter-Defibrillator Malfunction

Collaborative Diagnoses Risk for Cardiac Tamponade

Collaborative Diagnoses Risk for Pneumothorax

Collaborative Diagnoses Risk for Undesired Stimulation of the Heart and/or Certain Nerves and Muscles

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Self-Management NDx*

Myocardial infarction

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Nursing Diagnosis Acute Pain NDx (Chest Pain/Discomfort that may Radiate to Arm, Neck, Jaw, or Back)

Nursing Diagnosis Risk for Decreased Activity Tolerance NDx

Collaborative Diagnosis Risk for Cardiac Dysrhythmias

Nursing Diagnosis Risk for Thrombosis

Collaborative Diagnosis Risk for Rupture of a Portion of the Heart (e.g., Ventricular Free Wall, Interventricular Septum, Papillary Muscle)

Collaborative Diagnosis Risk for Pericarditis

Collaborative Diagnosis Risk for Infarction Extension or Recurrence

Collaborative Diagnosis Risk for Cardiogenic Shock

Nursing Diagnosis Deficient Knowledge NDx or Ineffective Health Self-Management NDx*

7.  The client with alterations in neurological function

Alzheimer’s disease/dementia

Nursing Diagnosis Chronic Confusion NDx

Nursing Diagnosis Wandering NDx

Nursing Diagnosis Self-Care Deficit: Dressing, Bathing, Feeding, and Toileting NDx

Nursing Diagnosis Ineffective Home Maintenance Behaviors NDx

Cerebrovascular accident

Nursing Diagnosis Risk for Ineffective Cerebral Tissue Perfusion NDx

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Unilateral Neglect NDx

Nursing Diagnosis Impaired Verbal Communication NDx

Nursing Diagnosis Self-Care Deficit (Bathing, Feeding, Dressing, and Toileting) NDx

Nursing Diagnosis Acute Confusion NDx; Chronic Confusion NDx

Collaborative Diagnosis Risk for Decreased Intracranial Adaptive Capacity

Discharge teaching/continued care

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Traumatic brain injury/craniotomy

Nursing Diagnosis Acute Pain NDx (Headache)

Nursing Diagnosis Risk for Acute Confusion NDx

Collaborative Diagnosis Risk for Meningitis

Collaborative Diagnosis Risk for Seizures

Collaborative Diagnosis Risk for Diabetes Insipidus

Collaborative Diagnosis Risk for Syndrome of Inappropriate Antidiuretic Hormone

Collaborative Diagnosis Risk for Gastrointestinal Bleeding

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Maintenance Behaviors NDx; or Ineffective Family Health Self-Management NDx*

Spinal cord injury

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Impaired Physical Mobility NDx

Nursing Diagnosis Ineffective Thermoregulation NDx

Nursing Diagnosis Risk for Autonomic Dysreflexia NDx

Nursing Diagnosis Self-Care Deficit (Bathing, Dressing, Feeding, and Toileting) NDx

Nursing Diagnosis Risk for Injury NDx

Nursing Diagnosis Risk for Thrombosis NDx

Nursing Diagnosis Sexual Dysfunction NDx

Nursing Diagnosis Interrupted Family Processes NDx

Collaborative Diagnosis Risk for Ascending Spinal Cord Injury

Collaborative Diagnosis Risk for Paralytic Ileus

Collaborative Diagnosis Risk for Gastrointestinal Bleeding

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors*,† NDx

Parkinson disease

Nursing Diagnosis Impaired Physical Mobility NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Constipation NDx

Nursing Diagnosis Impaired Verbal Communication NDx

Nursing Diagnosis Disturbed Self-Concept*

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors NDx*,†

8.  The client with alterations in hematologic and immune function

Human immunodeficiency virus infection and Acquired immune deficiency syndrome

Nursing Diagnosis Risk-Prone Health Behavior NDx

Nursing Diagnosis Ineffective Health Self-Management NDx (Medication Management)

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Risk for Infection NDx (Opportunistic Infection)

Nursing Diagnosis Disturbed Body Image NDx

Nursing Diagnosis Risk for Deficient Fluid Volume NDx and Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Acute/Chronic Pain NDx

Nursing Diagnosis Spiritual Distress NDx

Nursing Diagnosis Ineffective Health Self-Management NDx; Ineffective Family Health Self-Management NDx

Sepsis

Nursing Diagnosis Risk for Ineffective Peripheral Tissue Perfusion NDx Risk for Ineffective Cerebral Tissue Perfusion NDx Risk for Decreased Cardiac Tissue Perfusion NDx

Nursing Diagnosis Risk for Imbalanced Fluid Volume NDx

Nursing Diagnosis Impaired Gas Exchange NDx

Nursing Diagnosis Hyperthermia NDx

Nursing Diagnosis Risk for Infection NDx (Superinfection)

Collaborative diagnosis Risk for Disseminated Intravascular Coagulation

Collaborative Diagnosis Risk for Organ Ischemia/Dysfunction (Multiple Organ Dysfunction Syndrome)

Splenectomy

9.  The client with alterations in metabolic function

Diabetes mellitus

Nursing Diagnosis Risk for Unstable Blood Glucose Level NDx

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Nursing Diagnosis Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Ineffective Peripheral Tissue Perfusion NDx

Nursing Diagnosis Risk for Dysfunctional Gastrointestinal Motility NDx

Nursing Diagnosis Ineffective Family Health Self-Management NDx

Nursing Diagnosis Deficient Knowledge NDx or Ineffective Health Self-Management* NDx

Hyperthyroidism/Thyroidectomy

Hypothyroidism/Myxedema

10.  The client with alterations in the gastrointestinal tract

Abdominal trauma

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Risk for Imbalanced Fluid Volume NDx; Risk for Electrolyte Imbalance* NDx

Nursing Diagnosis Ineffective Peripheral Tissue Perfusion NDx

Nursing Diagnosis Acute Pain NDx

Collaborative Diagnosis Risk for Peritonitis

Collaborative Diagnosis Risk for Septic Shock

Collaborative Diagnosis Risk for Organ Ischemia/Dysfunction (Multiple Organ Dysfunction Syndrome)

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Appendicitis/Appendectomy

Bowel diversion: Ileostomy

Nursing Diagnosis Deficient Knowledge NDx

Nursing Diagnosis Risk for Imbalanced Fluid Volume NDx; Risk for Electrolyte Imbalance* NDx

Nursing Diagnosis Risk for Impaired Tissue Integrity NDx

Collaborative Diagnosis Risk for Peritonitis

Collaborative Diagnosis Risk for Stomal Changes

Collaborative Diagnosis Risk for Stomal Obstruction

Nursing Diagnosis Ineffective Sexuality Pattern NDx

Nursing Diagnosis Disturbed Self-Concept*

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Enteral nutrition

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Gastrectomy

Bariatric surgery

Nursing Diagnosis Disturbed Self-Concept*

Nursing Diagnosis Ineffective Breathing Pattern NDx

Collaborative Diagnosis Risk for Overdistention of the Gastric Pouch

Collaborative Diagnosis Risk for Peritonitis

Collaborative Diagnosis Risk for Venous Thromboembolism

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Gastrointestinal bleed, acute

Nursing Diagnosis Risk for Shock NDx

Nursing Diagnosis Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Risk for Decreased Activity Tolerance NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Inflammatory bowel disease: Ulcerative colitis and Crohn disease

Nursing/Collaborative Diagnosis Risk for Imbalanced Fluid Volume NDx and Risk for Electrolyte Imbalance NDx*

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Acute/Chronic Pain NDx

Nursing Diagnosis Risk for Infection NDx

Collaborative Diagnosis Risk for Renal Calculi

Collaborative Diagnosis Risk for Perirectal, Rectovaginal, Enterovesical, and Enteroenteric Abscesses and Fistulas

Collaborative Diagnosis Risk for Toxic Megacolon

Collaborative Diagnosis Risk for Peritonitis

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Intestinal obstruction and bowel resection

Nursing/Diagnosis Risk for Imbalanced Fluid Volume NDx; Risk for Electrolyte Imbalance*

Nursing Diagnosis Acute Pain NDx (Abdominal)

Nursing Diagnosis Nausea NDx

Collaborative/Nursing Diagnosis Risk for Peritonitis

Collaborative Diagnosis Risk for Intestinal Necrosis

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Ineffective Airway Clearance NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Collaborative Diagnosis Risk for Atelectasis

Collaborative Diagnosis Risk for Venous Thromboembolism NDx

Collaborative Diagnosis Risk for Paralytic Ileus

Collaborative Diagnosis Risk for Dehiscence

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

Parenteral nutrition

Nursing Diagnosis Risk for Unstable Blood Glucose Level NDx

Nursing Diagnosis Risk for Infection NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance* NDx

Peptic ulcer

11.  Nursing care of the client with disturbances of the liver, biliary tract, and pancreas

Cholecystectomy

Nursing Diagnosis Ineffective Breathing Pattern NDx

Collaborative Diagnosis Risk for Abscess Formation

Nursing Diagnosis Deficient Knowledge NDx; Or Ineffective Health Self-Management* NDx

Cirrhosis

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing/Collaborative Diagnosis: Risk for Imbalanced fluid volume NDx Risk for electrolyte imbalance NDx and third-spacing

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Impaired Comfort NDx (Pruritus)

Nursing Diagnosis Decreased Activity Tolerance NDx

Collaborative/Nursing Diagnosis Acute Confusion NDx and Chronic Confusion NDx

Nursing Diagnosis Risk for Bleeding NDx

Collaborative Diagnosis Risk for Ascites

Collaborative Diagnosis Risk for Hepatic (Portal-Systemic) Encephalopathy (Hepatic Coma)

Nursing Diagnosis Risk for Spiritual Distress NDx

Nursing Diagnosis Ineffective Family Health Self-Management NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management* NDx

Hepatitis

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Nausea NDx

Nursing Diagnosis Risk for Bleeding NDx

Collaborative Diagnosis Risk for Progressive Liver Degeneration (e.g., Fulminant Hepatitis, Chronic Active Hepatitis)

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management; Ineffective Family Health Self-Management* NDx

Pancreatitis, acute

Nursing Diagnosis Acute Pain NDx (Epigastric with Radiation to the Back)

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing/Collaborative Diagnosis Risk for Imbalanced Fluid Volume NDx Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Risk for Infection NDx (Sepsis)

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Risk for Shock NDx

Collaborative Diagnosis Risk for Peritonitis

Collaborative Diagnosis Risk for Unstable Blood Glucose Level NDx

Collaborative Diagnosis Risk for Organ Ischemia/Dysfunction

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx; or Ineffective Family Health Self-Management* NDx

12.  The client with alterations in the kidney and urinary tract

Urolithiasis (renal stones)

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Impaired Urinary Elimination NDx

Nursing Diagnosis Risk for Infection NDx (Urinary Tract)

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx; Ineffective Family Health Self-Management* NDx

Cystectomy with urinary diversion

Nephrectomy

Nursing Diagnosis Ineffective Breathing Pattern NDx

Nursing Diagnosis Risk for Shock NDx

Collaborative Diagnosis Risk for Paralytic Ileus

Collaborative Diagnosis Risk for Pneumothorax

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx; Ineffective Family Health Self-Management* NDx

Acute kidney injury and chronic kidney disease

Nursing Diagnosis Excess Fluid Volume NDx

Nursing Diagnosis Risk for Decreased Cardiac Output NDx

Nursing Diagnosis Risk for Electrolyte Imbalance NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Risk for Infection NDx

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Collaborative diagnosis Risk for metabolic acidosis

Collaborative Diagnosis Risk for Uremic Syndrome

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx Ineffective Health Self-Management* NDx

13.  The client with alterations in musculoskeletal function

Amputation

Nursing Diagnosis Deficient Knowledge NDx

Nursing Diagnosis Acute/Chronic Pain NDx

Nursing Diagnosis Impaired Tissue Integrity/Risk for Impaired Tissue Integrity NDx

Nursing Diagnosis Impaired Physical Mobility NDx

Nursing Diagnosis Risk for Surgical Site Infection NDx

Nursing Diagnosis Disturbed Body Image NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx; Ineffective Family Health Self-Management NDx*

Fracture (hip) with internal fixation or prosthesis insertion

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Risk for Peripheral Neurovascular Dysfunction NDx (Fractured Extremity)

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Impaired Physical Mobility NDx

Nursing Diagnosis Risk for Peripheral Neurovascular Dysfunction NDx (Operative Extremity)

Nursing Diagnosis Impaired Tissue Integrity NDx/Risk for Impaired Tissue Integrity NDx

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx; Ineffective Family Health Self-Management* NDx

Laminectomy/discectomy with or without fusion

Nursing Diagnosis Risk for Peripheral Neurovascular Dysfunction NDx

Nursing Diagnosis Acute Pain NDx

Nursing Diagnosis Impaired Skin Integrity NDx; Risk for Impaired Skin Integrity NDx

Collaborative Diagnosis Risk for Respiratory Distress

Collaborative Diagnosis Risk for Cerebrospinal Fluid Leak

Collaborative Diagnosis Risk for Laryngeal Nerve Damage

Collaborative Diagnosis Risk for Paralytic Ileus

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Family Health Self-Management NDx; or Ineffective Health Maintenance Behaviors* NDx

14.  The client with alterations in the breast and reproductive system

Hysterectomy

Nursing Diagnosis Urinary Retention NDx

Nursing Diagnosis Risk for Ineffective Peripheral Tissue Perfusion NDx

Nursing Diagnosis Risk for Situational Low Self-Esteem NDx

Nursing Diagnosis Deficient Knowledge NDx

Nursing Diagnosis Deficient Knowledge NDx

Nursing Diagnosis Acute Pain NDx (Chest and Arm on Operative Side)

Nursing Diagnosis Risk for Peripheral Neurovascular Dysfunction NDx

Nursing Diagnosis Impaired Physical Mobility NDx

Collaborative Diagnosis Impaired Tissue Integrity NDx

Nursing Diagnosis Disturbed Self-Concept*

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx*

Radical prostatectomy

Nursing Diagnosis Urinary Retention NDx

Nursing Diagnosis Risk for Infection NDx

Nursing Diagnosis Disturbed Self-Concept*

Nursing Diagnosis Deficient Knowledge NDx; Ineffective Health Self-Management NDx; Ineffective Family Health Self-Management* NDx

Transurethral resection of the prostate

Nursing Diagnosis Impaired Urinary Elimination NDx

Nursing Diagnosis Impaired Comfort NDx (Bladder Spasms), Acute Pain NDx

Nursing Diagnosis Risk for Bleeding NDx

Nursing Diagnosis Risk for Imbalanced Fluid Volume NDx

Nursing Diagnosis Deficient Knowledge NDx, Ineffective Family Health Self-Management, Ineffective Health Self-Management* NDx

15.  The client receiving treatment for neoplastic disorders

Chemotherapy

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Acute Pain NDx/Chronic Pain NDx

Nursing Diagnosis Impaired Oral Mucous Membrane Integrity NDx

Nursing Diagnosis Risk for Bleeding NDx

Collaborative Diagnosis Risk for Impaired Renal Function

Collaborative Diagnosis Risk for Hemorrhagic Cystitis

Collaborative Diagnosis Risk for Drug Extravasation

Collaborative Diagnosis Risk for Cardiac Dysrhythmias

Collaborative Diagnosis Risk for Inflammation and Fibrosis of Lung Tissue

Collaborative Diagnosis Risk for Neurotoxicity

Nursing Diagnosis Risk for Disturbed Self-Concept*

Nursing Diagnosis Knowledge Deficit*NDx, Ineffective Health Self-Management*NDx, Ineffective Family Health Self-Management*NDx

Internal radiation therapy (brachytherapy)

External radiation therapy (teletherapy)

Nursing Diagnosis Deficient Knowledge NDx Pre-Radiation

Nursing diagnosis Imbalanced nutrition: Less than body requirements NDx

Nursing Diagnosis Impaired Swallowing NDx

Nursing Diagnosis Impaired Comfort NDx Pruritus

Nursing Diagnosis Risk for Impaired Skin Integrity NDx

Nursing Diagnosis Risk for Impaired Oral Mucous Membrane Integrity NDx

Nursing Diagnosis Risk for Bleeding NDx

Collaborative Diagnosis Radiation Cystitis

Collaborative Diagnosis Radiation Pneumonitis

Collaborative Diagnosis Lymphedema

Nursing Diagnosis Disturbed Self-Concept*

Nursing Diagnosis Deficient Knowledge* NDx Ineffective Health Self-Management* NDx Ineffective Family Health Self-Management* NDx

16.  Nursing care of the elderly client

Nursing Diagnosis Ineffective Peripheral Tissue Perfusion NDx/Risk For Decreased Cardiac Output NDx

Nursing Diagnosis Impaired Respiratory Function*

Nursing Diagnosis Risk for Deficient Fluid Volume NDx

Nursing Diagnosis Imbalanced Nutrition: Less than Body Requirements NDx

Nursing Diagnosis Risk for Impaired Skin Integrity NDx

Nursing Diagnosis Impaired Oral Mucous Membrane Integrity NDx

Nursing Diagnosis Risk for Decreased Activity Tolerance NDx

Nursing Diagnosis Impaired Physical Mobility NDx

Nursing Diagnosis Impaired Urinary Elimination* NDx

Nursing Diagnosis Risk for Constipation NDx

Nursing Diagnosis Disturbed Sleep Pattern NDx

Nursing Diagnosis Risk for Infection NDx

Nursing Diagnosis Risk for Adult Falls NDx

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Risk for Injury NDx

Nursing Diagnosis Risk for Injury NDx (Pathologic Fractures)

Collaborative Diagnosis Drug Toxicity

Nursing Diagnosis Ineffective Sexuality Pattern NDx

Nursing Diagnosis Risk for Frail Elderly Syndrome NDx

Nursing Diagnosis Deficient Knowledge NDx

Nursing Diagnosis Interrupted Family Processes NDx

17.  End-of-life nursing care

Nursing Diagnosis Risk for Aspiration NDx

Nursing Diagnosis Acute/Chronic Pain NDx

Nursing Diagnosis Risk for Impaired Skin Integrity NDx

Nursing Diagnosis Mixed Urinary Incontinence NDx/Impaired Bowel Continence NDx

Nursing Diagnosis Death Anxiety NDx

Nursing Diagnosis Readiness for Enhanced Grieving NDx

Nursing Diagnosis Risk for Spiritual Distress NDx

Nursing Diagnosis Hopelessness NDx

Nursing Diagnosis Interrupted Family Processes NDx

Bibliography

General bibliography

Chapter-by-chapter bibliography

Index

Inside back cover

 

 

An aparitie	26 Oct 2021
Autor	Nancy Haugen, Sandra J. Galura
Dimensiuni	216 x 276 x 37 mm
Editura	Elsevier
Format	Paperback
ISBN	9780323874878
Limba	Engleza
Nr pag	928
Versiune digitala	DA