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Mosby's Guide to Nursing Diagnosis - E-Book

Mosby's Guide to Nursing Diagnosis - E-Book

Gail B. Ladwig | Betty J. Ackley

(2013)

Additional Information

Book Details

Abstract

This pocket-sized reference is ideal for use in clinicals, in class and at the bedside! A condensed version of the Nursing Diagnosis Handbook, 10th Edition, Mosby's Guide to Nursing Diagnosis, 4th edition uses a quick-access format to help you diagnose and formulate care plans with confidence and ease. It includes the most recent NANDA-I approved nursing diagnoses based on more than 1,300 specific symptoms and a step-by-step guide to creating care plans featuring desired outcomes, interventions, and patient teaching.

  • UNIQUE! Care plans for every NANDA-I approved nursing diagnosis, including pediatric, geriatric, multicultural, home care, client/family teaching and discharge planning, and safety interventions
  • Alphabetical thumb tabs provide quick access to specific symptoms and nursing diagnoses
  • Pocketsize portability makes this book easy to carry and use in clinicals, in class, or at the bedside
  • NEW! 4 Color Text
  • NEW! Updated 2012-2014 NANDA-I-approved nursing diagnoses
  • NEW! 16 new and 22 revised diagnoses
  • NEW! Added content on safety, one of QSEN’s six competencies

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
2012-2014 NANDA-I Nursing Diagnoses IFC1
Mosby's Guide to Nursing Diagnosis\r iii
Copyright\r iv
Dedication v
Acknowledgments vii
How to Use Mosby’s Guide to Nursing Diagnosis\r xv
Contents\r xvi
Section I - Guide to Nursing Diagnoses 1
List of Nursing Assessments by Letter: A e1
A 2
ABDOMINAL DISTENTION 2
ABDOMINAL HYSTERECTOMY 2
ABDOMINAL PAIN 2
ABDOMINAL SURGERY 2
ABDOMINAL TRAUMA 2
ABLATION, RADIOFREQUENCY CATHETER 2
ABORTION, INDUCED 2
ABORTION, SPONTANEOUS 3
ABRUPTIO PLACENTAE <36 WEEKS 3
ABSCESS FORMATION 3
ABUSE, CHILD 3
ABUSE, SPOUSE, PARENT, OR SIGNIFICANT OTHER 3
ACCESSORY MUSCLE USE (TO BREATHE) 4
ACCIDENT PRONE 4
ACHALASIA 4
ACID-BASE IMBALANCES 4
ACIDOSIS, METABOLIC 4
ACIDOSIS, RESPIRATORY 4
ACNE 4
ACS (ACUTE CORONARY SYNDROME) 4
ACQUIRED IMMUNODEFICIENCY SYNDROME 5
ACROMEGALY 5
ACTIVITY INTOLERANCE, POTENTIAL TO DEVELOP 5
ACUTE ABDOMINAL PAIN 5
ACUTE ALCOHOL INTOXICATION 5
ACUTE BACK PAIN 5
ACUTE CONFUSION 5
ACUTE CORONARY SYNDROME 5
ACUTE LYMPHOCYTIC LEUKEMIA (ALL) 5
ACUTE RENAL FAILURE 5
ACUTE RESPIRATORY DISTRESS SYNDROME 5
ADAMS-STOKES SYNDROME 5
ADDICTION 5
ADDISON’S DISEASE 6
ADENOIDECTOMY 6
ADHESIONS, LYSIS OF 6
ADJUSTMENT DISORDER 6
ADJUSTMENT IMPAIRMENT 6
ADOLESCENT, PREGNANT 6
ADOPTION, GIVING CHILD UP FOR 7
ADRENOCORTICAL INSUFFICIENCY 7
ADVANCE DIRECTIVES 7
AFFECTIVE DISORDERS 7
AGE-RELATED MACULAR DEGENERATION 7
AGGRESSIVE BEHAVIOR 7
AGING 7
AGITATION 8
AGORAPHOBIA 8
AGRANULOCYTOSIS 8
AIDS (ACQUIRED IMMUNODEFICIENCY SYNDROME) 8
AIDS DEMENTIA 9
AIDS, CHILD 9
AIRWAY OBSTRUCTION/SECRETIONS 9
ALCOHOL WITHDRAWAL 9
ALCOHOLISM 10
ALCOHOLISM, DYSFUNCTIONAL FAMILY PROCESSES 10
ALKALOSIS 10
ALL (ACUTE LYMPHOCYTIC LEUKEMIA) 10
ALLERGIES 10
ALOPECIA 11
ALTERED MENTAL STATUS 11
ALS (AMYOTROPHIC LATERAL SCLEROSIS) 11
ALZHEIMER’S DISEASE 11
AMD (AGE-RELATED MACULAR DEGENERATION) 11
AMENORRHEA 11
AMI (ACUTE MYOCARDIAL INFARCTION) 11
AMNESIA 11
AMNIOCENTESIS 11
AMNIONITIS 12
AMNIOTIC MEMBRANE RUPTURE 12
AMPUTATION 12
AMYOTROPHIC LATERAL SCLEROSIS (ALS) 12
ANAL FISTULA 12
ANAPHYLACTIC SHOCK 12
ANAPHYLAXIS PREVENTION 12
ANASARCA 12
ANEMIA 12
ANEMIA, IN PREGNANCY 13
ANEMIA, SICKLE CELL 13
ANENCEPHALY 13
ANEURYSM, ABDOMINAL SURGERY 13
ANEURYSM, CEREBRAL 13
ANGER 13
ANGINA 13
ANGIOCARDIOGRAPHY (CARDIAC CATHETERIZATION) 14
ANGIOPLASTY, CORONARY 14
ANOMALY, FETAL/NEWBORN (PARENT DEALING WITH) 14
ANORECTAL ABSCESS 14
ANOREXIA 15
ANOREXIA NERVOSA 15
ANOSMIA (SMELL, LOSS OF ABILITY TO) 15
ANTEPARTUM PERIOD 15
ANTERIOR REPAIR, ANTERIOR COLPORRHAPHY 15
ANTICOAGULANT THERAPY 15
ANTISOCIAL PERSONALITY DISORDER 15
ANURIA 16
ANXIETY 16
ANXIETY DISORDER 16
AORTIC ANEURYSM REPAIR (ABDOMINAL SURGERY) 16
AORTIC VALVULAR STENOSIS 16
APHASIA 16
APLASTIC ANEMIA 16
APNEA IN INFANCY 16
APNEUSTIC RESPIRATIONS 16
APPENDECTOMY 17
APPENDICITIS 17
APPREHENSION 17
ARDS (ACUTE RESPIRATORY DISTRESS SYNDROME) 17
ARRHYTHMIA 17
ARTERIAL INSUFFICIENCY 17
ARTHRITIS 17
ARTHROCENTESIS 17
ARTHROPLASTY (TOTAL HIP REPLACEMENT) 17
ARTHROSCOPY 17
ASCITES 17
ASPERGER’S SYNDROME 18
ASPHYXIA, BIRTH 18
ASPIRATION, DANGER OF 18
ASSAULT VICTIM 18
ASSAULTIVE CLIENT 18
ASTHMA 18
ATAXIA 19
ATELECTASIS 19
ATHEROSCLEROSIS 19
ATHLETE’S FOOT 19
ATN (ACUTE TUBULAR NECROSIS) 19
ATRIAL FIBRILLATION 19
ATRIAL SEPTAL DEFECT 19
ATTENTION DEFICIT DISORDER 19
AUDITORY PROBLEMS 19
AUTISM 19
AUTONOMIC DYSREFLEXIA 20
AUTONOMIC HYPERREFLEXIA 20
List of Nursing Assessments by Letter: B e4
B 20
BABY CARE 20
BACK PAIN 20
BACTEREMIA 20
BARREL CHEST 20
BATHING/HYGIENE PROBLEMS 20
BATTERED CHILD SYNDROME 20
BATTERED PERSON 21
BEDBUGS, INFESTATION 21
BED MOBILITY, IMPAIRED 21
BED REST, PROLONGED 21
BEDSORES 21
BEDWETTING 21
BELL’S PALSY 21
BENIGN PROSTATIC HYPERTROPHY 21
BEREAVEMENT 21
BILIARY ATRESIA 21
BILIARY CALCULUS 22
BILIARY OBSTRUCTION 22
BILIRUBIN ELEVATION IN NEONATE 22
BIOPSY 22
BIOTERRORISM 22
BIPOLAR DISORDER I (MOST RECENT EPISODE, DEPRESSED OR MANIC) 22
BIRTH ASPHYXIA 22
BIRTH CONTROL 22
BLADDER CANCER 22
BLADDER DISTENTION 22
BLADDER TRAINING 22
BLADDER TRAINING, CHILD 23
BLEEDING TENDENCY 23
BLEPHAROPLASTY 23
BLINDNESS 23
BLOOD DISORDER 23
BLOOD PRESSURE ALTERATION 23
BLOOD SUGAR CONTROL 23
BLOOD TRANSFUSION 23
BODY DYSMORPHIC DISORDER 23
BODY IMAGE CHANGE 23
BODY TEMPERATURE, ALTERED 23
BONE MARROW BIOPSY 23
BORDERLINE PERSONALITY DISORDER 23
BOREDOM 24
BOTULISM 24
BOWEL INCONTINENCE 24
BOWEL OBSTRUCTION 24
BOWEL RESECTION 24
BOWEL SOUNDS, ABSENT OR DIMINISHED 24
BOWEL SOUNDS, HYPERACTIVE 24
BOWEL TRAINING 24
BOWEL TRAINING, CHILD 24
BPH (BENIGN PROSTATIC HYPERTROPHY) 24
BRADYCARDIA 25
BRADYPNEA 25
BRAIN INJURY 25
BRAIN SURGERY 25
BRAIN TUMOR 25
BRAXTON HICKS CONTRACTIONS 25
BREAST BIOPSY 25
BREAST CANCER 25
BREAST EXAMINATION, SELF 26
BREAST LUMPS 26
BREAST MILK, INSUFFICIENT 26
BREAST PUMPING 26
BREASTFEEDING, EFFECTIVE 26
BREASTFEEDING, INEFFECTIVE 26
BREASTFEEDING, INTERRUPTED 26
BREATH SOUNDS, DECREASED OR ABSENT 26
BREATHING PATTERN ALTERATION 26
BREECH BIRTH 26
BRONCHITIS 26
BRONCHOPULMONARY DYSPLASIA 26
BRONCHOSCOPY 27
BRUITS, CAROTID 27
BRYANT’S TRACTION 27
BUCK’S TRACTION 27
BUERGER’S DISEASE 27
BULIMIA 27
BUNION 27
BUNIONECTOMY 27
BURN RISK 27
BURNS 27
BURSITIS 28
BYPASS GRAFT 28
List of Nursing Assessments by Letter: C e6
C 28
CABG (CORONARY ARTERY BYPASS GRAFTING) 28
CACHEXIA 28
CALCIUM ALTERATION 28
CANCER 28
CANDIDIASIS, ORAL 29
CAPILLARY REFILL TIME, PROLONGED 29
CARBON MONOXIDE POISONING 29
CARDIAC ARREST 29
CARDIAC CATHETERIZATION 29
CARDIAC DISORDERS 29
CARDIAC DISORDERS IN PREGNANCY 29
CARDIAC DYSRHYTHMIA 30
CARDIAC OUTPUT, DECREASED 30
CARDIAC TAMPONADE 30
CARDIOGENIC SHOCK 30
CAREGIVER ROLE STRAIN 30
CARIOUS TEETH 30
CAROTID ENDARTERECTOMY 30
CARPAL TUNNEL SYNDROME 30
CARPOPEDAL SPASM 31
CASTS 31
CATARACT EXTRACTION 31
CATARACTS 31
CATATONIC SCHIZOPHRENIA 31
CATHETERIZATION, URINARY 31
CAVITIES IN TEETH 31
CELIAC DISEASE 31
CELLULITIS 31
CELLULITIS, PERIORBITAL 32
CENTRAL LINE INSERTION 32
CEREBRAL ANEURYSM 32
CEREBRAL PALSY 32
CEREBRAL PERFUSION 32
CEREBROVASCULAR ACCIDENT (CVA) 32
CERVICITIS 32
CESAREAN DELIVERY 32
CHEMICAL DEPENDENCE 33
CHEMOTHERAPY 33
CHEST PAIN 33
CHEST TUBES 33
CHEYNE-STOKES RESPIRATION 33
CHF (CONGESTIVE HEART FAILURE) 33
CHICKENPOX 34
CHILD ABUSE 34
CHILDBEARING PROBLEMS 34
CHILD NEGLECT 34
CHILD WITH CHRONIC CONDITION 34
CHILDBIRTH 35
CHILLS 35
CHLAMYDIA INFECTION 35
CHLOASMA 35
CHOKING OR COUGHING WITH EATING 36
CHOLECYSTECTOMY 36
CHOLELITHIASIS 36
CHORIOAMNIONITIS 36
CHRONIC CONFUSION 36
CHRONIC LYMPHOCYTIC LEUKEMIA 36
CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) 36
CHRONIC PAIN 36
CHRONIC RENAL FAILURE 36
CHVOSTEK’S SIGN 36
CIRCUMCISION 36
CIRRHOSIS 36
CLEFT LIP/CLEFT PALATE 37
CLOTTING DISORDER 37
COCAINE ABUSE 37
COCAINE BABY 37
CODEPENDENCY 37
COLD, VIRAL 38
COLECTOMY 38
COLITIS 38
COLLAGEN DISEASE 38
COLOSTOMY 38
COLPORRHAPHY, ANTERIOR 38
COMA 38
COMFORT, LOSS OF 39
COMMUNICABLE DISEASES, CHILDHOOD (E.G., MEASLES, MUMPS, RUBELLA, CHICKENPOX, SCABIES, LICE, IMPETIGO) 39
COMMUNICATION 39
COMMUNICATION PROBLEMS 39
COMMUNITY COPING 39
COMMUNITY HEALTH PROBLEMS 39
COMPARTMENT SYNDROME 39
COMPULSION 39
CONDUCTION DISORDERS (CARDIAC) 39
CONFUSION, ACUTE 39
CONFUSION, CHRONIC 39
CONFUSION, POSSIBLE 40
CONGENITAL HEART DISEASE/CARDIAC ANOMALIES 40
CONGESTIVE HEART FAILURE (CHF) 40
CONJUNCTIVITIS 40
CONSCIOUSNESS, ALTERED LEVEL OF 40
CONSTIPATION 41
CONSTIPATION, PERCEIVED 41
CONSTIPATION, RISK FOR 41
CONTAMINATION 41
CONTINENT ILEOSTOMY (KOCK POUCH) 41
CONTRACEPTIVE METHOD 41
CONVULSIONS 41
COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) 41
COPING 42
COPING PROBLEMS 42
CORNEAL REFLEX, ABSENT 42
CORNEAL TRANSPLANT 42
CORONARY ARTERY BYPASS GRAFTING (CABG) 42
COSTOVERTEBRAL ANGLE TENDERNESS 42
COUGH, INEFFECTIVE 42
CRACK ABUSE 42
CRACK BABY 42
CRACKLES IN LUNGS, COARSE 42
CRACKLES IN LUNGS, FINE 43
CRANIECTOMY/CRANIOTOMY 43
CREPITATION, SUBCUTANEOUS 43
CRISIS 43
CROHN’S DISEASE 43
CROUP 43
CRYOSURGERY FOR RETINAL DETACHMENT 43
CUSHING’S SYNDROME 43
CUTS (WOUNDS) 44
CVA (CEREBROVASCULAR ACCIDENT) 44
CYANOSIS, CENTRAL WITH CYANOSIS OF ORAL MUCOUS MEMBRANES 44
CYANOSIS, PERIPHERAL WITH CYANOSIS OF NAIL BEDS 44
CYSTIC FIBROSIS 45
CYSTITIS 45
CYSTOCELE 45
CYSTOSCOPY 45
List of Nursing Assessments by Letter: D e9
D 45
DEAFNESS 45
DEATH 45
DEATH, ONCOMING 45
DECISIONS, DIFFICULTY MAKING 46
DECUBITUS ULCER 46
DEEP VEIN THROMBOSIS (DVT) 46
DEFENSIVE BEHAVIOR 46
DEHISCENCE, ABDOMINAL 46
DEHYDRATION 46
DELIRIUM 46
DELIRIUM TREMENS (DT) 46
DELIVERY 46
DELUSIONS 46
DEMENTIA 47
DENIAL OF HEALTH STATUS 47
DENTAL CARIES 47
DEPRESSION (MAJOR DEPRESSIVE DISORDER) 47
DERMATITIS 48
DESPONDENCY 48
DESTRUCTIVE BEHAVIOR TOWARD OTHERS 48
DEVELOPMENTAL CONCERNS 48
DIABETES IN PREGNANCY 48
DIABETES INSIPIDUS 48
DIABETES MELLITUS 48
DIABETES MELLITUS, JUVENILE (IDDM TYPE 1) 49
DIABETIC COMA 49
DIABETIC KETOACIDOSIS 49
DIABETIC RETINOPATHY 49
DIALYSIS 49
DIAPHRAGMATIC HERNIA 49
DIARRHEA 49
DIC (DISSEMINATED INTRAVASCULAR COAGULATION) 49
DIGITALIS TOXICITY 50
DIGNITY, LOSS OF 50
DILATION AND CURETTAGE (D&C) 50
DIRTY BODY (FOR PROLONGED PERIOD) 50
DISCHARGE PLANNING 50
DISCOMFORTS OF PREGNANCY 50
DISLOCATION OF JOINT 50
DISSECTING ANEURYSM 50
DISSEMINATED INTRAVASCULAR COAGULATION (DIC) 50
DISSOCIATIVE IDENTITY DISORDER (NOT OTHERWISE SPECIFIED) 51
DISTRESS 51
DISUSE SYNDROME, POTENTIAL TO DEVELOP 51
DIVERSIONAL ACTIVITY, LACK OF 51
DIVERTICULITIS 51
DIZZINESS 51
DOMESTIC VIOLENCE 51
DOWN SYNDROME 51
DRESS SELF (INABILITY TO) 52
DRIBBLING OF URINE 52
DROOLING 52
DROPOUT FROM SCHOOL 52
DRUG ABUSE 52
DRUG WITHDRAWAL 52
DRY EYE 52
DT (DELIRIUM TREMENS) 52
DVT (DEEP VEIN THROMBOSIS) 52
DYING CLIENT 53
DYSFUNCTIONAL EATING PATTERN 53
DYSFUNCTIONAL FAMILY UNIT 53
DYSFUNCTIONAL VENTILATORY WEANING 53
DYSMENORRHEA 53
DYSPAREUNIA 53
DYSPEPSIA 53
DYSPHAGIA 53
DYSPHASIA 53
DYSPNEA 53
DYSRHYTHMIA 53
List of Nursing Diagnoses by Letter: E e11
E 54
EARACHE 54
ECMO (EXTRACORPOREAL MEMBRANE OXYGENATOR) 54
E. COLI INFECTION 54
EAR SURGERY 54
DYSTHYMIC DISORDER 54
DYSTOCIA 54
DYSURIA 54
ECLAMPSIA 55
ECT (ELECTROCONVULSIVE THERAPY) 55
ECTOPIC PREGNANCY 55
ECZEMA 55
ED (ERECTILE DYSFUNCTION) 55
Edema 55
ELDER ABUSE 56
ELDERLY 56
ELECTROCONVULSIVE THERAPY 56
ELECTROLYTE IMBALANCE 56
EMACIATED PERSON 56
EMBOLECTOMY 56
Emboli 56
EMBOLISM IN LEG OR ARM 56
EMESIS 56
EMOTIONAL PROBLEMS 56
EMPATHY 56
EMPHYSEMA 56
EMPTINESS 56
ENCEPHALITIS 56
ENDOCARDIAL CUSHION DEFECT 56
ENDOCARDITIS 56
ENDOMETRIOSIS 57
ENDOMETRITIS 57
ENURESIS 57
ENVIRONMENTAL INTERPRETATION PROBLEMS 57
EPIDIDYMITIS 57
EPIGLOTTITIS 57
Epilepsy 57
EPISIOTOMY 57
EPISTAXIS 57
EPSTEIN-BARR VIRUS 57
Erectile Dysfunction (ED) 57
ESOPHAGEAL VARICES 58
ESOPHAGITIS 58
ETOH WITHDRAWAL 58
Evisceration 58
Exhaustion 58
EXPOSURE TO HOT OR COLD ENVIRONMENT 58
EXTERNAL FIXATION 58
EXTRACORPOREAL MEMBRANE OXYGENATOR (ECMO) 58
EYE DISCOMFORT 58
EYE SURGERY 58
List of Nursing Assessments by Letter: F e12
F 58
FAILURE TO THRIVE, ADULT 58
FAILURE TO THRIVE, CHILD 58
FALLS, RISK FOR 59
FAMILY PROBLEMS 59
FAMILY PROCESS 59
FATIGUE 59
FEAR 59
FEBRILE SEIZURES 59
FECAL IMPACTION 59
FECAL INCONTINENCE 59
FEEDING PROBLEMS, NEWBORN 59
FEMORAL POPLITEAL BYPASS 60
FETAL ALCOHOL SYNDROME 60
FETAL DISTRESS/NONREASSURING FETAL HEART RATE PATTERN 60
FEVER 60
FIBROCYSTIC BREAST DISEASE 60
FILTHY HOME ENVIRONMENT 60
FINANCIAL CRISIS IN THE HOME ENVIRONMENT 60
FISTULECTOMY 60
FLAIL CHEST 60
FLASHBACKS 60
FLAT AFFECT 60
FLESH-EATING BACTERIA (NECROTIZING FASCIITIS) 60
FLUID BALANCE 60
FLUID VOLUME DEFICIT 60
FLUID VOLUME EXCESS 60
FLUID VOLUME IMBALANCE, RISK FOR 61
FOOD ALLERGIES 61
FOODBORNE ILLNESS 61
FOOD INTOLERANCE 61
FOREIGN BODY ASPIRATION 61
FORMULA FEEDING OF INFANT 61
FRACTURE 61
FRACTURED HIP 61
FREQUENCY OF URINATION 61
List of Nursing Assessments by Letter: G e13
G 62
GAG REFLEX, DEPRESSED OR ABSENT 62
GALLOP RHYTHM 62
GALLSTONES 62
GANG MEMBER 62
GANGRENE 62
GAS EXCHANGE, IMPAIRED 62
GASTRIC ULCER 62
GASTRITIS 62
GASTROENTERITIS 62
FRIENDSHIP 62
FROSTBITE 62
FROTHY SPUTUM 62
FUSION, LUMBAR 62
GASTROENTERITIS, CHILD 63
GASTROESOPHAGEAL REFLUX 63
GASTROESOPHAGEAL REFLUX, CHILD 63
GASTROINTESTINAL BLEEDING (GI BLEED) 63
GASTROINTESTINAL HEMORRHAGE 63
GASTROINTESTINAL SURGERY 63
GASTROSCHISIS/OMPHALOCELE 63
GASTROSTOMY 64
GENITAL HERPES 64
GENITAL WARTS 64
GERD 64
GESTATIONAL DIABETES (DIABETES IN PREGNANCY) 64
GI BLEED (GASTROINTESTINAL BLEEDING) 64
GINGIVITIS 64
GLAUCOMA 64
GLOMERULONEPHRITIS 64
GLUTEN ALLERGY 64
GONORRHEA 64
GOUT 65
GRANDIOSITY 65
GRAND MAL SEIZURE 65
GRANDPARENTS RAISING GRANDCHILDREN 65
GRAVES’ DISEASE 65
GRIEVING 65
GRIEVING, COMPLICATED 65
GROOM SELF (INABILITY TO) 65
GROWTH AND DEVELOPMENT LAG 65
GUILLAIN-BARRÉ SYNDROME 65
GUILT 65
List of Nursing Assessments by Letter: H e14
H 66
H1N1 66
HAIR LOSS 66
HALITOSIS 66
HALLUCINATIONS 66
HEAD INJURY 66
HEADACHE 66
HEALTH BEHAVIOR, RISK-PRONE 66
HEALTH MAINTENANCE PROBLEMS 66
HEALTH-SEEKING PERSON 67
HEARING IMPAIRMENT 67
HEART ATTACK 67
HEARTBURN 67
HEART FAILURE 67
HEART SURGERY 67
HEAT STROKE 67
HEMATEMESIS 67
HEMATURIA 67
HEMIANOPIA 67
HEMIPLEGIA 67
HEMODIALYSIS 67
HEMODYNAMIC MONITORING 68
HEMOLYTIC UREMIC SYNDROME 68
HEMOPHILIA 68
HEMOPTYSIS 68
HEMORRHAGE 68
HEMORRHOIDECTOMY 68
HEMORRHOIDS 68
HEMOTHORAX 69
HEPATITIS 69
HERNIA 69
HERNIATED DISK 69
HERNIORRHAPHY 69
HERPES IN PREGNANCY 69
HERPES SIMPLEX I 69
HERPES SIMPLEX II 69
HERPES ZOSTER 69
HHNC (HYPEROSMOLAR HYPERGLYCEMIC NONKETOTIC COMA) 69
HIATAL HERNIA 69
HIP FRACTURE 69
HIP REPLACEMENT 70
HIRSCHSPRUNG’S DISEASE 70
HIRSUTISM 70
HITTING BEHAVIOR 70
HIV (HUMAN IMMUNODEFICIENCY VIRUS) 70
HODGKIN’S DISEASE 70
HOMELESSNESS 70
HOME MAINTENANCE PROBLEMS 70
HOPE 71
HOPELESSNESS 71
HOSPITALIZED CHILD 71
HOSTILE BEHAVIOR 71
HTN (HYPERTENSION) 71
HUMAN IMMUNODEFICIENCY VIRUS (HIV) 71
HUMILIATING EXPERIENCE 72
HUNTINGTON’S DISEASE 72
HYDROCELE 72
HYDROCEPHALUS 72
HYGIENE, INABILITY TO PROVIDE OWN 72
HYPERACTIVE SYNDROME 72
HYPERBILIRUBINEMIA 73
HYPERCALCEMIA 73
HYPERCAPNIA 73
HYPEREMESIS GRAVIDARUM 73
HYPERGLYCEMIA 73
HYPERKALEMIA 73
HYPERNATREMIA 73
HYPEROSMOLAR HYPERGLYCEMIC NONKETOTIC COMA (HHNC) 73
HYPERPHOSPHATEMIA 74
HYPERSENSITIVITY TO SLIGHT CRITICISM 74
HYPERTENSION (HTN) 74
HYPERTHERMIA 74
HYPERTHYROIDISM 74
HYPERVENTILATION 74
HYPOCALCEMIA 74
HYPOGLYCEMIA 74
HYPOKALEMIA 74
HYPOMAGNESEMIA 74
HYPOMANIA 74
HYPONATREMIA 74
HYPOPLASTIC LEFT LUNG 75
HYPOTENSION 75
HYPOTHERMIA 75
HYPOTHYROIDISM 75
HYPOVOLEMIC SHOCK 75
HYPOXIA 75
HYSTERECTOMY 75
List of Nursing Assessments by Letter: I e16
I 75
IBS (IRRITABLE BOWEL SYNDROME) 75
ICD (IMPLANTABLE CARDIOVERTER/DEFIBRILLATOR) 76
IDDM (INSULIN-DEPENDENT DIABETES) 76
IDENTITY DISTURBANCE/PROBLEMS 76
IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP) 76
ILEAL CONDUIT 76
ILEOSTOMY 76
ILEUS 76
IMMOBILITY 76
IMMUNIZATION 77
IMMUNOSUPPRESSION 77
IMPACTION OF STOOL 77
IMPERFORATE ANUS 77
IMPETIGO 77
IMPLANTABLE CARDIOVERTER/DEFIBRILLATOR (ICD) 77
IMPOTENCE 77
IMPULSIVENESS 77
INACTIVITY 77
INCOMPETENT CERVIX 77
INCONTINENCE OF STOOL 77
INCONTINENCE OF URINE 78
INDIGESTION 78
INDUCTION OF LABOR 78
INFANT APNEA 78
INFANT BEHAVIOR 78
INFANT CARE 78
INFANT FEEDING PATTERN, INEFFECTIVE 78
INFANT OF DIABETIC MOTHER 78
INFANT OF SUBSTANCE-ABUSING MOTHER (FETAL ALCOHOL SYNDROME, CRACK BABY, OTHER DRUG WITHDRAWAL INFANTS) 79
INFANTILE POLYARTERITIS 79
INFECTION 79
INFECTION, POTENTIAL FOR 80
INFERTILITY 80
INFLAMMATORY BOWEL DISEASE (CHILD AND ADULT) 80
INFLUENZA 80
INGUINAL HERNIA REPAIR 80
INJURY 80
INSANITY 80
INSOMNIA 80
INSULIN SHOCK 80
INTERMITTENT CLAUDICATION 80
INTERNAL CARDIOVERTER/DEFIBRILLATOR (ICD) 81
INTERNAL FIXATION 81
INTERSTITIAL CYSTITIS 81
INTERVERTEBRAL DISK EXCISION 81
INTESTINAL OBSTRUCTION 81
INTESTINAL PERFORATION 81
INTOXICATION 81
INTRAAORTIC BALLOON COUNTERPULSATION 81
INTRACRANIAL PRESSURE, INCREASED 81
INTRAUTERINE GROWTH RETARDATION 81
List of Nursing Assessments by Letter: J e18
J 82
JAUNDICE 82
JAUNDICE, NEONATAL 82
INTRAVENOUS THERAPY 82
INTUBATION, ENDOTRACHEAL OR NASOGASTRIC 82
IODINE REACTION WITH DIAGNOSTIC TESTING 82
IRREGULAR PULSE 82
IRRITABLE BOWEL SYNDROME (IBS) 82
ISOLATION 82
ITCHING 82
ITP (IDIOPATHIC THROMBOCYTOPENIC PURPURA) 82
JAW PAIN AND HEART ATTACKS 83
JAW SURGERY 83
JITTERY 83
JOCK ITCH 83
JOINT DISLOCATION 83
JOINT PAIN 83
JOINT REPLACEMENT 83
JRA (JUVENILE RHEUMATOID ARTHRITIS) 83
JUVENILE ONSET DIABETES 83
List of Nursing Assessments by Letter: K e19
K 84
KAPOSI’S SARCOMA 84
KAWASAKI DISEASE 84
KEGEL EXERCISE 84
KELOIDS 84
KERATOCONJUNCTIVITIS SICCA (DRY EYE SYNDROME) 84
KERATOPLASTY 84
KETOACIDOSIS, ALCOHOLIC 84
KETOACIDOSIS, DIABETIC 84
KEYHOLE HEART SURGERY 85
KIDNEY DISEASE SCREENING 85
KIDNEY FAILURE 85
KIDNEY STONE 85
KIDNEY TRANSPLANT 85
KIDNEY TUMOR 85
KISSING DISEASE 85
KNEE REPLACEMENT 85
KNOWLEDGE 85
KNOWLEDGE, DEFICIENT 85
KOCK POUCH 85
KORSAKOFF’S SYNDROME 85
List of Nursing Assessments by Letter: L e20
L 86
LABOR, INDUCTION OF 86
LABOR, NORMAL 86
LABYRINTHITIS 86
LACERATIONS 86
LACTATION 86
LACTIC ACIDOSIS 86
LACTOSE INTOLERANCE 86
LAMINECTOMY 87
LANGUAGE IMPAIRMENT 87
LAPAROSCOPIC LASER CHOLECYSTECTOMY 87
LAPAROSCOPY 87
LAPAROTOMY 87
LARGE BOWEL RESECTION 87
LARYNGECTOMY 87
LASER SURGERY 88
LASIK EYE SURGERY (LASER-ASSISTED IN SITU KERATOMILEUSIS) 88
LATEX ALLERGY 88
LAXATIVE ABUSE 88
LEAD POISONING 88
LEFT HEART CATHETERIZATION 88
LEGIONNAIRES’ DISEASE 88
LENS IMPLANT 88
LETHARGY/LISTLESSNESS 88
LEUKEMIA 88
LEUKOPENIA 88
LEVEL OF CONSCIOUSNESS, DECREASED 89
LICE 89
LIFESTYLE, SEDENTARY 89
LIGHTHEADEDNESS 89
LIMB REATTACHMENT PROCEDURES 89
LIPOSUCTION 89
LITHOTRIPSY 89
LIVER BIOPSY 89
LIVER CANCER 89
LIVER DISEASE 90
LIVER FUNCTION 90
LIVER TRANSPLANT 90
LIVING WILL 90
LOBECTOMY 90
LONELINESS 90
LOOSE STOOLS (BOWEL MOVEMENTS) 90
LOSS OF BLADDER CONTROL 90
LOSS OF BOWEL CONTROL 90
LOU GEHRIG’S DISEASE 90
LOW BACK PAIN 90
LOW BLOOD PRESSURE 91
LOW BLOOD SUGAR 91
LOWER GI BLEEDING 91
LUMBAR PUNCTURE 91
LUMPECTOMY 91
LUNG CANCER 91
LUNG SURGERY 91
LUPUS ERYTHEMATOSUS 91
LYME DISEASE 91
LYMPHEDEMA 91
LYMPHOMA 92
List of Nursing Assessments by Letter: M e21
M 92
MACULAR DEGENERATION 92
MAGNETIC RESONANCE IMAGING (MRI) 92
MAJOR DEPRESSIVE DISORDER 92
MALABSORPTION SYNDROME 92
MALADAPTIVE BEHAVIOR 92
MALAISE 92
MALARIA 93
MALE INFERTILITY 93
MALIGNANCY 93
MALIGNANT HYPERTENSION (ARTERIOLAR NEPHROSCLEROSIS) 93
MALIGNANT HYPERTHERMIA 93
MALNUTRITION 93
MAMMOGRAPHY 93
MANIC DISORDER, BIPOLAR I 94
MANIPULATION OF ORGANS, SURGICAL INCISION 94
MANIPULATIVE BEHAVIOR 94
MARASMUS 94
MARFAN SYNDROME 94
MARSHALL-MARCHETTI-KRANTZ OPERATION 95
MASTECTOMY 95
MASTITIS 95
MATERNAL INFECTION 95
MATURATIONAL ISSUES, ADOLESCENT 95
MAZE III PROCEDURE 96
MD (MUSCULAR DYSTROPHY) 96
MEASLES (RUBEOLA) 96
MECONIUM ASPIRATION 96
MECONIUM DELAYED 96
MELANOMA 96
MELENA 96
MEMORY DEFICIT 96
MÉNIÈRE’S DISEASE 96
MENINGITIS/ENCEPHALITIS 96
MENINGOCELE 97
MENOPAUSE 97
MENORRHAGIA 97
MENTAL ILLNESS 97
MENTAL RETARDATION 98
METABOLIC ACIDOSIS 98
METABOLIC ALKALOSIS 98
METASTASIS 98
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) 98
MI (MYOCARDIAL INFARCTION) 98
MIDCAB (MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS) 99
MIDLIFE CRISIS 99
MIGRAINE HEADACHE 99
MILK INTOLERANCE 99
MINIMALLY INVASIVE DIRECT CORONARY ARTERY BYPASS (MIDCAB) 99
MISCARRIAGE 99
MITRAL STENOSIS 100
MITRAL VALVE PROLAPSE 100
MOBILITY, IMPAIRED BED 100
MOBILITY, IMPAIRED PHYSICAL 100
MOBILITY, IMPAIRED WHEELCHAIR 100
MODIFIED RADICAL MASTECTOMY 100
MONONUCLEOSIS 100
MOOD DISORDERS 101
MOON FACE 101
MORAL/ETHICAL DILEMMAS 101
MORNING SICKNESS 101
MOTION SICKNESS 101
MOTTLING OF PERIPHERAL SKIN 101
MOURNING 101
MOUTH LESIONS 101
MRI (MAGNETIC RESONANCE IMAGING) 101
MRSA (METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS) 101
MUCOCUTANEOUS LYMPH NODE SYNDROME 102
MUCOUS MEMBRANE, IMPAIRED ORAL 102
MULTIINFARCT DEMENTIA 102
MULTIPLE GESTATION 102
MULTIPLE PERSONALITY DISORDER (DISSOCIATIVE IDENTITY DISORDER) 102
MULTIPLE SCLEROSIS (MS) 102
MUMPS 103
MURMURS 103
MUSCULAR ATROPHY/WEAKNESS 103
MUSCULAR DYSTROPHY (MD) 103
MVA (MOTOR VEHICLE ACCIDENT) 104
MYASTHENIA GRAVIS 104
MYCOPLASMA PNEUMONIA 104
MYELOCELE 104
MYELOGRAM, CONTRAST 104
MYELOMENINGOCELE 104
MYOCARDIAL INFARCTION (MI) 105
MYOCARDITIS 105
MYRINGOTOMY 105
MYXEDEMA 105
List of Nursing Assessments by Letter: N e23
N 105
NARCISSISTIC PERSONALITY DISORDER 105
NARCOLEPSY 105
NARCOTIC USE 105
NASOGASTRIC SUCTION 105
NAUSEA 105
NEAR-DROWNING 106
NEARSIGHTEDNESS 106
NEARSIGHTEDNESS; CORNEAL SURGERY 106
NECK VEIN DISTENTION 106
NECROSIS, RENAL TUBULAR; ATN (ACUTE TUBULAR NECROSIS); NECROSIS, ACUTE TUBULAR 106
NECROTIZING ENTEROCOLITIS (NEC) 106
NECROTIZING FASCIITIS (FLESH-EATING BACTERIA) 107
NEGATIVE FEELINGS ABOUT SELF 107
NEGLECT, UNILATERAL 107
NEGLECTFUL CARE OF FAMILY MEMBER 107
NEONATAL JAUNDICE 107
NEONATE 107
NEOPLASM 107
NEPHRECTOMY 107
NEPHROSTOMY, PERCUTANEOUS 108
NEPHROTIC SYNDROME 108
NERVE ENTRAPMENT 108
NEURAL TUBE DEFECTS (MENINGOCELE, MYELOMENINGOCELE, SPINA BIFIDA, ANENCEPHALY) 108
NEURALGIA 108
NEURITIS (PERIPHERAL NEUROPATHY) 108
NEUROFIBROMATOSIS 109
NEUROGENIC BLADDER 109
NEUROLOGIC DISORDERS 109
NEUROPATHY, PERIPHERAL 110
NEUROSURGERY 110
NEWBORN, NORMAL 110
NEWBORN, POSTMATURE 110
NEWBORN, SMALL FOR GESTATIONAL AGE (SGA) 110
NICOTINE ADDICTION 111
NIDDM (NON–INSULIN-DEPENDENT DIABETES MELLITUS) 111
NIGHTMARES 111
NIPPLE SORENESS 111
NOCTURIA 111
NOCTURNAL MYOCLONUS 111
NOCTURNAL PAROXYSMAL DYSPNEA 111
NONCOMPLIANCE 111
NON-INSULIN-DEPENDENT DIABETES MELLITUS (NIDDM) 111
NORMAL PRESSURE HYDROCEPHALUS (NPH) 111
NORWALK VIRUS 111
NSTEMI (NON–ST-ELEVATION MYOCARDIAL INFARCTION) 111
List of Nursing Assessments by Letter: O e24
O 112
OBESITY 112
OBS (ORGANIC BRAIN SYNDROME) 112
OBSESSIVE-COMPULSIVE DISORDER (OCD) 112
OBSTRUCTION, BOWEL 112
OBSTRUCTIVE SLEEP APNEA 112
OCD (OBSESSIVE-COMPULSIVE DISORDER) 112
ODD (OPPOSITIONAL DEFIANT DISORDER) 112
NURSING 112
NUTRITION 112
NUTRITION, IMBALANCED 112
OLDER ADULT 113
OLIGURIA 113
OMPHALOCELE 113
OOPHORECTOMY 113
OPCAB (OFF-PUMP CORONARY ARTERY BYPASS) 113
OPEN HEART SURGERY 113
OPEN REDUCTION OF FRACTURE WITH INTERNAL FIXATION (FEMUR) 113
OPIATE USE 113
OPPORTUNISTIC INFECTION 113
OPPOSITIONAL DEFIANT DISORDER (ODD) 114
ORAL MUCOUS MEMBRANE, IMPAIRED 114
ORAL THRUSH 114
ORCHITIS 114
ORGANIC MENTAL DISORDERS 114
ORTHOPEDIC TRACTION 114
ORTHOPNEA 114
ORTHOSTATIC HYPOTENSION 114
OSTEOARTHRITIS 114
OSTEOMYELITIS 114
OSTEOPOROSIS 115
OSTOMY 115
OTITIS MEDIA 115
OVARIAN CARCINOMA 115
List of Nursing Assessments by Letter: P e25
P 115
PACEMAKER 115
PAGET’S DISEASE 115
PAIN, ACUTE 116
PAIN, CHRONIC 116
PAINFUL BREASTS, ENGORGEMENT 116
PAINFUL BREASTS, SORE NIPPLES 116
PALLOR OF EXTREMITIES 116
PALPITATIONS (HEART PALPITATIONS) 116
PANCREATIC CANCER 116
PANCREATITIS 116
PANIC DISORDER (PANIC ATTACKS) 117
PARALYSIS 117
PARALYTIC ILEUS 118
PARANOID PERSONALITY DISORDER 118
PARAPLEGIA 118
PARATHYROIDECTOMY 118
PARENT ATTACHMENT 118
PARENTAL ROLE CONFLICT 118
PARENTING 118
PARENTING, IMPAIRED 119
PARENTING, RISK FOR IMPAIRED 119
PARESTHESIA 119
PARKINSON’S DISEASE 119
PAROXYSMAL NOCTURNAL DYSPNEA (PND) 119
PATENT DUCTUS ARTERIOSUS (PDA) 119
PATIENT-CONTROLLED ANALGESIA (PCA) 119
PATIENT EDUCATION 119
PCA (PATIENT-CONTROLLED ANALGESIA) 119
PECTUS EXCAVATUM 120
PEDICULOSIS 120
PEG (PERCUTANEOUS ENDOSCOPIC GASTROSTOMY) 120
PELVIC INFLAMMATORY DISEASE (PID) 120
PENILE PROSTHESIS 120
PEPTIC ULCER 120
PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY (PTCA) 120
PERICARDIAL FRICTION RUB 120
PERICARDITIS 120
PERIOPERATIVE POSITIONING 120
PERIPHERAL NEUROPATHY 120
PERIPHERAL NEUROVASCULAR DYSFUNCTION 120
PERIPHERAL VASCULAR DISEASE (PVD) 120
PERITONEAL DIALYSIS 121
PERITONITIS 121
PERNICIOUS ANEMIA 121
PERSISTENT FETAL CIRCULATION 121
PERSONAL IDENTITY PROBLEMS 122
PERSONALITY DISORDER 122
PERTUSSIS (WHOOPING COUGH) 122
PESTICIDE CONTAMINATION 122
PETECHIAE 122
PETIT MAL SEIZURE 122
PHARYNGITIS 122
PHENYLKETONURIA (PKU) 122
PHEOCHROMOCYTOMA 122
PHLEBITIS 122
PHOBIA (SPECIFIC) 122
PHOTOSENSITIVITY 122
PHYSICAL ABUSE 123
PICA 123
PID (PELVIC INFLAMMATORY DISEASE) 123
PIH (PREGNANCY-INDUCED HYPERTENSION/PREECLAMPSIA) 123
PILOERECTION 123
PIMPLES 124
PINK EYE 124
PINWORMS 124
PITUITARY CUSHING’S 124
PKU (PHENYLKETONURIA) 124
PLACENTA ABRUPTIO 124
PLACENTA PREVIA 124
PLANTAR FASCIITIS 125
PLEURAL EFFUSION 125
PLEURAL FRICTION RUB 125
PLEURAL TAP 125
PLEURISY 125
PMS (PREMENSTRUAL TENSION SYNDROME) 125
PND (PAROXYSMAL NOCTURNAL DYSPNEA) 125
PNEUMONECTOMY 126
PNEUMONIA 126
PNEUMOTHORAX 126
POISONING, RISK FOR 126
POLIOMYELITIS 126
POLYDIPSIA 126
POLYPHAGIA 126
POLYURIA 126
POSTOPERATIVE CARE 126
POSTPARTUM DEPRESSION 126
POSTPARTUM HEMORRHAGE 127
POSTPARTUM, NORMAL CARE 127
POST-TRAUMA SYNDROME 128
POST-TRAUMA SYNDROME, RISK FOR 128
POST-TRAUMATIC STRESS DISORDER (PTSD) 128
POTASSIUM, INCREASE/DECREASE 128
POWER/POWERLESSNESS 128
PREECLAMPSIA 128
PREGNANCY, CARDIAC DISORDERS 128
PREGNANCY-INDUCED HYPERTENSION/PREECLAMPSIA (PIH) 128
PREGNANCY LOSS 128
PREGNANCY, NORMAL 129
PREMATURE DILATION OF THE CERVIX (INCOMPETENT CERVIX) 129
PREMATURE INFANT (CHILD) 130
PREMATURE INFANT (PARENT) 130
PREMATURE RUPTURE OF MEMBRANES 131
PREMENSTRUAL TENSION SYNDROME (PMS) 131
PRENATAL CARE, NORMAL 131
PRENATAL TESTING 131
PREOPERATIVE TEACHING 131
PRESSURE ULCER 131
PRETERM LABOR 131
PROBLEM-SOLVING ABILITY 132
PROJECTION 132
PROLAPSED UMBILICAL CORD 132
PROSTATECTOMY 132
PROSTATIC HYPERTROPHY 132
PROSTATITIS 133
PROTECTION, ALTERED 133
PRURITUS 133
PSORIASIS 133
PSYCHOSIS 133
PTCA (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY) 133
PTSD (POST-TRAUMATIC STRESS DISORDER) 133
PULMONARY EDEMA 134
PULMONARY EMBOLISM 134
PULMONARY STENOSIS 134
PULSE DEFICIT 134
PULSE OXIMETRY 134
PULSE PRESSURE, INCREASED 134
PULSE PRESSURE, NARROWED 134
PULSES, ABSENT OR DIMINISHED PERIPHERAL 134
PURPURA 134
PYELONEPHRITIS 134
List of Nursing Assessments by Letter: R e28
R 135
RA (RHEUMATOID ARTHRITIS) 135
RABIES 135
RADIAL NERVE DYSFUNCTION 135
RADIATION THERAPY 135
RADICAL NECK DISSECTION 135
RAGE 135
PYLORIC STENOSIS 135
PYLOROMYOTOMY (PYLORIC STENOSIS REPAIR) 135
RAPE-TRAUMA SYNDROME 136
RASH 136
RATIONALIZATION 136
RATS, RODENTS IN THE HOME 136
RAYNAUD’S DISEASE 136
RDS (RESPIRATORY DISTRESS SYNDROME) 136
RECTAL FULLNESS 136
RECTAL LUMP 136
RECTAL PAIN/BLEEDING 136
RECTAL SURGERY 137
RECTOCELE REPAIR 137
REFLEX INCONTINENCE 137
REGRESSION 137
REGRETFUL 137
REHABILITATION 137
RELATIONSHIP 137
RELAXATION TECHNIQUES 137
RELIGIOSITY 138
RELIGIOUS CONCERNS 138
RELOCATION STRESS SYNDROME 138
RENAL FAILURE 138
RENAL FAILURE, ACUTE/CHRONIC, CHILD 138
RENAL FAILURE, NONOLIGURIC 138
RENAL TRANSPLANTATION, DONOR 139
RENAL TRANSPLANTATION, RECIPIENT 139
RESPIRATORY ACIDOSIS 139
RESPIRATORY CONDITIONS OF THE NEONATE (RESPIRATORY DISTRESS SYNDROME [RDS], MECONIUM ASPIRATION, DIAPHRAGMATIC HERNIA) 139
RESPIRATORY DISTRESS 139
RESPIRATORY DISTRESS SYNDROME (RDS) 139
RESPIRATORY INFECTIONS, ACUTE CHILDHOOD (CROUP, EPIGLOTTITIS, PERTUSSIS, PNEUMONIA, RESPIRATORY SYNCYTIAL VIRUS) 139
RESPIRATORY SYNCYTIAL VIRUS 140
RESTLESS LEG SYNDROME 140
RETARDED GROWTH AND DEVELOPMENT 140
RETCHING 140
RETINAL DETACHMENT 140
RETINOPATHY, DIABETIC 140
RETINOPATHY OF PREMATURITY (ROP) 140
REYE’S SYNDROME 140
RH FACTOR INCOMPATIBILITY 141
RHABDOMYOLYSIS 141
RHEUMATIC FEVER 141
RHEUMATOID ARTHRITIS (RA) 141
RIB FRACTURE 141
RIDICULE OF OTHERS 141
RINGWORM OF BODY 141
List of Nursing Assessments by Letter: S e29
S 142
SAD (SEASONAL AFFECTIVE DISORDER) 142
SADNESS 142
SAFE SEX 142
SAFETY, CHILDHOOD 142
RINGWORM OF NAILS 142
RINGWORM OF SCALP 142
RISK FOR RELOCATION STRESS SYNDROME 142
ROACHES, INVASION OF HOME WITH 142
ROLE PERFORMANCE, ALTERED 142
ROP (RETINOPATHY OF PREMATURITY) 142
RSV (RESPIRATORY SYNCYTIAL VIRUS) 142
RUBELLA 142
RUBOR OF EXTREMITIES 142
RUPTURED DISK 142
SALMONELLA 143
SALPINGECTOMY 143
SARCOIDOSIS 143
SARS (SEVERE ACUTE RESPIRATORY SYNDROME) 143
SBE (SELF-BREAST EXAMINATION) 143
SCABIES 143
SCARED 143
SCHIZOPHRENIA 144
SCIATICA 145
SCOLIOSIS 145
SEDENTARY LIFESTYLE 145
SEIZURE DISORDERS, ADULT 145
SEIZURE DISORDERS, CHILDHOOD (EPILEPSY, FEBRILE SEIZURES, INFANTILE SPASMS) 145
SELF-BREAST EXAMINATION (SBE) 146
SELF-CARE 146
SELF-CARE DEFICIT, BATHING 146
SELF-CARE DEFICIT, DRESSING 146
SELF-CARE DEFICIT, FEEDING 146
SELF-CARE DEFICIT, TOILETING 146
SELF-CONCEPT 146
SELF-DESTRUCTIVE BEHAVIOR 146
SELF-ESTEEM, CHRONIC LOW 146
SELF-ESTEEM, SITUATIONAL LOW 146
SELF-HEALTH MANAGEMENT, INEFFECTIVE 146
SELF-HEALTH MANAGEMENT, READINESS FOR ENHANCED 146
SELF-MUTILATION, RISK FOR 146
SENILE DEMENTIA 147
SEPARATION ANXIETY 147
SEPSIS, CHILD 147
SEPTICEMIA 147
SEVERE ACUTE RESPIRATORY SYNDROME (SARS) 147
SEXUAL DYSFUNCTION 147
SEXUALITY, ADOLESCENT 147
SEXUALITY PATTERN, INEFFECTIVE 148
SEXUALLY TRANSMITTED DISEASE (STD) 148
SHAKEN BABY SYNDROME 148
SHAKINESS 148
SHAME 148
SHINGLES 148
SHIVERING 148
SHOCK, CARDIOGENIC 148
SHOCK, HYPOVOLEMIC 148
SHOCK, SEPTIC 148
SHOULDER REPAIR 148
SICKLE CELL ANEMIA/CRISIS 149
SIDS (SUDDEN INFANT DEATH SYNDROME) 149
SITUATIONAL CRISIS 149
SJS (STEVENS-JOHNSON SYNDROME) 149
SKIN CANCER 149
SKIN DISORDERS 150
SKIN INTEGRITY, RISK FOR IMPAIRED 150
SKIN TURGOR, CHANGE IN ELASTICITY 150
SLEEP 150
SLEEP APNEA 150
SLEEP DEPRIVATION 150
SLEEP PATTERN DISORDERS 150
SLEEP PATTERN, DISTURBED, PARENT/CHILD 150
SLURRING OF SPEECH 150
SMALL BOWEL RESECTION 150
SMELL, LOSS OF ABILITY TO 150
SMOKE INHALATION 150
SMOKING BEHAVIOR 150
SOCIAL INTERACTION, IMPAIRED 151
SOCIAL ISOLATION 151
SOCIOPATHIC PERSONALITY 151
SODIUM, DECREASE/INCREASE 151
SOMATIZATION DISORDER 151
SORE NIPPLES, BREASTFEEDING 151
SORE THROAT 151
SORROW 151
SPASTIC COLON 151
SPEECH DISORDERS 151
SPINA BIFIDA 151
SPINAL CORD INJURY 151
SPINAL FUSION 152
SPIRITUAL DISTRESS 152
SPIRITUAL WELL-BEING 152
SPLENECTOMY 152
SPRAINS 152
STAPEDECTOMY 152
STASIS ULCER 152
STD (SEXUALLY TRANSMITTED DISEASE) 152
STEMI (ST-ELEVATION MYOCARDIAL INFARCTION) 152
STENT (CORONARY ARTERY STENT) 153
STERILIZATION SURGERY 153
STERTOROUS RESPIRATIONS 153
STEVENS-JOHNSON SYNDROME (SJS) 153
STILLBIRTH 153
STOMA 153
STOMATITIS 153
STONE, KIDNEY 153
STOOL, HARD/DRY 153
STRAINING WITH DEFECATION 153
STREP THROAT 153
STRESS 153
STRESS OVERLOAD 154
STRESS URINARY INCONTINENCE 154
STRIDOR 154
STROKE 154
STUTTERING 154
SUBARACHNOID HEMORRHAGE 154
SUBSTANCE ABUSE 154
SUBSTANCE ABUSE, ADOLESCENT 154
SUBSTANCE ABUSE IN PREGNANCY 155
SUCKING REFLEX 155
SUDDEN INFANT DEATH SYNDROME (SIDS) 155
SUFFOCATION, RISK FOR 155
SUICIDE ATTEMPT 155
SUPPORT SYSTEM 155
SUPPRESSION OF LABOR 155
SURGERY, PERIOPERATIVE CARE 156
SURGERY, POSTOPERATIVE CARE 156
SURGERY, PREOPERATIVE CARE 156
SURGICAL RECOVERY, DELAYED 156
SUSPECTED CHILD ABUSE AND NEGLECT (SCAN), CHILD 156
SUSPECTED CHILD ABUSE AND NEGLECT (SCAN), PARENT 157
SUSPICION 157
SWALLOWING DIFFICULTIES 157
SWINE FLU (H1N1) 157
SYNCOPE 157
SYPHILIS 157
SYSTEMIC LUPUS ERYTHEMATOSUS 157
List of Nursing Assessments by Letter: T e33
T 157
T & A (TONSILLECTOMY AND ADENOIDECTOMY) 157
TACHYCARDIA 158
TACHYPNEA 158
TARDIVE DYSKINESIA 158
TASTE ABNORMALITY 158
TB (PULMONARY TUBERCULOSIS) 158
TBI (TRAUMATIC BRAIN INJURY) 158
TD (TRAVELER’S DIARRHEA) 158
TEMPERATURE, DECREASED 158
TEMPERATURE, INCREASED 159
TEMPERATURE REGULATION, IMPAIRED 159
TEN (TOXIC EPIDERMAL NECROLYSIS) 159
TENSION 159
TERMINALLY ILL ADULT 159
TERMINALLY ILL CHILD, ADOLESCENT 159
TERMINALLY ILL CHILD, INFANT/TODDLER 159
TERMINALLY ILL CHILD, PRESCHOOL CHILD 159
TERMINALLY ILL CHILD, SCHOOL-AGE CHILD/PREADOLESCENT 159
TERMINALLY ILL CHILD/DEATH OF CHILD, PARENT 159
TETRALOGY OF FALLOT 160
TETRAPLEGIA 160
THERAPEUTIC REGIMEN MANAGEMENT, INEFFECTIVE: FAMILY 160
THERAPEUTIC TOUCH 160
THERMAL INJURY, RISK FOR 160
THERMOREGULATION, INEFFECTIVE 160
THORACENTESIS 160
THORACOTOMY 160
THOUGHT DISORDERS 161
THROMBOCYTOPENIC PURPURA 161
THROMBOPHLEBITIS 161
THYROIDECTOMY 161
TIA (TRANSIENT ISCHEMIC ATTACK) 161
TIC DISORDER 161
TINEA CAPITIS 161
TINEA CORPORIS 161
TINEA CRURIS 161
TINEA PEDIS 161
TINEA UNGUIUM (ONYCHOMYCOSIS) 161
TINNITUS 162
TISSUE DAMAGE, CORNEAL, INTEGUMENTARY, OR SUBCUTANEOUS 162
TISSUE PERFUSION, INEFFECTIVE PERIPHERAL 162
TOILETING PROBLEMS 162
TOILET TRAINING 162
TONSILLECTOMY AND ADENOIDECTOMY (T & A) 162
TOOTHACHE 162
TOTAL ANOMALOUS PULMONARY VENOUS RETURN 162
TOTAL JOINT REPLACEMENT (TOTAL HIP/TOTAL KNEE/SHOULDER) 162
TOTAL PARENTERAL NUTRITION (TPN) 162
TOURETTE’S SYNDROME (TS) 162
TOXEMIA 162
TOXIC EPIDERMAL NECROLYSIS (TEN) (ERYTHEMA MULTIFORME) 162
TPN (TOTAL PARENTERAL NUTRITION) 163
TRACHEOESOPHAGEAL FISTULA 163
TRACHEOSTOMY 163
TRACTION AND CASTS 163
TRANSFER ABILITY 163
TRANSIENT ISCHEMIC ATTACK (TIA) 163
TRANSPOSITION OF GREAT VESSELS 163
TRANSURETHRAL RESECTION OF THE PROSTATE (TURP) 163
TRAUMA IN PREGNANCY 163
TRAUMA, RISK FOR 164
TRAUMATIC BRAIN INJURY (TBI) 164
TRAUMATIC EVENT 164
TRAVELER’S DIARRHEA (TD) 164
TREMBLING OF HANDS 164
TRICUSPID ATRESIA 164
TRIGEMINAL NEURALGIA 164
TRUNCUS ARTERIOSUS 164
TS (TOURETTE’S SYNDROME) 164
TSE (TESTICULAR SELF-EXAMINATION) 164
TUBAL LIGATION 164
TUBE FEEDING 164
TUBERCULOSIS (TB) 164
TURP (TRANSURETHRAL RESECTION OF THE PROSTATE) 164
List of Nursing Assessments by Letter: U e35
U 165
ULCER, PEPTIC (DUODENAL OR GASTRIC) 165
ULCERATIVE COLITIS 165
ULCERS, STASIS 165
UNILATERAL NEGLECT OF ONE SIDE OF BODY 165
UNSANITARY LIVING CONDITIONS 165
URGENCY TO URINATE 165
URINARY DIVERSION 165
URINARY ELIMINATION, IMPAIRED 165
URINARY INCONTINENCE 165
URINARY READINESS 165
URINARY RETENTION 165
URINARY TRACT INFECTION (UTI) 165
UROLITHIASIS 165
UTERINE ATONY IN LABOR 165
UTERINE ATONY IN POSTPARTUM 165
List of Nursing Diagnoses by Letter: V e36
V 166
VAD (VENTRICULAR ASSIST DEVICE) 166
VAGINAL HYSTERECTOMY 166
VAGINITIS 166
VAGOTOMY 166
VALUE SYSTEM CONFLICT 166
VARICOSE VEINS 166
VASCULAR DEMENTIA (FORMERLY CALLED MULTIINFARCT DEMENTIA) 166
VASCULAR OBSTRUCTION, PERIPHERAL 166
VASECTOMY 166
VASOCOGNOPATHY 166
VENEREAL DISEASE 166
UTERINE BLEEDING 166
UTI (URINARY TRACT INFECTION) 166
VENTILATION, IMPAIRED SPONTANEOUS 167
VENTILATOR CLIENT 167
VENTILATORY WEANING RESPONSE, DYSFUNCTIONAL (DVWR) 167
VENTRICULAR ASSIST DEVICE (VAD) 167
VENTRICULAR FIBRILLATION 167
VERTIGO 167
VIOLENT BEHAVIOR 167
VIRAL GASTROENTERITIS 167
VISION IMPAIRMENT 167
VOMITING 168
VON RECKLINGHAUSEN’S DISEASE 168
List of Nursing Assessments by Letter: W e37
W 168
WALKING IMPAIRMENT 168
WANDERING 168
WEAKNESS 168
WEIGHT GAIN 168
WEIGHT LOSS 168
WELLNESS-SEEKING BEHAVIOR 168
WERNICKE-KORSAKOFF SYNDROME 168
WEST NILE VIRUS 168
WHEELCHAIR USE PROBLEMS 168
WHEEZING 168
WILMS’ TUMOR 168
WITHDRAWAL FROM ALCOHOL 168
WITHDRAWAL FROM DRUGS 168
WOUND DEBRIDEMENT 168
WOUND DEHISCENCE, EVISCERATION 169
WOUND INFECTION 169
WOUNDS (OPEN) 169
Section II - Guide to Planning Care 171
List of Nursing Diagnoses by Letter: A e38
A 171
Activity Intolerance 171
Risk for Activity Intolerance 176
Ineffective Activity Planning 177
Risk for Ineffective Activity Planning 180
Ineffective Airway Clearance 180
Risk for Allergy Response 185
Anxiety 189
Death Anxiety 192
Risk for Aspiration 195
Risk for impaired Attachment 199
Autonomic Dysreflexia 203
Risk for Autonomic Dysreflexia 205
List of Nursing Diagnoses by Letter: B e39
B 206
Risk for Bleeding 206
Disturbed Body Image 209
Insufficient Breast Milk 213
Ineffective Breastfeeding 215
Interrupted Breastfeeding 217
Ineffective Breathing Pattern 221
List of Nursing Diagnoses by Letter: C e40
C 225
Decreased Cardiac output 225
Risk for decreased Cardiac tissue perfusion 232
Caregiver Role Strain 236
Risk for Caregiver Role Strain 242
Risk for ineffective Cerebral tissue perfusion 243
Ineffective Childbearing Process 245
Readiness for enhanced Childbearing Process 248
Risk for ineffective Childbearing Process 252
Impaired Comfort 252
Readiness for enhanced Comfort 255
Readiness for enhanced Communication 258
Impaired verbal Communication 260
Acute Confusion 264
Chronic Confusion 268
Risk for acute Confusion 275
Constipation 275
Perceived Constipation 281
Risk for Constipation 284
Contamination 285
Risk for Contamination 288
Risk for adverse reaction to iodinated Contrast media 289
Readiness for enhanced community Coping 292
Defensive Coping 293
Ineffective Coping 295
Readiness for Enhanced Coping 299
Ineffective community Coping 301
Compromised family Coping 303
Disabled family Coping 308
Readiness for enhanced family Coping 311
List of Nursing Diagnoses by Letter: D e41
D 313
Decisional Conflict 313
Readiness for enhanced Decision-Making 316
Ineffective Denial 318
Impaired Dentition 320
Risk for delayed Development 325
Diarrhea 328
Risk for Disuse Syndrome 333
Deficient Diversional Activity 338
List of Nursing Diagnoses by Letter: E e42
E 342
Risk for Electrolyte Imbalance 342
Disturbed Energy Field 344
Impaired Environmental Interpretation Syndrome 347
Risk for dry Eye 347
List of Nursing Diagnoses by Letter: F e43
F 349
Adult Failure to Thrive 349
Risk for Falls 353
Dysfunctional Family Processes 359
Interrupted Family Processes 363
Readiness for enhanced Family Processes 366
Fatigue 368
Fear 373
Ineffective infant Feeding Pattern 377
Readiness for enhanced Fluid balance 380
Risk for imbalanced Fluid Volume 381
Deficient Fluid Volume 385
Excess Fluid Volume 390
Impaired Gas Exchange 394
List of Nursing Diagnoses by Letter: G e44
G 394
Risk for Deficient Fluid Volume 394
Risk for dysfunctional Gastrointestinal Motility 399
Dysfunctional Gastrointestinal Motility 399
Risk for ineffective Gastrointestinal Perfusion 404
Risk for unstable blood Glucose level 406
Grieving 411
Complicated Grieving 415
Risk for complicated Grieving 418
Risk for disproportionate Growth 419
Delayed Growth and Development 421
List of Nursing Diagnoses by Letter: H e45
H 424
Deficient community Health 424
Risk-prone Health Behavior 426
Ineffective Health Maintenance 429
Impaired Home Maintenance 432
Readiness for enhanced Hope 434
Hopelessness 436
Risk for compromised Human Dignity 439
Hyperthermia 441
Hypothermia 447
List of Nursing Diagnoses by Letter: I e46
I 452
Disturbed personal Identity 452
Risk for disturbed personal Identity 456
Readiness for enhanced Immunization Status 456
Ineffective Impulse Control 459
Functional urinary Incontinence 461
Overflow urinary Incontinence 466
Reflex urinary Incontinence 467
Stress urinary Incontinence 471
Urge urinary Incontinence 475
Risk for urge urinary Incontinence 482
Bowel Incontinence 482
Disorganized Infant behavior 487
Readiness for enhanced organized Infant behavior 492
Risk for disorganized Infant behavior 492
Risk for Infection 492
Risk for Injury 497
Insomnia 503
Decreased Intracranial Adaptive Capacity 506
List of Nursing Diagnoses by Letter: J e47
J 508
Neonatal Jaundice 508
Risk for neonatal Jaundice 512
List of Nursing Diagnoses by Letter: K e48
K 515
Deficient Knowledge 515
Readiness for enhanced Knowledge 518
List of Nursing Diagnoses by Letter: L e49
L 520
Latex Allergy Response 520
Risk for Latex Allergy Response 525
Risk for impaired Liver Function 527
Risk for Loneliness 530
List of Nursing Diagnoses by Letter: M e50
M 533
Risk for disturbed Maternal/Fetal Dyad 533
Impaired Memory 535
Impaired bed Mobility 539
Impaired physical Mobility 545
Impaired wheelchair Mobility 551
Moral Distress 556
List of Nursing Diagnoses by Letter: N e51
N 557
Nausea 557
Noncompliance 562
Readiness for enhanced Nutrition 563
Imbalanced Nutrition: less than body requirements 567
Risk for imbalanced Nutrition: more than body requirements 573
Imbalanced Nutrition: more than body requirements 573
List of Nursing Diagnoses by Letter: O e52
O 578
Impaired Oral Mucous Membrane 578
List of Nursing Diagnoses by Letter: P e53
P 584
Acute Pain 584
Chronic Pain 591
Impaired Parenting 598
Readiness for enhanced Parenting 603
Risk for impaired Parenting 605
Risk for Perioperative Positioning Injury 606
Risk for Peripheral Neurovascular Dysfunction 610
Risk for Poisoning 613
Post-Trauma Syndrome 619
Risk for Post-Trauma Syndrome 622
Readiness for enhanced Power 626
Powerlessness 627
Risk for Powerlessness 631
Ineffective Protection 632
List of Nursing Diagnoses by Letter: R e54
R 636
Rape-Trauma Syndrome 636
Ineffective Relationship 640
Readiness for enhanced Relationship 641
Risk for ineffective Relationship 643
Impaired Religiosity 643
Bibliography 841
Index 853