BOOK
Nursing Diagnosis Handbook - E-Book
Betty J. Ackley | Gail B. Ladwig | Mary Beth Flynn Makic
(2016)
Additional Information
Book Details
Abstract
Ackley’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 11th Edition helps practicing nurses and nursing students select appropriate nursing diagnoses and write care plans with ease and confidence. This convenient handbook shows you how to correlate nursing diagnoses with known information about clients on the basis of assessment findings, established medical or psychiatric diagnoses, and the current treatment plan. Extensively revised and updated with the new 2015-2017 NANDA-I approved nursing diagnoses, it integrates the NIC and NOC taxonomies, evidence-based nursing interventions, and adult, pediatric, geriatric, multicultural, home care, and client/family teaching and discharge planning considerations to guide you in creating unique, individualized care plans.
- Comprehensive, up-to-date information on all the 2015-2017 NANDA-I nursing diagnoses so you stay in the know.
- UNIQUE! Provides care plans for every NANDA-I approved nursing diagnosis plus two unique care plans for Hearing Loss and Vision Loss.
- Includes pediatric, geriatric, multicultural, client/family teaching and discharge planning, home care, and safety interventions as necessary for plans of care.
- Presents examples of and suggested NIC interventions and NOC outcomes in each care plan.
- UNIQUE! Care Plan Constructor on the companion Evolve website offers hands-on practice creating customized plans of care.
- 150 NCLEX exam-style review questions are available on Evolve.
- Promotes evidence-based interventions and rationales by including recent or classic research that supports the use of each intervention.
- Classic evidence-based references promote evidence-based interventions and rationales.
- Clear, concise interventions are usually only a sentence or two long and use no more than two references.
- Safety content emphasizes what must be considered to provide safe patient care.
- Step-by-step instructions show you how to use the Guide to Nursing Diagnoses and Guide to Planning Care sections to create a unique, individualized plan of care.
- List of Nursing Diagnosis Index in back inside cover of book for quick reference.
- Three-column index is easy to use.
- Easy-to-follow sections I and II guide you through the nursing process and selecting appropriate nursing diagnoses.
- Alphabetical thumb tabs allow quick access to specific symptoms and nursing diagnoses.
Table of Contents
Section Title | Page | Action | Price |
---|---|---|---|
Front Cover | cover | ||
Inside Front Cover | ifc1 | ||
Evolve page | ii | ||
Nursing Diagnosis Handbook | iii | ||
Copyright Page | iv | ||
Dedication | v | ||
About the Authors | vi | ||
Contributors | viii | ||
Reviewers | xiii | ||
Preface | xiv | ||
Acknowledgments | xvi | ||
How to Use Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care | xvii | ||
Step 1: Assess | xvii | ||
Step 2: Diagnose | xvii | ||
Step 3: Determine Outcomes | xvii | ||
Plan Interventions | xviii | ||
Give Nursing Care | xviii | ||
Evaluate Nursing Care | xviii | ||
Document | xviii | ||
Table Of Contents | xix | ||
I Nursing Process, Clinical Reasoning, Nursing Diagnosis, and Evidence-Based Nursing | 1 | ||
Part A The Nursing Process: Using Clinical Reasoning Skills to Determine Nursing Diagnoses and Plan Care | 2 | ||
The “Patient’s Story” | 2 | ||
The Nursing Process | 2 | ||
Step 1: Assessment (ADPIE) | 3 | ||
Step 2: Nursing Diagnosis (ADPIE) | 3 | ||
Formulating a Nursing Diagnosis with Related Factors and Defining Characteristics | 4 | ||
Types of Nursing Diagnoses | 4 | ||
Problem-Focused Diagnosis. | 4 | ||
Example of a Problem-Focused Nursing Diagnosis. | 4 | ||
Risk Nursing Diagnosis. | 4 | ||
Example of a Risk Nursing Diagnosis. | 5 | ||
Health Promotion Nursing Diagnosis. | 5 | ||
Example of a Health Promotion Nursing Diagnosis. | 5 | ||
Application and Examples of Making a Nursing Diagnosis | 5 | ||
Case Study 1—An Older Client with Breathing Problems | 5 | ||
A. Underline the Symptoms (Defining Characteristics) | 5 | ||
B. List the Symptoms (Subjective and Objective) | 5 | ||
C. Cluster Similar Symptoms | 5 | ||
D. Analyze | 5 | ||
Interpret the Subjective Symptoms (What the Client Has Stated) | 5 | ||
Interpret the Objective Symptoms (Observable Information) | 5 | ||
E. Select the Nursing Diagnosis Label | 5 | ||
“Related to” Phrase or Etiology | 6 | ||
Defining Characteristics Phrase | 6 | ||
Put It All Together: Writing the Three-Part Nursing Diagnosis Statement | 6 | ||
Case Study 1—73-Year-Old Male Client with COPD (Continued) | 6 | ||
Case Study 2—Woman with Insomnia | 7 | ||
A. Underline the Symptoms | 7 | ||
B. List the Symptoms (Subjective and Objective) | 7 | ||
C. Cluster Similar Symptoms | 7 | ||
D. Analyze/Interpret the Symptoms | 7 | ||
Subjective Symptoms | 7 | ||
Objective Symptoms | 7 | ||
E. Select a Nursing Diagnosis with Related Factors and Defining Characteristics | 7 | ||
Step 3: Planning (ADPIE) | 7 | ||
SMART Outcomes | 8 | ||
Outcomes | 8 | ||
Interventions | 8 | ||
Putting It All Together—Recording the Care Plan | 10 | ||
Step 4: Implementation (ADPIE) | 10 | ||
Step 5: Evaluation (ADPIE) | 10 | ||
Part B Advanced Nursing Process Concepts | 11 | ||
Conceptual Mapping and the Nursing Process | 11 | ||
Quality and Safety Education for Nurses | 11 | ||
Patient-Centered Care | 11 | ||
Teamwork and Collaboration | 12 | ||
Evidence-Based Practice | 13 | ||
Quality Improvement | 13 | ||
Safety | 13 | ||
Informatics | 13 | ||
References | 14 | ||
II Guide to Nursing Diagnosis | 17 | ||
List of Nursing Assessments by Letter: A | e1 | ||
A | 18 | ||
Abdominal Distention | 18 | ||
Abdominal Hysterectomy | 18 | ||
Abdominal Pain | 18 | ||
Abdominal Surgery | 18 | ||
Abdominal Trauma | 18 | ||
Ablation, Radiofrequency Catheter | 18 | ||
Abortion, Induced | 18 | ||
Abortion, Spontaneous | 18 | ||
Abruptio Placentae <36 Weeks | 18 | ||
Abscess Formation | 19 | ||
Abuse, Child | 19 | ||
Abuse, Spouse, Parent, or Significant Other | 19 | ||
Accessory Muscle Use (to Breathe) | 19 | ||
Accident Prone | 19 | ||
Achalasia | 19 | ||
Acid-Base Imbalances | 19 | ||
Acidosis, Metabolic | 19 | ||
Acidosis, Respiratory | 19 | ||
Acne | 19 | ||
ACS (Acute Coronary Syndrome) | 19 | ||
Acquired Immunodeficiency Syndrome | 19 | ||
Acromegaly | 19 | ||
Activity Intolerance, Potential to Develop | 20 | ||
Acute Abdominal Pain | 20 | ||
Acute Alcohol Intoxication | 20 | ||
Acute Back Pain | 20 | ||
Acute Confusion | 20 | ||
Acute Coronary Syndrome | 20 | ||
Acute Lymphocytic Leukemia (ALL) | 20 | ||
Acute Renal Failure/Acute Kidney Failure | 20 | ||
Acute Respiratory Distress Syndrome | 20 | ||
Adams-Stokes Syndrome | 20 | ||
Addiction | 20 | ||
Addison’s Disease | 20 | ||
Adenoidectomy | 20 | ||
Adhesions, Lysis of | 20 | ||
Adjustment Disorder | 20 | ||
Adjustment Impairment | 20 | ||
Adolescent, Pregnant | 20 | ||
Adoption, Giving Child Up for | 21 | ||
Adrenocortical Insufficiency | 21 | ||
Advance Directives | 21 | ||
Affective Disorders | 21 | ||
Age-Related Macular Degeneration | 21 | ||
Aggressive Behavior | 21 | ||
Aging | 21 | ||
Agitation | 22 | ||
Agoraphobia | 22 | ||
Agranulocytosis | 22 | ||
AIDS (Acquired Immunodeficiency Syndrome) | 22 | ||
AIDS Dementia | 22 | ||
AIDS, Child | 22 | ||
Airway Obstruction/Secretions | 22 | ||
Alcohol Withdrawal | 22 | ||
Alcoholism | 23 | ||
Alcoholism, Dysfunctional Family Processes | 23 | ||
Alkalosis | 23 | ||
ALL (Acute Lymphocytic Leukemia) | 23 | ||
Allergies | 23 | ||
Alopecia | 23 | ||
Altered Mental Status | 23 | ||
ALS (Amyotrophic Lateral Sclerosis) | 23 | ||
Alzheimer’s Disease | 23 | ||
AMD (Age-Related Macular Degeneration) | 23 | ||
Amenorrhea | 24 | ||
AMI (Acute Myocardial Infarction) | 24 | ||
Amnesia | 24 | ||
Amniocentesis | 24 | ||
Amnionitis | 24 | ||
Amniotic Membrane Rupture | 24 | ||
Amputation | 24 | ||
Amyotrophic Lateral Sclerosis (ALS) | 24 | ||
Anal Fistula | 24 | ||
Anaphylactic Shock | 24 | ||
Anaphylaxis Prevention | 24 | ||
Anasarca | 24 | ||
Anemia | 24 | ||
Anemia, in Pregnancy | 24 | ||
Anemia, Sickle Cell | 25 | ||
Anencephaly | 25 | ||
Aneurysm, Abdominal Surgery | 25 | ||
Aneurysm, Cerebral | 25 | ||
Anger | 25 | ||
Angina | 25 | ||
Angiocardiography (Cardiac Catheterization) | 25 | ||
Angioplasty, Coronary | 25 | ||
Anomaly, Fetal/Newborn (Parent Dealing with) | 25 | ||
Anorectal Abscess | 26 | ||
Anorexia | 26 | ||
Anorexia Nervosa | 26 | ||
Anosmia (Smell, Loss of Ability to) | 26 | ||
Antepartum Period | 26 | ||
Anterior Repair, Anterior Colporrhaphy | 26 | ||
Anticoagulant Therapy | 26 | ||
Antisocial Personality Disorder | 26 | ||
Anuria | 26 | ||
Anxiety | 26 | ||
Anxiety Disorder | 26 | ||
Aortic Aneurysm Repair (Abdominal Surgery) | 27 | ||
Aortic Valvular Stenosis | 27 | ||
Aphasia | 27 | ||
Aplastic Anemia | 27 | ||
Apnea in Infancy | 27 | ||
Apneustic Respirations | 27 | ||
Appendectomy | 27 | ||
Appendicitis | 27 | ||
Apprehension | 27 | ||
ARDS (Acute Respiratory Distress Syndrome) | 27 | ||
Arrhythmia | 27 | ||
Arterial Insufficiency | 27 | ||
Arthritis | 27 | ||
Arthrocentesis | 27 | ||
Arthroplasty (Total Hip Replacement) | 27 | ||
Arthroscopy | 28 | ||
Ascites | 28 | ||
Asperger’s Syndrome | 28 | ||
Asphyxia, Birth | 28 | ||
Aspiration, Danger of | 28 | ||
Assault Victim | 28 | ||
Assaultive Client | 28 | ||
Asthma | 28 | ||
Ataxia | 28 | ||
Atelectasis | 28 | ||
Atherosclerosis | 28 | ||
Athlete’s Foot | 28 | ||
ATN (Acute Tubular Necrosis) | 29 | ||
Atrial Fibrillation | 29 | ||
Atrial Septal Defect | 29 | ||
Attention Deficit Disorder | 29 | ||
Auditory Problems | 29 | ||
Autism | 29 | ||
Autonomic Dysreflexia | 29 | ||
Autonomic Hyperreflexia | 29 | ||
List of Nursing Assessments by Letter: B | e3 | ||
B | 29 | ||
Baby Care | 29 | ||
Bacteremia | 29 | ||
Barrel Chest | 29 | ||
Bathing/Hygiene Problems | 29 | ||
Battered Child Syndrome | 29 | ||
Battered Person | 30 | ||
Bedbugs, Infestation | 30 | ||
Bed Mobility, Impaired | 30 | ||
Bed Rest, Prolonged | 30 | ||
Bedsores | 30 | ||
Bedwetting | 30 | ||
Bell’s Palsy | 30 | ||
Benign Prostatic Hypertrophy | 30 | ||
Bereavement | 30 | ||
Biliary Atresia | 30 | ||
Biliary Calculus | 30 | ||
Biliary Obstruction | 30 | ||
Bilirubin Elevation in Neonate | 30 | ||
Biopsy | 30 | ||
Bioterrorism | 30 | ||
Bipolar Disorder I (Most Recent Episode, Depressed or Manic) | 30 | ||
Birth Asphyxia | 31 | ||
Birth Control | 31 | ||
Bladder Cancer | 31 | ||
Bladder Distention | 31 | ||
Bladder Training | 31 | ||
Bladder Training, Child | 31 | ||
Bleeding Tendency | 31 | ||
Blepharoplasty | 31 | ||
Blindness | 31 | ||
Blood Disorder | 31 | ||
Blood Pressure Alteration | 31 | ||
Blood Sugar Control | 31 | ||
Blood Transfusion | 31 | ||
Body Dysmorphic Disorder | 31 | ||
Body Image Change | 31 | ||
Body Temperature, Altered | 31 | ||
Bone Marrow Biopsy | 31 | ||
Borderline Personality Disorder | 31 | ||
Boredom | 32 | ||
Botulism | 32 | ||
Bowel Incontinence | 32 | ||
Bowel Obstruction | 32 | ||
Bowel Resection | 32 | ||
Bowel Sounds, Absent or Diminished | 32 | ||
Bowel Sounds, Hyperactive | 32 | ||
Bowel Training | 32 | ||
Bowel Training, Child | 32 | ||
BPH (Benign Prostatic Hypertrophy) | 32 | ||
Bradycardia | 32 | ||
Bradypnea | 32 | ||
Brain Injury | 32 | ||
Brain Surgery | 32 | ||
Brain Tumor | 32 | ||
Braxton Hicks Contractions | 32 | ||
Breast Biopsy | 33 | ||
Breast Cancer | 33 | ||
Breast Examination, Self | 33 | ||
Breast Lumps | 33 | ||
Breast Pumping | 33 | ||
Breastfeeding, Effective | 33 | ||
Breastfeeding, Ineffective | 33 | ||
Breastfeeding, Interrupted | 33 | ||
Breast Milk, Insufficient | 33 | ||
Breath Sounds, Decreased or Absent | 33 | ||
Breathing Pattern Alteration | 33 | ||
Breech Birth | 33 | ||
Bronchitis | 33 | ||
Bronchopulmonary Dysplasia | 33 | ||
Bronchoscopy | 33 | ||
Bruits, Carotid | 33 | ||
Bryant’s Traction | 33 | ||
Buck’s Traction | 33 | ||
Buerger’s Disease | 33 | ||
Bulimia | 33 | ||
Bunion | 34 | ||
Bunionectomy | 34 | ||
Burn Risk | 34 | ||
Burns | 34 | ||
Bursitis | 34 | ||
Bypass Graft | 34 | ||
List of Nursing Assessments by Letter: C | e4 | ||
C | 34 | ||
CABG (Coronary Artery Bypass Grafting) | 34 | ||
Cachexia | 34 | ||
Calcium Alteration | 34 | ||
Cancer | 34 | ||
Candidiasis, Oral | 35 | ||
Capillary Refill Time, Prolonged | 35 | ||
Carbon Monoxide Poisoning | 35 | ||
Cardiac Arrest | 35 | ||
Cardiac Catheterization | 35 | ||
Cardiac Disorders | 35 | ||
Cardiac Disorders in Pregnancy | 35 | ||
Cardiac Dysrhythmia | 36 | ||
Cardiac Output, Decreased | 36 | ||
Cardiac Tamponade | 36 | ||
Cardiogenic Shock | 36 | ||
Cardiovascular Function: Risk for Impaired | 36 | ||
Caregiver Role Strain | 36 | ||
Carious Teeth | 36 | ||
Carotid Endarterectomy | 36 | ||
Carpal Tunnel Syndrome | 36 | ||
Carpopedal Spasm | 36 | ||
Casts | 36 | ||
Cataract Extraction | 36 | ||
Cataracts | 36 | ||
Catatonic Schizophrenia | 36 | ||
Catheterization, Urinary | 36 | ||
Cavities in Teeth | 36 | ||
Celiac Disease | 36 | ||
Cellulitis | 37 | ||
Cellulitis, Periorbital | 37 | ||
Central Line Insertion | 37 | ||
Cerebral Aneurysm | 37 | ||
Cerebral Palsy | 37 | ||
Cerebral Perfusion | 37 | ||
Cerebrovascular Accident (CVA) | 37 | ||
Cervicitis | 37 | ||
Cesarean Delivery | 37 | ||
Chemical Dependence | 37 | ||
Chemotherapy | 37 | ||
Chest Pain | 38 | ||
Chest Tubes | 38 | ||
Cheyne-Stokes Respiration | 38 | ||
CHF (Congestive Heart Failure) | 38 | ||
Chickenpox | 38 | ||
Child Abuse | 38 | ||
Childbearing Problems | 38 | ||
Child Neglect | 38 | ||
Child with Chronic Condition | 38 | ||
Childbirth | 39 | ||
Chills | 39 | ||
Chlamydia Infection | 39 | ||
Chloasma | 39 | ||
Choking or Coughing with Eating | 39 | ||
Cholecystectomy | 39 | ||
Cholelithiasis | 39 | ||
Chorioamnionitis | 39 | ||
Chronic Confusion | 39 | ||
Chronic Functional Constipation | 39 | ||
Chronic Lymphocytic Leukemia | 39 | ||
Chronic Obstructive Pulmonary Disease (COPD) | 39 | ||
Chronic Pain | 39 | ||
Chronic Renal Failure (Chronic kidney disease) | 39 | ||
Chvostek’s Sign | 39 | ||
Circumcision | 39 | ||
Cirrhosis | 39 | ||
Cleft Lip/Cleft Palate | 40 | ||
Clotting Disorder | 40 | ||
Cocaine Abuse | 40 | ||
Cocaine Baby | 40 | ||
Codependency | 40 | ||
Cold, Viral | 40 | ||
Colectomy | 40 | ||
Colitis | 40 | ||
Collagen Disease | 40 | ||
Colostomy | 40 | ||
Colporrhaphy, Anterior | 41 | ||
Coma | 41 | ||
Comfort, Loss of | 41 | ||
Communicable Diseases, Childhood (e.g., Measles, Mumps, Rubella, Chickenpox, Scabies, Lice, Impetigo) | 41 | ||
Communication | 41 | ||
Communication Problems | 41 | ||
Community Coping | 41 | ||
Community Health Problems | 41 | ||
Compartment Syndrome | 41 | ||
Compulsion | 41 | ||
Conduction Disorders (Cardiac) | 41 | ||
Confusion, Acute | 41 | ||
Confusion, Chronic | 41 | ||
Confusion, Possible | 41 | ||
Congenital Heart Disease/ Cardiac Anomalies | 41 | ||
Congestive Heart Failure (CHF)/Heart Failure (HF) | 42 | ||
Conjunctivitis | 42 | ||
Consciousness, Altered Level of | 42 | ||
Constipation | 42 | ||
Constipation, Chronic Functional | 42 | ||
Constipation, Perceived | 42 | ||
Constipation, Risk for | 42 | ||
Contamination | 42 | ||
Continent Ileostomy (Kock Pouch) | 42 | ||
Contraceptive Method | 42 | ||
Convulsions | 42 | ||
COPD (Chronic Obstructive Pulmonary Disease) | 42 | ||
Coping | 43 | ||
Coping Problems | 43 | ||
Corneal Injury | 43 | ||
Corneal Reflex, Absent | 43 | ||
Corneal Transplant | 43 | ||
Coronary Artery Bypass Grafting (CABG) | 43 | ||
Costovertebral Angle Tenderness | 43 | ||
Cough, Ineffective | 43 | ||
Crack Abuse | 43 | ||
Crack Baby | 43 | ||
Crackles in Lungs, Coarse | 43 | ||
Crackles in Lungs, Fine | 43 | ||
Craniectomy/Craniotomy | 43 | ||
Crepitation, Subcutaneous | 43 | ||
Crisis | 44 | ||
Crohn’s Disease | 44 | ||
Croup | 44 | ||
Cryosurgery for Retinal Detachment | 44 | ||
Cushing’s Syndrome | 44 | ||
Cuts (Wounds) | 44 | ||
CVA (Cerebrovascular Accident) | 44 | ||
Cyanosis, Central with Cyanosis of Oral Mucous Membranes | 44 | ||
Cyanosis, Peripheral with Cyanosis of Nail Beds | 45 | ||
Cystic Fibrosis | 45 | ||
Cystitis | 45 | ||
Cystocele | 45 | ||
Cystoscopy | 45 | ||
List of Nursing Assessments by Letter: D | e6 | ||
D | 45 | ||
Deafness | 45 | ||
Death | 45 | ||
Death, Oncoming | 45 | ||
Decisions, Difficulty Making | 45 | ||
Decubitus Ulcer | 45 | ||
Deep Vein Thrombosis (DVT) | 45 | ||
Defensive Behavior | 45 | ||
Dehiscence, Abdominal | 45 | ||
Dehydration | 46 | ||
Delirium | 46 | ||
Delirium Tremens (DT) | 46 | ||
Delivery | 46 | ||
Delusions | 46 | ||
Dementia | 46 | ||
Denial of Health Status | 46 | ||
Dental Caries | 46 | ||
Depression (Major Depressive Disorder) | 46 | ||
Dermatitis | 47 | ||
Despondency | 47 | ||
Destructive Behavior Toward Others | 47 | ||
Developmental Concerns | 47 | ||
Diabetes in Pregnancy | 47 | ||
Diabetes Insipidus | 47 | ||
Diabetes Mellitus | 47 | ||
Diabetes Mellitus, Juvenile (IDDM Type 1) | 47 | ||
Diabetic Coma | 47 | ||
Diabetic Ketoacidosis | 47 | ||
Diabetic Retinopathy | 47 | ||
Dialysis | 47 | ||
Diaphragmatic Hernia | 48 | ||
Diarrhea | 48 | ||
DIC (Disseminated Intravascular Coagulation) | 48 | ||
Digitalis Toxicity | 48 | ||
Dignity, Loss of | 48 | ||
Dilation and Curettage (D&C) | 48 | ||
Dirty Body (for Prolonged Period) | 48 | ||
Discharge Planning | 48 | ||
Discomforts of Pregnancy | 48 | ||
Dislocation of Joint | 48 | ||
Dissecting Aneurysm | 48 | ||
Disseminated Intravascular Coagulation (DIC) | 48 | ||
Dissociative Identity Disorder (Not Otherwise Specified) | 48 | ||
Distress | 48 | ||
Disuse Syndrome, Potential to Develop | 48 | ||
Diversional Activity, Lack of | 48 | ||
Diverticulitis | 48 | ||
Dizziness | 49 | ||
Domestic Violence | 49 | ||
Down Syndrome | 49 | ||
Dress Self (Inability to) | 49 | ||
Dribbling of Urine | 49 | ||
Drooling | 49 | ||
Dropout from School | 49 | ||
Drug Abuse | 49 | ||
Drug Withdrawal | 49 | ||
Dry Eye | 49 | ||
DT (Delirium Tremens) | 49 | ||
DVT (Deep Vein Thrombosis) | 49 | ||
Dying Client | 50 | ||
Dysfunctional Eating Pattern | 50 | ||
Dysfunctional Family Unit | 50 | ||
Dysfunctional Ventilatory Weaning | 50 | ||
Dysmenorrhea | 50 | ||
Dyspareunia | 50 | ||
Dyspepsia | 50 | ||
Dysphagia | 50 | ||
Dysphasia | 50 | ||
Dyspnea | 50 | ||
Dysrhythmia | 50 | ||
Dysthymic Disorder | 50 | ||
Dystocia | 50 | ||
Dysuria | 50 | ||
List of Nursing Assessments by Letter: E | e7 | ||
E | 51 | ||
ECMO (Extracorporeal Membrane Oxygenator) | 51 | ||
E. coli Infection | 51 | ||
Ear Surgery | 51 | ||
Earache | 51 | ||
Ebola Virus Disease | 51 | ||
Eclampsia | 51 | ||
ECT (Electroconvulsive Therapy) | 51 | ||
Ectopic Pregnancy | 51 | ||
Eczema | 51 | ||
ED (Erectile Dysfunction) | 51 | ||
Edema | 51 | ||
Elder Abuse | 51 | ||
Elderly | 52 | ||
Electroconvulsive Therapy | 52 | ||
Electrolyte Imbalance | 52 | ||
Emancipated Decision-Making, Impaired | 52 | ||
Emaciated Person | 52 | ||
Embolectomy | 52 | ||
Emboli | 52 | ||
Embolism in Leg or Arm | 52 | ||
Emesis | 52 | ||
Emotional Problems | 52 | ||
Empathy | 52 | ||
Emphysema | 52 | ||
Emptiness | 52 | ||
Encephalitis | 52 | ||
Endocardial Cushion Defect | 52 | ||
Endocarditis | 52 | ||
Endometriosis | 52 | ||
Endometritis | 52 | ||
Enuresis | 52 | ||
Environmental Interpretation Problems | 52 | ||
Epididymitis | 52 | ||
Epiglottitis | 53 | ||
Epilepsy | 53 | ||
Episiotomy | 53 | ||
Epistaxis | 53 | ||
Epstein-Barr Virus | 53 | ||
Erectile Dysfunction (ED) | 53 | ||
Esophageal Varices | 53 | ||
Esophagitis | 53 | ||
ETOH Withdrawal | 53 | ||
Evisceration | 53 | ||
Exhaustion | 53 | ||
Exposure to Hot or Cold Environment | 53 | ||
External Fixation | 53 | ||
Extracorporeal Membrane Oxygenator (ECMO) | 53 | ||
Eye Discomfort | 53 | ||
Eye Surgery | 53 | ||
List of Nursing Assessments by Letter: F | e8 | ||
F | 53 | ||
Failure to Thrive, Child | 53 | ||
Falls, Risk for | 54 | ||
Family Problems | 54 | ||
Family Process | 54 | ||
Fatigue | 54 | ||
Fear | 54 | ||
Febrile Seizures | 54 | ||
Fecal Impaction | 54 | ||
Fecal Incontinence | 54 | ||
Feeding Problems, Newborn | 54 | ||
Femoral Popliteal Bypass | 54 | ||
Fetal Alcohol Syndrome | 54 | ||
Fetal Distress/Nonreassuring Fetal Heart Rate Pattern | 54 | ||
Fever | 54 | ||
Fibrocystic Breast Disease | 54 | ||
Filthy Home Environment | 54 | ||
Financial Crisis in the Home Environment | 54 | ||
Fistulectomy | 54 | ||
Flail Chest | 54 | ||
Flashbacks | 55 | ||
Flat Affect | 55 | ||
Flesh-Eating Bacteria (Necrotizing Fasciitis) | 55 | ||
Fluid Balance | 55 | ||
Fluid Volume Deficit | 55 | ||
Fluid Volume Excess | 55 | ||
Fluid Volume Imbalance, Risk for | 55 | ||
Food Allergies | 55 | ||
Foodborne Illness | 55 | ||
Food Intolerance | 55 | ||
Foreign Body Aspiration | 55 | ||
Formula Feeding of Infant | 55 | ||
Fracture | 55 | ||
Fractured Hip | 55 | ||
Frail Elderly Syndrome | 55 | ||
Frequency of Urination | 55 | ||
Friendship | 55 | ||
Frostbite | 56 | ||
Frothy Sputum | 56 | ||
Fusion, Lumbar | 56 | ||
List of Nursing Assessments by Letter: G | e9 | ||
G | 56 | ||
Gag Reflex, Depressed or Absent | 56 | ||
Gallop Rhythm | 56 | ||
Gallstones | 56 | ||
Gang Member | 56 | ||
Gangrene | 56 | ||
Gas Exchange, Impaired | 56 | ||
Gastric Ulcer | 56 | ||
Gastritis | 56 | ||
Gastroenteritis | 56 | ||
Gastroenteritis, Child | 56 | ||
Gastroesophageal Reflux (GERD) | 56 | ||
Gastroesophageal Reflux, Child | 56 | ||
Gastrointestinal Bleeding (GI Bleed) | 57 | ||
Gastrointestinal Hemorrhage | 57 | ||
Gastrointestinal Surgery | 57 | ||
Gastroschisis/Omphalocele | 57 | ||
Gastrostomy | 57 | ||
Genital Herpes | 57 | ||
Genital Warts | 57 | ||
GERD | 57 | ||
Gestational Diabetes (Diabetes in Pregnancy) | 57 | ||
GI Bleed (Gastrointestinal Bleeding) | 57 | ||
Gingivitis | 57 | ||
Glaucoma | 57 | ||
Glomerulonephritis | 57 | ||
Gluten Allergy | 57 | ||
Gonorrhea | 57 | ||
Gout | 57 | ||
Grandiosity | 58 | ||
Grand Mal Seizure | 58 | ||
Grandparents Raising Grandchildren | 58 | ||
Graves’ Disease | 58 | ||
Grieving | 58 | ||
Grieving, Complicated | 58 | ||
Groom Self (Inability to) | 58 | ||
Growth and Development Lag | 58 | ||
Guillain-Barré Syndrome | 58 | ||
Guilt | 58 | ||
List of Nursing Assessments by Letter: H | e10 | ||
H | 58 | ||
H1N1 | 58 | ||
Hair Loss | 58 | ||
Halitosis | 58 | ||
Hallucinations | 58 | ||
Head Injury | 58 | ||
Headache | 59 | ||
Health Behavior, Risk-Prone | 59 | ||
Health Maintenance Problems | 59 | ||
Health-Seeking Person | 59 | ||
Hearing Impairment | 59 | ||
Heart Attack | 59 | ||
Heartburn | 59 | ||
Heart Failure | 59 | ||
Heart Surgery | 59 | ||
Heat Stroke | 59 | ||
Hematemesis | 59 | ||
Hematuria | 59 | ||
Hemianopia | 59 | ||
Hemiplegia | 59 | ||
Hemodialysis | 59 | ||
Hemodynamic Monitoring | 60 | ||
Hemolytic Uremic Syndrome | 60 | ||
Hemophilia | 60 | ||
Hemoptysis | 60 | ||
Hemorrhage | 60 | ||
Hemorrhoidectomy | 60 | ||
Hemorrhoids | 60 | ||
Hemothorax | 60 | ||
Hepatitis | 60 | ||
Hernia | 60 | ||
Herniated Disk | 60 | ||
Herniorrhaphy | 60 | ||
Herpes in Pregnancy | 60 | ||
Herpes Simplex I | 60 | ||
Herpes Simplex II | 61 | ||
Herpes Zoster | 61 | ||
HHNS (Hyperosmolar Hyperglycemic Nonketotic Syndrome) | 61 | ||
Hiatal Hernia | 61 | ||
Hip Fracture | 61 | ||
Hip Replacement | 61 | ||
Hirschsprung’s Disease | 61 | ||
Hirsutism | 61 | ||
Hitting Behavior | 61 | ||
HIV (Human Immunodeficiency Virus) | 61 | ||
Hodgkin’s Disease | 61 | ||
Homelessness | 61 | ||
Home Maintenance Problems | 61 | ||
Hope | 61 | ||
Hopelessness | 61 | ||
Hospitalized Child | 61 | ||
Hostile Behavior | 62 | ||
HTN (Hypertension) | 62 | ||
Human Immunodeficiency Virus (HIV) | 62 | ||
Humiliating Experience | 62 | ||
Huntington’s Disease | 62 | ||
Hydrocele | 62 | ||
Hydrocephalus | 62 | ||
Hygiene, Inability to Provide Own | 62 | ||
Hyperactive Syndrome | 62 | ||
Hyperbilirubinemia (Infant) | 63 | ||
Hypercalcemia | 63 | ||
Hypercapnia | 63 | ||
Hyperemesis Gravidarum | 63 | ||
Hyperglycemia | 63 | ||
Hyperkalemia | 63 | ||
Hypernatremia | 63 | ||
Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS) | 63 | ||
Hyperphosphatemia | 63 | ||
Hypersensitivity to Slight Criticism | 63 | ||
Hypertension (HTN) | 63 | ||
Hyperthermia | 63 | ||
Hyperthyroidism | 63 | ||
Hyperventilation | 64 | ||
Hypocalcemia | 64 | ||
Hypoglycemia | 64 | ||
Hypokalemia | 64 | ||
Hypomagnesemia | 64 | ||
Hypomania | 64 | ||
Hyponatremia | 64 | ||
Hypoplastic Left Lung | 64 | ||
Hypotension | 64 | ||
Hypothermia | 64 | ||
Hypothyroidism | 64 | ||
Hypovolemic Shock | 64 | ||
Hypoxia | 64 | ||
Hysterectomy | 64 | ||
List of Nursing Assessments by Letter: I | e12 | ||
I | 64 | ||
IBS (Irritable Bowel Syndrome) | 64 | ||
ICD (Implantable Cardioverter/Defibrillator) | 65 | ||
IDDM (Insulin-Dependent Diabetes) | 65 | ||
Identity Disturbance/Problems | 65 | ||
Idiopathic Thrombocytopenic Purpura (ITP) | 65 | ||
Ileal Conduit | 65 | ||
Ileostomy | 65 | ||
Ileus | 65 | ||
Immobility | 65 | ||
Immunization | 65 | ||
Immunosuppression | 65 | ||
Impaction of Stool | 65 | ||
Imperforate Anus | 65 | ||
Impaired Sitting | 65 | ||
Impaired Standing | 65 | ||
Impetigo | 66 | ||
Implantable Cardioverter/Defibrillator (ICD) | 66 | ||
Impotence | 66 | ||
Impulsiveness | 66 | ||
Inactivity | 66 | ||
Incompetent Cervix | 66 | ||
Incontinence of Stool | 66 | ||
Incontinence of Urine | 66 | ||
Indigestion | 66 | ||
Induction of Labor | 66 | ||
Infant Apnea | 66 | ||
Infant Behavior | 66 | ||
Infant Care | 66 | ||
Infant Feeding Pattern, Ineffective | 66 | ||
Infant of Diabetic Mother | 66 | ||
Infant of Substance-Abusing Mother (Fetal Alcohol Syndrome, Crack Baby, Other Drug Withdrawal Infants) | 67 | ||
Infantile Polyarteritis | 67 | ||
Infection | 67 | ||
Infection, Potential for | 67 | ||
Infertility | 67 | ||
Inflammatory Bowel Disease (Child and Adult) | 67 | ||
Influenza | 67 | ||
Inguinal Hernia Repair | 67 | ||
Injury | 67 | ||
Insanity | 68 | ||
Insomnia | 68 | ||
Insulin Shock | 68 | ||
Intellectual Disability | 68 | ||
Intermittent Claudication | 68 | ||
Internal Cardioverter/Defibrillator (ICD) | 68 | ||
Internal Fixation | 68 | ||
Interstitial Cystitis | 68 | ||
Intervertebral Disk Excision | 68 | ||
Intestinal Obstruction | 68 | ||
Intestinal Perforation | 68 | ||
Intoxication | 68 | ||
Intraaortic Balloon Counterpulsation | 68 | ||
Intracranial Pressure, Increased | 68 | ||
Intrauterine Growth Retardation | 69 | ||
Intravenous Therapy | 69 | ||
Intubation, Endotracheal or Nasogastric | 69 | ||
Iodine Reaction with Diagnostic Testing | 69 | ||
Irregular Pulse | 69 | ||
Irritable Bowel Syndrome (IBS) | 69 | ||
Isolation | 69 | ||
Itching | 69 | ||
ITP (Idiopathic Thrombocytopenic Purpura) | 69 | ||
List of Nursing Assessments by Letter: J | e13 | ||
J | 69 | ||
Jaundice | 69 | ||
Jaundice, Neonatal | 69 | ||
Jaw Pain and Heart Attacks | 69 | ||
Jaw Surgery | 69 | ||
Jittery | 69 | ||
Jock Itch | 69 | ||
Joint Dislocation | 69 | ||
Joint Pain | 70 | ||
Joint Replacement | 70 | ||
JRA (Juvenile Rheumatoid Arthritis) | 70 | ||
List of Nursing Assessments by Letter: K | e14 | ||
K | 70 | ||
Kaposi’s Sarcoma | 70 | ||
Kawasaki Disease | 70 | ||
Keloids | 70 | ||
Keratoconjunctivitis Sicca (Dry Eye Syndrome) | 70 | ||
Keratoplasty | 70 | ||
Ketoacidosis, Alcoholic | 70 | ||
Ketoacidosis, Diabetic | 70 | ||
Keyhole Heart Surgery | 70 | ||
Kidney Disease Screening | 70 | ||
Kidney Failure | 70 | ||
Kidney Failure Acute/Chronic, Child | 71 | ||
Kidney Failure, Nonoliguric | 71 | ||
Kidney Stone | 71 | ||
Kidney Transplantation, Donor | 71 | ||
Kidney Transplantation, Recipient | 71 | ||
Kidney Transplant | 71 | ||
Kidney Tumor | 71 | ||
Kissing Disease | 71 | ||
Knee Replacement | 71 | ||
Knowledge | 72 | ||
Knowledge, Deficient | 72 | ||
Kock Pouch | 72 | ||
Korsakoff’s Syndrome | 72 | ||
List of Nursing Assessments by Letter: L | e15 | ||
L | 72 | ||
Labor, Induction of | 72 | ||
Labor, Normal | 72 | ||
Labor Pain | 72 | ||
Labyrinthitis | 72 | ||
Lacerations | 72 | ||
Lactation | 72 | ||
Lactic Acidosis | 72 | ||
Lactose Intolerance | 72 | ||
Laminectomy | 72 | ||
Language Impairment | 73 | ||
Laparoscopic Laser Cholecystectomy | 73 | ||
Laparoscopy | 73 | ||
Laparotomy | 73 | ||
Large Bowel Resection | 73 | ||
Laryngectomy | 73 | ||
Laser Surgery | 73 | ||
LASIK Eye Surgery (Laser-Assisted in Situ Keratomileusis) | 73 | ||
Latex Allergy | 73 | ||
Laxative Abuse | 73 | ||
Lead Poisoning | 73 | ||
Left Heart Catheterization | 73 | ||
Legionnaires’ Disease | 73 | ||
Lens Implant | 73 | ||
Lethargy/Listlessness | 73 | ||
Leukemia | 74 | ||
Leukopenia | 74 | ||
Level of Consciousness, Decreased | 74 | ||
Lice | 74 | ||
Lifestyle, Sedentary | 74 | ||
Lightheadedness | 74 | ||
Limb Reattachment Procedures | 74 | ||
Liposuction | 74 | ||
Lithotripsy | 74 | ||
Liver Biopsy | 74 | ||
Liver Cancer | 74 | ||
Liver Disease | 74 | ||
Liver Function | 74 | ||
Liver Transplant | 74 | ||
Living Will | 75 | ||
Lobectomy | 75 | ||
Loneliness | 75 | ||
Loose Stools (Bowel Movements) | 75 | ||
Loss of Bladder Control | 75 | ||
Loss of Bowel Control | 75 | ||
Lou Gehrig’s Disease | 75 | ||
Low Back Pain | 75 | ||
Low Blood Pressure | 75 | ||
Low Blood Sugar | 75 | ||
Lower GI Bleeding | 75 | ||
Lumbar Puncture | 75 | ||
Lumpectomy | 75 | ||
Lung Cancer | 75 | ||
Lung Surgery | 75 | ||
Lupus Erythematosus | 75 | ||
Lyme Disease | 75 | ||
Lymphedema | 76 | ||
Lymphoma | 76 | ||
List of Nursing Assessments by Letter: M | e16 | ||
M | 76 | ||
Macular Degeneration | 76 | ||
Magnetic Resonance Imaging (MRI) | 76 | ||
Major Depressive Disorder | 76 | ||
Malabsorption Syndrome | 76 | ||
Maladaptive Behavior | 76 | ||
Malaise | 76 | ||
Malaria | 76 | ||
Male Infertility | 76 | ||
Malignancy | 76 | ||
Malignant Hypertension (Arteriolar Nephrosclerosis) | 76 | ||
Malignant Hyperthermia | 77 | ||
Malnutrition | 77 | ||
Mammography | 77 | ||
Manic Disorder, Bipolar I | 77 | ||
Manipulative Behavior | 77 | ||
Marfan Syndrome | 77 | ||
Mastectomy | 77 | ||
Mastitis | 78 | ||
Maternal Infection | 78 | ||
Maturational Issues, Adolescent | 78 | ||
Maze III Procedure | 78 | ||
MD (Muscular Dystrophy) | 78 | ||
Measles (Rubeola) | 78 | ||
Meconium Aspiration | 78 | ||
Meconium Delayed | 78 | ||
Melanoma | 78 | ||
Melena | 78 | ||
Memory Deficit | 78 | ||
Ménière’s Disease | 78 | ||
Meningitis/Encephalitis | 78 | ||
Meningocele | 79 | ||
Menopause | 79 | ||
Menorrhagia | 79 | ||
Mental Illness | 79 | ||
Metabolic Acidosis | 79 | ||
Metabolic Alkalosis | 79 | ||
Metastasis | 79 | ||
Methicillin-Resistant Staphylococcus aureus (MRSA) | 79 | ||
MI (Myocardial Infarction) | 79 | ||
MIDCAB (Minimally Invasive Direct Coronary Artery Bypass) | 80 | ||
Midlife Crisis | 80 | ||
Migraine Headache | 80 | ||
Milk Intolerance | 80 | ||
Minimally Invasive Direct Coronary Bypass (MIDCAB) | 80 | ||
Miscarriage | 80 | ||
Mitral Stenosis | 80 | ||
Mitral Valve Prolapse | 80 | ||
Mobility, Impaired Bed | 80 | ||
Mobility, Impaired Physical | 80 | ||
Mobility, Impaired Wheelchair | 80 | ||
Modified Radical Mastectomy | 80 | ||
Mononucleosis | 80 | ||
Mood Disorders | 81 | ||
Moon Face | 81 | ||
Moral/Ethical Dilemmas | 81 | ||
Morning Sickness | 81 | ||
Motion Sickness | 81 | ||
Mottling of Peripheral Skin | 81 | ||
Mourning | 81 | ||
Mouth Lesions | 81 | ||
MRI (Magnetic Resonance Imaging) | 81 | ||
MRSA (Methicillin-Resistant Staphylococcus aureus) | 81 | ||
Mucocutaneous Lymph Node Syndrome | 81 | ||
Mucous Membrane, Impaired Oral | 81 | ||
Multi-Infarct Dementia | 81 | ||
Multiple Gestations | 81 | ||
Multiple Personality Disorder (Dissociative Identity Disorder) | 82 | ||
Multiple Sclerosis (MS) | 82 | ||
Mumps | 82 | ||
Murmurs | 82 | ||
Muscular Atrophy/Weakness | 82 | ||
Muscular Dystrophy (MD) | 82 | ||
MVC (Motor Vehicle Crash) | 83 | ||
Myasthenia Gravis | 83 | ||
Mycoplasma Pneumonia | 83 | ||
Myelocele | 83 | ||
Myelomeningocele | 83 | ||
Myocardial Infarction (MI) | 83 | ||
Myocarditis | 83 | ||
Myringotomy | 83 | ||
Myxedema | 83 | ||
List of Nursing Assessments by Letter: N | e18 | ||
N | 83 | ||
Narcissistic Personality Disorder | 83 | ||
Narcolepsy | 83 | ||
Narcotic Use | 83 | ||
Nasogastric Suction | 83 | ||
Nausea | 83 | ||
Near-Drowning | 83 | ||
Nearsightedness | 84 | ||
Nearsightedness; Corneal Surgery | 84 | ||
Neck Vein Distention | 84 | ||
Necrosis, Kidney Tubular; Necrosis, Acute Tubular | 84 | ||
Necrotizing Enterocolitis | 84 | ||
Negative Feelings About Self | 84 | ||
Neglect, Unilateral | 84 | ||
Neglectful Care of Family Member | 84 | ||
Neonatal Jaundice | 84 | ||
Neonate | 84 | ||
Neoplasm | 84 | ||
Nephrectomy | 84 | ||
Nephrostomy, Percutaneous | 84 | ||
Nephrotic Syndrome | 85 | ||
Neural Tube Defects (Meningocele, Myelomeningocele, Spina Bifida, Anencephaly) | 85 | ||
Neuralgia | 85 | ||
Neuritis (Peripheral Neuropathy) | 85 | ||
Neurogenic Bladder | 85 | ||
Neurologic Disorders | 85 | ||
Neuropathy, Peripheral | 86 | ||
Neurosurgery | 86 | ||
Newborn, Normal | 86 | ||
Newborn, Postmature | 86 | ||
Newborn, Small for Gestational Age (SGA) | 86 | ||
Nicotine Addiction | 86 | ||
NIDDM (Non-Insulin-Dependent Diabetes Mellitus) | 86 | ||
Nightmares | 86 | ||
Nipple Soreness | 86 | ||
Nocturia | 86 | ||
Nocturnal Myoclonus | 86 | ||
Nocturnal Paroxysmal Dyspnea | 86 | ||
Noncompliance | 86 | ||
Non–Insulin-Dependent Diabetes Mellitus (NIDDM) | 86 | ||
Normal Pressure Hydrocephalus (NPH) | 87 | ||
Norovirus | 87 | ||
NSTEMI (non-ST-elevation myocardial infarction) | 87 | ||
Nursing | 87 | ||
Nutrition | 87 | ||
Nutrition, Imbalanced | 87 | ||
List of Nursing Assessments by Letter: O | e19 | ||
O | 87 | ||
Obesity | 87 | ||
OBS (Organic Brain Syndrome) | 87 | ||
Obsessive-Compulsive Disorder (OCD) | 87 | ||
Obstruction, Bowel | 87 | ||
Obstructive Sleep Apnea | 87 | ||
OCD (Obsessive-Compulsive Disorder) | 87 | ||
ODD (Oppositional Defiant Disorder) | 87 | ||
Older Adult | 87 | ||
Oliguria | 88 | ||
Omphalocele | 88 | ||
Oophorectomy | 88 | ||
OPCAB (Off-Pump Coronary Artery Bypass) | 88 | ||
Open Heart Surgery | 88 | ||
Open Reduction of Fracture with Internal Fixation (Femur) | 88 | ||
Opiate Use | 88 | ||
Opportunistic Infection | 88 | ||
Oppositional Defiant Disorder (ODD) | 88 | ||
Oral Mucous Membrane, Impaired | 88 | ||
Oral Thrush | 88 | ||
Orchitis | 88 | ||
Organic Mental Disorders | 88 | ||
Orthopedic Traction | 88 | ||
Orthopnea | 88 | ||
Orthostatic Hypotension | 88 | ||
Osteoarthritis | 88 | ||
Osteomyelitis | 88 | ||
Osteoporosis | 89 | ||
Ostomy | 89 | ||
Otitis Media | 89 | ||
Ovarian Carcinoma | 89 | ||
List of Nursing Assessments by Letter: P | e20 | ||
P | 89 | ||
Pacemaker | 89 | ||
Paget’s Disease | 89 | ||
Pain, Acute | 89 | ||
Pain, Chronic | 89 | ||
Painful Breasts, Engorgement | 89 | ||
Painful Breasts, Sore Nipples | 89 | ||
Pallor of Extremities | 89 | ||
Palpitations (Heart Palpitations) | 89 | ||
Pancreatic Cancer | 89 | ||
Pancreatitis | 90 | ||
Panic Disorder (Panic Attacks) | 90 | ||
Paralysis | 90 | ||
Paralytic Ileus | 90 | ||
Paranoid Personality Disorder | 90 | ||
Paraplegia | 91 | ||
Parathyroidectomy | 91 | ||
Parent Attachment | 91 | ||
Parental Role Conflict | 91 | ||
Parenting | 91 | ||
Parenting, Impaired | 91 | ||
Parenting, Risk for Impaired | 91 | ||
Paresthesia | 91 | ||
Parkinson’s Disease | 91 | ||
Paroxysmal Nocturnal Dyspnea (PND) | 91 | ||
Patent Ductus Arteriosus (PDA) | 91 | ||
Patient-Controlled Analgesia (PCA) | 91 | ||
Patient Education | 91 | ||
PCA (Patient-Controlled Analgesia) | 91 | ||
Pectus Excavatum | 91 | ||
Pediculosis | 91 | ||
PEG (Percutaneous Endoscopic Gastrostomy) | 91 | ||
Pelvic Inflammatory Disease (PID) | 91 | ||
Penile Prosthesis | 92 | ||
Peptic Ulcer | 92 | ||
Percutaneous Transluminal Coronary Angioplasty (PTCA) | 92 | ||
Pericardial Friction Rub | 92 | ||
Pericarditis | 92 | ||
Periodontal Disease | 92 | ||
Perioperative Hypothermia | 92 | ||
Perioperative Positioning | 92 | ||
Peripheral Neuropathy | 92 | ||
Peripheral Neurovascular Dysfunction | 92 | ||
Peripheral Vascular Disease (PVD) | 92 | ||
Peritoneal Dialysis | 92 | ||
Peritonitis | 92 | ||
Pernicious Anemia | 92 | ||
Persistent Fetal Circulation | 93 | ||
Personal Identity Problems | 93 | ||
Personality Disorder | 93 | ||
Pertussis (Whooping Cough) | 93 | ||
Pesticide Contamination | 93 | ||
Petechiae | 93 | ||
Petit Mal Seizure | 93 | ||
Pharyngitis | 93 | ||
Phenylketonuria (PKU) | 93 | ||
Pheochromocytoma | 93 | ||
Phlebitis | 93 | ||
Phobia (Specific) | 93 | ||
Photosensitivity | 93 | ||
Physical Abuse | 93 | ||
Pica | 93 | ||
PID (Pelvic Inflammatory Disease) | 93 | ||
PIH (Pregnancy-Induced Hypertension/Preeclampsia) | 94 | ||
Piloerection | 94 | ||
Pimples | 94 | ||
Pink Eye | 94 | ||
Pinworms | 94 | ||
Pituitary Tumor, Benign | 94 | ||
PKU (Phenylketonuria) | 94 | ||
Placenta Abruptio | 94 | ||
Placenta Previa | 94 | ||
Plantar Fasciitis | 95 | ||
Pleural Effusion | 95 | ||
Pleural Friction Rub | 95 | ||
Pleural Tap | 95 | ||
Pleurisy | 95 | ||
PMS (Premenstrual Tension Syndrome) | 95 | ||
PND (Paroxysmal Nocturnal Dyspnea) | 95 | ||
Pneumonectomy | 95 | ||
Pneumonia | 95 | ||
Pneumothorax | 95 | ||
Poisoning, Risk for | 95 | ||
Poliomyelitis | 95 | ||
Polydipsia | 95 | ||
Polyphagia | 96 | ||
Polyuria | 96 | ||
Postoperative Care | 96 | ||
Postpartum Depression | 96 | ||
Postpartum Hemorrhage | 96 | ||
Postpartum, Normal Care | 96 | ||
Post-Trauma Syndrome | 96 | ||
Post-Trauma Syndrome, Risk for | 96 | ||
Post-Traumatic Stress Disorder (PTSD) | 96 | ||
Potassium, Increase/Decrease | 96 | ||
Power/Powerlessness | 96 | ||
Preeclampsia | 97 | ||
Pregnancy, Cardiac Disorders | 97 | ||
Pregnancy-Induced Hypertension/Preeclampsia (PIH) | 97 | ||
Pregnancy Loss | 97 | ||
Pregnancy, Normal | 97 | ||
Premature Dilation of the Cervix (Incompetent Cervix) | 97 | ||
Premature Infant (Child) | 98 | ||
Premature Infant (Parent) | 98 | ||
Premature Rupture of Membranes | 98 | ||
Premenstrual Tension Syndrome (PMS) | 98 | ||
Prenatal Care, Normal | 98 | ||
Prenatal Testing | 98 | ||
Preoperative Teaching | 98 | ||
Pressure Ulcer | 98 | ||
Preterm Labor | 99 | ||
Problem-Solving Dysfunction | 99 | ||
Projection | 99 | ||
Prolapsed Umbilical Cord | 99 | ||
Prostatectomy | 99 | ||
Prostatic Hypertrophy | 99 | ||
Prostatitis | 99 | ||
Pruritus | 99 | ||
Psoriasis | 99 | ||
Psychosis | 99 | ||
PTCA (Percutaneous Transluminal Coronary Angioplasty) | 100 | ||
PTSD (Posttraumatic Stress Disorder) | 100 | ||
Pulmonary Edema | 100 | ||
Pulmonary Embolism | 100 | ||
Pulmonary Stenosis | 100 | ||
Pulse Deficit | 100 | ||
Pulse Oximetry | 100 | ||
Pulse Pressure, Increased | 100 | ||
Pulse Pressure, Narrowed | 100 | ||
Pulses, Absent or Diminished Peripheral | 100 | ||
Purpura | 100 | ||
Pyelonephritis | 100 | ||
Pyloric Stenosis | 101 | ||
Pyloromyotomy (Pyloric Stenosis Repair) | 101 | ||
List of Nursing Assessments by Letter: R | e22 | ||
R | 101 | ||
RA (Rheumatoid Arthritis) | 101 | ||
Rabies | 101 | ||
Radial Nerve Dysfunction | 101 | ||
Radiation Therapy | 101 | ||
Radical Neck Dissection | 101 | ||
Rage | 101 | ||
Rape-Trauma Syndrome | 101 | ||
Rash | 101 | ||
Rationalization | 101 | ||
Rats, Rodents in Home | 101 | ||
Raynaud’s Disease | 102 | ||
RDS (Respiratory Distress Syndrome) | 102 | ||
Rectal Fullness | 102 | ||
Rectal Lump | 102 | ||
Rectal Pain/Bleeding | 102 | ||
Rectal Surgery | 102 | ||
Rectocele Repair | 102 | ||
Reflex Incontinence | 102 | ||
Regression | 102 | ||
Regretful | 102 | ||
Rehabilitation | 102 | ||
Relationship | 102 | ||
Relaxation Techniques | 102 | ||
Religiosity | 102 | ||
Religious Concerns | 102 | ||
Relocation Stress Syndrome | 103 | ||
Respiratory Acidosis | 103 | ||
Respiratory Conditions of the Neonate (Respiratory Distress Syndrome [RDS], Meconium Aspiration, Diaphragmatic Hernia) | 103 | ||
Respiratory Distress | 103 | ||
Respiratory Distress Syndrome (RDS) | 103 | ||
Respiratory Infections, Acute Childhood (Croup, Epiglottitis, Pertussis, Pneumonia, Respiratory Syncytial Virus) | 103 | ||
Respiratory Syncytial Virus | 103 | ||
Restless Leg Syndrome | 103 | ||
Retarded Growth and Development | 103 | ||
Retching | 103 | ||
Retinal Detachment | 103 | ||
Retinopathy, Diabetic | 103 | ||
Retinopathy of Prematurity (ROP) | 103 | ||
Rh Factor Incompatibility | 103 | ||
Rhabdomyolysis | 104 | ||
Rheumatic Fever | 104 | ||
Rheumatoid Arthritis (RA) | 104 | ||
Rib Fracture | 104 | ||
Ridicule of Others | 104 | ||
Ringworm of Body | 104 | ||
Ringworm of Nails | 104 | ||
Ringworm of Scalp | 104 | ||
Roaches, Invasion of Home with | 104 | ||
Role Performance, Altered | 104 | ||
ROP (Retinopathy of Prematurity) | 104 | ||
RSV (Respiratory Syncytial Virus) | 104 | ||
Rubella | 104 | ||
Rubor of Extremities | 104 | ||
Ruptured Disk | 104 | ||
List of Nursing Assessments by Letter: S | e23 | ||
S | 104 | ||
SAD (Seasonal Affective Disorder) | 104 | ||
Sadness | 104 | ||
Safe Sex | 104 | ||
Safety, Childhood | 104 | ||
Salmonella | 105 | ||
Salpingectomy | 105 | ||
Sarcoidosis | 105 | ||
SARS (Severe Acute Respiratory Syndrome) | 105 | ||
SBE (Self-Breast Examination) | 105 | ||
Scabies | 105 | ||
Scared | 105 | ||
Schizophrenia | 105 | ||
Sciatica | 106 | ||
Scoliosis | 106 | ||
Sedentary Lifestyle | 106 | ||
Seizure Disorders, Adult | 106 | ||
Seizure Disorders, Childhood (Epilepsy, Febrile Seizures, Infantile Spasms) | 106 | ||
Self-Breast Examination (SBE) | 106 | ||
Self-Care | 106 | ||
Self-Care Deficit, Bathing | 106 | ||
Self-Care Deficit, Dressing | 107 | ||
Self-Care Deficit, Feeding | 107 | ||
Self-Care Deficit, Toileting | 107 | ||
Self-Concept | 107 | ||
Self-Destructive Behavior | 107 | ||
Self-Esteem, Chronic Low | 107 | ||
Self-Esteem, Situational Low | 107 | ||
Self-Mutilation | 107 | ||
Senile Dementia | 107 | ||
Separation Anxiety | 107 | ||
Sepsis, Child | 107 | ||
Septicemia | 107 | ||
Severe Acute Respiratory Syndrome (SARS) | 107 | ||
Sexual Dysfunction | 107 | ||
Sexuality, Adolescent | 107 | ||
Sexuality Pattern, Ineffective | 108 | ||
Sexually Transmitted Disease (STD) | 108 | ||
Shaken Baby Syndrome | 108 | ||
Shakiness | 108 | ||
Shame | 108 | ||
Shingles | 108 | ||
Shivering | 108 | ||
Shock, Cardiogenic | 108 | ||
Shock, Hypovolemic | 108 | ||
Shock, Septic | 108 | ||
Shoulder Repair | 108 | ||
Sickle Cell Anemia/Crisis | 108 | ||
SIDS (Sudden Infant Death Syndrome) | 108 | ||
Sitting Problems | 108 | ||
Situational Crisis | 108 | ||
SJS (Stevens-Johnson Syndrome) | 109 | ||
Skin Cancer | 109 | ||
Skin Disorders | 109 | ||
Skin Turgor, Change in Elasticity | 109 | ||
Sleep | 109 | ||
Sleep Apnea | 109 | ||
Sleep Deprivation | 109 | ||
Sleep Problems | 109 | ||
Sleep Pattern, Disturbed, Parent/Child | 109 | ||
Slurring of Speech | 109 | ||
Small Bowel Resection | 109 | ||
Smell, Loss of Ability to | 109 | ||
Smoke Inhalation | 109 | ||
Smoking Behavior | 109 | ||
Social Interaction, Impaired | 109 | ||
Social Isolation | 109 | ||
Sociopathic Personality | 109 | ||
Sodium, Decrease/Increase | 109 | ||
Somatization Disorder | 109 | ||
Sore Nipples, Breastfeeding | 110 | ||
Sore Throat | 110 | ||
Sorrow | 110 | ||
Spastic Colon | 110 | ||
Speech Disorders | 110 | ||
Spina Bifida | 110 | ||
Spinal Cord Injury | 110 | ||
Spinal Fusion | 110 | ||
Spiritual Distress | 110 | ||
Spiritual Well-Being | 110 | ||
Splenectomy | 110 | ||
Sprains | 110 | ||
Standing Problems | 110 | ||
Stapedectomy | 110 | ||
Stasis Ulcer | 110 | ||
STD (Sexually Transmitted Disease) | 110 | ||
STEMI (ST-Elevation Myocardial Infarction) | 111 | ||
Stent (Coronary Artery Stent) | 111 | ||
Sterilization Surgery | 111 | ||
Stertorous Respirations | 111 | ||
Stevens-Johnson Syndrome (SJS) | 111 | ||
Stillbirth | 111 | ||
Stoma | 111 | ||
Stomatitis | 111 | ||
Stone, Kidney | 111 | ||
Stool, Hard/Dry | 111 | ||
Straining with Defecation | 111 | ||
Strep Throat | 111 | ||
Stress | 111 | ||
Stress Urinary Incontinence | 111 | ||
Stridor | 111 | ||
Stroke | 111 | ||
Stuttering | 111 | ||
Subarachnoid Hemorrhage | 111 | ||
Substance Abuse | 111 | ||
Substance Abuse, Adolescent | 112 | ||
Substance Abuse in Pregnancy | 112 | ||
Sucking Reflex | 112 | ||
Sudden Infant Death Syndrome (SIDS) | 112 | ||
Suffocation, Risk for | 112 | ||
Suicide Attempt | 112 | ||
Support System, Inadequate | 112 | ||
Suppression of Labor | 112 | ||
Surgery, Perioperative Care | 112 | ||
Surgery, Postoperative Care | 112 | ||
Surgery, Preoperative Care | 113 | ||
Surgical Recovery, Delayed | 113 | ||
Suspected Child Abuse and Neglect (SCAN), Child | 113 | ||
Suspected Child Abuse and Neglect (SCAN), Parent | 113 | ||
Suspicion | 113 | ||
Swallowing Difficulties | 113 | ||
Swine Flu (H1N1) | 113 | ||
Syncope | 113 | ||
Syphilis | 113 | ||
Systemic Lupus Erythematosus | 113 | ||
List of Nursing Assessments by Letter: T | e25 | ||
T | 114 | ||
T & A (Tonsillectomy and Adenoidectomy) | 114 | ||
Tachycardia | 114 | ||
Tachypnea | 114 | ||
Tardive Dyskinesia | 114 | ||
Taste Abnormality | 114 | ||
TB (Pulmonary Tuberculosis) | 114 | ||
TBI (Traumatic Brain Injury) | 114 | ||
TD (Traveler’s Diarrhea) | 114 | ||
Temperature, Decreased | 114 | ||
Temperature, High | 114 | ||
Temperature Regulation, Impaired | 114 | ||
TEN (Toxic Epidermal Necrolysis) | 114 | ||
Tension | 114 | ||
Terminally Ill Adult | 114 | ||
Terminally Ill Child, Adolescent | 114 | ||
Terminally Ill Child, Infant/Toddler | 115 | ||
Terminally Ill Child, Preschool Child | 115 | ||
Terminally Ill Child, School-Age Child/Preadolescent | 115 | ||
Terminally Ill Child/Death of Child, Parent | 115 | ||
Tetralogy of Fallot | 115 | ||
Tetraplegia | 115 | ||
Thermoregulation, Ineffective | 115 | ||
Thoracentesis | 115 | ||
Thoracotomy | 115 | ||
Thought Disorders | 115 | ||
Thrombocytopenic Purpura | 115 | ||
Thrombophlebitis | 115 | ||
Thyroidectomy | 116 | ||
TIA (Transient Ischemic Attack) | 116 | ||
Tic Disorder | 116 | ||
Tinea Capitis | 116 | ||
Tinea Corporis | 116 | ||
Tinea Cruris | 116 | ||
Tinea Pedis | 116 | ||
Tinea Unguium (Onychomycosis) | 116 | ||
Tinnitus | 116 | ||
Tissue Damage, Corneal | 116 | ||
Tissue Damage, Integumentary | 116 | ||
Tissue Perfusion, Peripheral | 116 | ||
Toileting Problems | 116 | ||
Toilet Training | 116 | ||
Tonsillectomy and Adenoidectomy (T & A) | 116 | ||
Toothache | 116 | ||
Total Anomalous Pulmonary Venous Return | 116 | ||
Total Joint Replacement (Total Hip/Total Knee/Shoulder) | 116 | ||
Total Parenteral Nutrition (TPN) | 116 | ||
Tourette’s Syndrome (TS) | 116 | ||
Toxemia | 116 | ||
Toxic Epidermal Necrolysis (TEN) (Erythema Multiforme) | 116 | ||
TPN (Total Parenteral Nutrition) | 116 | ||
Tracheoesophageal Fistula | 117 | ||
Tracheostomy | 117 | ||
Traction and Casts | 117 | ||
Transfer Ability | 117 | ||
Transient Ischemic Attack (TIA) | 117 | ||
Transposition of Great Vessels | 117 | ||
Transurethral Resection of the Prostate (TURP) | 117 | ||
Trauma in Pregnancy | 117 | ||
Trauma, Risk for | 117 | ||
Traumatic Brain Injury (TBI) | 117 | ||
Traumatic Event | 117 | ||
Traveler’s Diarrhea (TD) | 117 | ||
Trembling of Hands | 117 | ||
Tricuspid Atresia | 117 | ||
Trigeminal Neuralgia | 117 | ||
Truncus Arteriosus | 117 | ||
TS (Tourette’s Syndrome) | 117 | ||
TSE (Testicular Self-Examination) | 118 | ||
Tubal Ligation | 118 | ||
Tube Feeding | 118 | ||
Tuberculosis (TB) | 118 | ||
TURP (Transurethral Resection of the Prostate) | 118 | ||
List of Nursing Assessments by Letter: U | e27 | ||
U | 118 | ||
Ulcer, Peptic (Duodenal or Gastric) | 118 | ||
Ulcerative Colitis | 118 | ||
Ulcers, Stasis | 118 | ||
Unilateral Neglect of One Side of Body | 118 | ||
Unsanitary Living Conditions | 118 | ||
Urgency to Urinate | 118 | ||
Urinary Catheter | 118 | ||
Urinary Diversion | 118 | ||
Urinary Elimination, Impaired | 118 | ||
Urinary Incontinence | 118 | ||
Urinary Retention | 118 | ||
Urinary Tract Infection (UTI) | 118 | ||
Urolithiasis | 118 | ||
Uterine Atony in Labor | 118 | ||
Uterine Atony in Postpartum | 118 | ||
Uterine Bleeding | 118 | ||
UTI (Urinary Tract Infection) | 118 | ||
List of Nursing Assessments by Letter: V | e28 | ||
V | 119 | ||
VAD (Ventricular Assist Device) | 119 | ||
Vaginal Hysterectomy | 119 | ||
Vaginitis | 119 | ||
Vagotomy | 119 | ||
Value System Conflict | 119 | ||
Varicose Veins | 119 | ||
Vascular Dementia (Formerly Called Multiinfarct Dementia) | 119 | ||
Vascular Obstruction, Peripheral | 119 | ||
Vasectomy | 119 | ||
Venereal Disease | 119 | ||
Ventilated Client, Mechanically | 119 | ||
Ventricular Assist Device (VAD) | 119 | ||
Ventricular Fibrillation | 119 | ||
Vertigo | 119 | ||
Violent Behavior | 119 | ||
Viral Gastroenteritis | 119 | ||
Vision Impairment | 119 | ||
Vomiting | 120 | ||
VTE (Venous Thromboembolism) | 120 | ||
List of Nursing Assessments by Letter: W | e29 | ||
W | 120 | ||
Walking Impairment | 120 | ||
Wandering | 120 | ||
Weakness | 120 | ||
Weight Gain | 120 | ||
Weight Loss | 120 | ||
Wellness-Seeking Behavior | 120 | ||
Wernicke-Korsakoff Syndrome | 120 | ||
West Nile Virus | 120 | ||
Wheelchair Use Problems | 120 | ||
Wheezing | 120 | ||
Wilms’ Tumor | 120 | ||
Withdrawal from Alcohol | 120 | ||
Withdrawal from Drugs | 120 | ||
Wound Debridement | 120 | ||
Wound Dehiscence, Evisceration | 120 | ||
Wound Infection | 120 | ||
Wounds, Open | 120 | ||
III Guide to Planning Care | 121 | ||
Making an Accurate Nursing Diagnosis | 121 | ||
Appendix A Nursing Diagnoses Arranged by Maslow’s Hierarchy of Needs | 949 | ||
Physiological Needs | 949 | ||
Safety and Security Needs | 950 | ||
Love and Belonging Needs | 950 | ||
Self-Esteem Needs | 951 | ||
Self-Actualization Needs | 951 | ||
Appendix B Nursing Diagnoses Arranged by Gordon’s Functional Health Patterns | 952 | ||
Health-Perception— Health-Management Pattern | 952 | ||
Nutritional-Metabolic Pattern | 952 | ||
Elimination Pattern | 952 | ||
Activity-Exercise Pattern | 953 | ||
Sleep-Rest Pattern | 953 | ||
Cognitive-Perceptual Pattern | 953 | ||
Self-Perception— Self-Concept Pattern | 953 | ||
Role-Relationship Pattern | 953 | ||
Sexuality-Reproductive Pattern | 954 | ||
Coping—Stress-Tolerance Pattern | 954 | ||
Value-Belief Pattern | 954 | ||
Appendix C Motivational Interviewing for Nurses | 955 | ||
Helpful Websites | 956 | ||
Bibliography | 956 | ||
Appendix D Wellness-Oriented Diagnostic Categories | 957 | ||
Physiological | 957 | ||
Airway/Breathing | 957 | ||
Circulation | 957 | ||
Cognition/Sensory Perception | 957 | ||
Injury: Falls/Infection/Poisoning/Trauma | 957 | ||
Homeostasis | 957 | ||
Fluid/Nutrition/Gastrointestinal/Oral/Dental Management | 957 | ||
Elimination | 957 | ||
Urinary Elimination | 957 | ||
Incontinence, Bowel | 958 | ||
Incontinence, Bladder | 958 | ||
Bowel Elimination | 958 | ||
Constipation | 958 | ||
Diarrhea | 958 | ||
Activity/Movement/Self-Care | 958 | ||
Skin/Tissue | 958 | ||
Sleep | 958 | ||
Psychosocial | 958 | ||
Comfort | 958 | ||
Communication/Healthy Behaviors/Therapeutic Regimen/Knowledge | 958 | ||
Appendix E Nursing Care Plans for Hearing Loss and Vision Loss | 960 | ||
Hearing Loss | 960 | ||
NANDA-I | 960 | ||
Definition | 960 | ||
Defining Characteristics | 960 | ||
Related Factors (r/t) | 960 | ||
NOC \t(Nursing Outcomes Classification) | 960 | ||
Suggested NOC Outcomes (Auditory) | 960 | ||
Client Outcomes | 960 | ||
Client Will (Specify Time Frame) | 960 | ||
NIC \t(Nursing Interventions Classification) | 960 | ||
Suggested NIC Interventions | 960 | ||
Nursing Interventions and Rationales | 961 | ||
Critical Care | 961 | ||
Pediatric | 962 | ||
Geriatric | 962 | ||
Home Care | 962 | ||
Client/Family Teaching and Discharge Planning | 962 | ||
References | 963 | ||
Vision Loss | 963 | ||
Definition | 963 | ||
Defining Characteristics | 963 | ||
Related Factors | 963 | ||
NOC \t(Nursing Outcomes Classification) | 963 | ||
Suggested NOC Outcomes (Visual) | 963 | ||
Client Outcomes | 963 | ||
Client Will (Specify Time Frame) | 963 | ||
NIC \t(Nursing Interventions Classification) | 964 | ||
Suggested NIC Interventions | 964 | ||
Nursing Interventions and Rationales | 964 | ||
Multicultural | 965 | ||
Geriatric | 965 | ||
Home Care | 966 | ||
Client/Family Teaching and Discharge Planning | 966 | ||
Low Vision | 966 | ||
References | 967 | ||
Index | 969 | ||
A | 969 | ||
B | 970 | ||
C | 971 | ||
D | 973 | ||
E | 974 | ||
F | 975 | ||
G | 975 | ||
H | 976 | ||
I | 977 | ||
J | 978 | ||
K | 978 | ||
L | 978 | ||
M | 979 | ||
N | 980 | ||
O | 981 | ||
P | 981 | ||
Q | 983 | ||
R | 983 | ||
S | 984 | ||
T | 986 | ||
U | 987 | ||
V | 987 | ||
W | 988 |