Table of Content
PRIORITIZATION, DELEGATION, AND CLINICAL JUDGMENT IN CLIENT MANAGEMENT SELECTED NURSING DIAGNOSES, INTERVENTIONS, RATIONALES, AND DOCUMENTATION Activity Intolerance Airway Clearance, Ineffective Anxiety Aspiration, Risk for Breathing Pattern, Ineffective Cardiac Output, Decreased Comfort, Readiness for Enhanced NEW! Confusion, Acute, Risk for NEW! Constipation Contamination/Contamination, Risk for NEW! Coping, Ineffective Decision-Making, Readiness for Enhanced NEW! Diarrhea Falls, Risk for/Injury Risk for NEW! Fluid Volume, Deficient Fluid Volume, Excess Gas Exchange, Impaired Glucose Level, Risk for Unstable NEW! Grieving Health Behavior, Risk-Prone NEW! Infection, Risk for Mobility, Impaired Physical Nutrition, Imbalanced: Less Than Body Requirements Oral Mucous Membrane, Impaired Pain, Acute Self-Care, Readiness for Enhanced NEW! Self-Concept, Disturbed Skin Integrity, Impaired, Risk for Sleep Pattern, Disturbed Swallowing, Impaired Tissue Perfusion, Ineffective Urinary Incontinence Urinary Retention NURSING CARE OF THE CLIENT HAVING SURGERY Intravenous Conscious Sedation NEW! Preoperative Care Postoperative Care THE CLIENT WITH ALTERATIONS IN RESPIRATORY FUNCTION Asthma NEW! Chronic Obstructive Pulmonary Disease Mechanical Ventilation NEW! Pneumonia Pneumothorax Pulmonary Embolism Thoracic Surgery Tuberculosis THE CLIENT WITH ALTERATIONS IN CARDIOVASCULAR FUNCTION Abdominal Aortic Aneurysm Repair Angina Pectoris Carotid Endarterectomy Cardiac Dysrhythmias Deep Vein Thrombosis/Thromboembolism Femoropopliteal Bypass Heart Failure Heart Surgery: Coronary Artery Bypass Grafting (CABG) or Valve Replacement Hypertension Myocardial Infarction Pacemaker/Cardioverter-Defibrillator Implantation THE CLIENT WITH ALTERATIONS IN NEUROLOGICAL FUNCTION Alzheimer''s Disease NEW! Cerebrovascular Accident Craniocerebral Trauma/Craniotomy Parkinson''s Disease NEW! Spinal Cord Injury THE CLIENT WITH ALTERATIONS IN HEMATOLOGIC AND IMMUNE FUNCTION Human Immunodeficiency Virus (HIV) Infection and Acquired Immune Deficiency Syndrome (AIDS) Sepsis Splenectomy THE CLIENT WITH ALTERATIONS IN METABOLIC FUNCTION Diabetes Mellitus Hyperthyroidism /Thyroidectomy Hypothyroidism THE CLIENT WITH ALTERATIONS IN THE GASTROINTESTINAL TRACT Abdominal Trauma NEW! Appendicitis/Appendectomy Bowel Diversion: Ileostomy Enteral Nutrition NEW! Gastrectomy Gastric Reduction/Bariatric Surgery Gastrointestinal (GI) Bleed, Acute Intestinal Obstruction/Bowel Resection Peptic Ulcer Total Parenteral Nutrition NEW! Upper Inflammatory Bowel Disease: Ulcerative Colitis and Crohn''s Disease THE CLIENT WITH ALTERATIONS IN THE LIVER, BILIARY TRACT, AND PANCREAS Cholecystectomy Cholelithiasis/Cholecystitis Cirrhosis Hepatitis Pancreatitis, Acute THE CLIENT WITH ALTERATIONS IN THE KIDNEY AND URINARY TRACT Bladder Neck Suspension (Vesicourethral Suspension) Cystectomy with Urinary Diversion Nephrectomy Renal Failure (Acute and Chronic) THE CLIENT WITH ALTERATIONS IN MUSCULOSKELETAL FUNCTION Amputation Fractured Hip with Internal Fixation or Prosthesis Insertion Laminectomy/Diskectomy With or Without Fusion Total Joint Arthroplasty THE CLIENT WITH ALTERATIONS IN THE BREAST AND REPRODUCTIVE SYSTEM Colporrhaphy (Anterior and Posterior Repair) Hysterectomy With Salpingectomy and Oophorectomy Mastectomy Radical Prostatectomy Transurethral Resection of the Prostate (TURP) THE CLIENT RECEIVING TREATMENT FOR NEOPLASTIC DISORDERS Chemotherapy External Radiation Therapy (Teletherapy) Internal Radiation Therapy (Brachytherapy) NEW! NURSING CARE OF THE ELDERLY CLIENT END-OF-LIFE NURSING CARE
