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NURSING DIAGNOSIS: Tissue Perfusion, risk for ineffective (specify) Risk factors may include Hypovolemia Reduction/interruption of blood flow: pelvic congestion, postoperative tissue inflammation, venous stasis Intraoperative trauma or pressure on pelvic/calf vessels: lithotomy position during vaginal hysterectomy Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Tissue Perfusion: (Specify) (NOC) Demonstrate adequate perfusion, as evidenced by ...

NURSING DIAGNOSIS: Cardiac Output, risk for decreased Risk factors may include Uncontrolled hyperthyroidism, hypermetabolic state Increasing cardiac workload Changes in venous return and systemic vascular resistance Alterations in rate, rhythm, conduction Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Circulatory Status (NOC) Maintain adequate cardiac output for tissue needs as evidenced by stable vital ...

Hemodialysis Nursing Care Plans: Risk for Injury NURSING DIAGNOSIS: Injury, risk for [loss of vascular access] Risk factors may include Clotting; hemorrhage related to accidental disconnection; infection Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Hemodialysis Nursing Care Plans Desired Outcomes Maintain patent vascular access. Be free of infection. 3 Hemodialysis Nursing Care Plan (NCP) Risk for ...

NURSING DIAGNOSIS: Airway Clearance, risk for ineffective Risk factors may include Tracheal obstruction; swelling, bleeding, laryngeal spasms Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Respiratory Status: Airway Patency (NOC) Maintain patent airway, with aspiration prevented. 5 Thyroidectomy Nursing Care Plan (NCP) Acute Pain — Thyroidectomy Nursing Care Plan (NCP) Ineffective Airway ...

NURSING DIAGNOSIS: Pain, acute May be related to Physical agent: surgical manipulation, edema, inflammation, harvesting of bone graft Possibly evidenced by Reports of pain Autonomic responses: diaphoresis, changes in vital signs, pallor Alteration in muscle tone Guarding, distraction behaviors/restlessness Desired Outcomes Pain Control (NOC) Report pain is relieved/controlled. Verbalize methods that provide relief. Demonstrate use of relaxation skills and diversional ...

NURSING DIAGNOSIS: Trauma, risk for (spinal) Risk factors may include Temporary weakness of vertebral column Balancing difficulties, changes in muscle coordination Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Risk Control (NOC) Maintain proper alignment of spine. Recognize need for/seek assistance with activity as appropriate. 8 Laminectomy Nursing Care Plan (NCP) Impaired Physical Mobility — ...

NURSING DIAGNOSIS: Tissue Perfusion, ineffective (specify) May be related to Diminished/interrupted blood flow (e.g., edema of operative site, hematoma formation) Hypovolemia Possibly evidenced by Paresthesia; numbness Decreased ROM, muscle strength Desired Outcomes Neurological Status (NOC) Report/demonstrate normal sensations and movement as appropriate. 8 Laminectomy Nursing Care Plan (NCP) Impaired Physical Mobility — Laminectomy Nursing Care Plan (NCP) Ineffective Tissue Perfusion — Laminectomy Nursing ...

Test your knowledge regarding the concepts of Fundamentals of Nursing! This examination contains 100 questions about Fundamentals of Nursing. The exam contains questions about: Historical perspectives in nursing, theories in nursing, health care delivery system, and nursing as a profession.