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NURSING DIAGNOSIS: Fatigue May be related to Hypermetabolic state with increased energy requirements Irritability of central nervous system (CNS); altered body chemistry Possibly evidenced by Verbalization of overwhelming lack of energy to maintain usual routine, decreased performance Emotional lability/irritability; nervousness, tension Jittery behavior Impaired ability to concentrate Desired Outcomes Endurance (NOC) Verbalize increase in level of energy. Display improved ability ...

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 ...

Excess Fluid Volume — Hemodialysis Nursing Care Plans NURSING DIAGNOSIS: Fluid Volume, risk for excess Risk factors may include Rapid/excessive fluid intake: IV, blood, plasma expanders, saline given to support BP during dialysis Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL: Fluid Balance (NOC) Maintain “dry weight” within patient’s normal range; be ...

Deficient Fluid Volume — Hemodialysis Nursing Care Plans NURSING DIAGNOSIS: Fluid Volume, risk for deficient Risk factors may include Ultrafiltration Fluid restrictions; actual blood loss (systemic heparinization or disconnection of the shunt) Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL: Hydration (NOC) Maintain fluid balance as evidenced by stable/appropriate weight and vital ...

NURSING DIAGNOSIS: Injury, risk for [tetany] Risk factors may include Chemical imbalance: excessive CNS stimulation Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Safety Status: Physical Injury (NOC) Demonstrate absence of injury with complications minimized/controlled. 5 Thyroidectomy Nursing Care Plan (NCP) Acute Pain — Thyroidectomy Nursing Care Plan (NCP) Ineffective Airway Clearance ...

NURSING DIAGNOSIS: Fluid Volume, risk for deficient Risk factors may include Excessive losses through normal routes, e.g., preoperative emesis and diarrhea; high-volume ileostomy output Losses through abnormal routes, e.g., NG/intestinal tube, perineal wound drainage tubes Medically restricted intake Altered absorption of fluid, e.g., loss of colon function Hypermetabolic states, e.g., inflammation, healing process Possibly evidenced by [Not applicable; presence of ...

This post contains 6 Heart Failure Nursing Care Plan (NCP) (NCPs). These Nursing Care Plan (NCP) are free to use and are suited for patients with Heart Failure. Failure of the left and/or right chambers of the heart results in insufficient output to meet tissue needs and causes pulmonary and systemic vascular congestion. This disease condition is termedheart failure (HF). Despite ...

Check vital signs before and immediately after activity, especially if patient is receiving vasodilators, diuretics, or beta-blockers. Orthostatic hypotension can occur with activity because of medication effect (vasodilation), fluid shifts (diuresis), or compromised cardiac pumping function.