Nursing Care Plans: Guidelines for individualizing Client Care Across the Life Span 9th edition eBook

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  • Published: 2014
  • ISBN-13: 978-0803630413
  • ISBN-10: 0803630417

Description

Nursing Care Plans, Guidelines for individualizing Client Care Across the Life Span 9th edition eBook

INDEX OF NURSING

DIAGNOSES APPEARS ON PAGE V

INTRODUCTION XIX

CHAPTER 1 Issues and Trends in Nursing and Healthcare

Delivery 1

The Ever-Changing Healthcare Environment 1

Challenges, Trends, and Opportunities 1

CHAPTER 2 The Nursing Process: Planning Care

Using Nursing Diagnoses 4

Planning Care 7

Components of the Plan of Care 7

Client Database 7

Interviewing 7

Physical Assessment 7

Diagnostic Studies 7

Nursing Priorities 8

Discharge Goals 8

Nursing Diagnosis (Problem and Need Identification) 8

Desired Client Outcomes 9

Planning (Goals and Actions/Interventions) 9

Rationale 10

Conclusion 10

CHAPTER 3 Critical Thinking: Adaptation of Theory to Practice 11

Client Situation: Diabetes Mellitus 20

Admitting Physician’s Orders 20

Client Assessment Database 20

Mind Map 24

Evaluation 24

Documentation 24

Sample Clinical Pathway 27

Plan of Care: Mr. R. S. 29

CHAPTER 4 Cardiovascular 33

Hypertension: Severe 33

Cardiac Output, risk for decreased 37

Activity Intolerance 38

Pain, acute 39

Nutrition: more than body requirements, imbalanced 40

Coping, ineffective 41

Self-Health Management, ineffective 41

Heart Failure: Chronic 43

Cardiac Output, decreased 48

Activity Intolerance 51

Fluid Volume, excess 51

Gas Exchange, risk for impaired 53

Pain, risk for chronic 53

Skin Integrity, risk for impaired 54

Self-Health Management, ineffective 55

Sample Clinical Pathway 57

Acute Coronary Syndrome (ACS) 58

Pain, acute 62

Tissue Perfusion, risk for decreased cardiac 64

Cardiac Output, risk for decreased 65

Knowledge, deficient [Learning Need] 66

Angina: Chronic/Stable 67

Pain, risk for acute 70

Cardiac Output, risk for decreased 72

Self-Health Management, ineffective 73

Myocardial Infarction 75

Pain, acute 79

Cardiac Output, risk for decreased 80

Activity Intolerance 83

Anxiety [moderate/severe] 83

Tissue Perfusion, risk for ineffective (specify) 84

Knowledge, deficient [Learning Need] 85

Dysrhythmias 87

Cardiac Output, risk for decreased 92

Poisoning, risk for [Digoxin Toxicity] 95

Self-Health Management, ineffective 96

Cardiac Surgery: Postoperative Care—Coronary Artery Bypass Graft (CABG), Minimally Invasive Direct Coronary Artery Bypass (MIDCAB), Cardiomyoplasty, Valve Replacement 98

Cardiac Output, risk for decreased 102

Pain, acute 104

Breathing Pattern, risk for ineffective 105

Skin/Tissue Integrity, impaired 106

Knowledge, deficient [Learning Need] 107

Thrombophlebitis: Venous Thromboembolism (Including Pulmonary Emboli Considerations) 109

Tissue Perfusion, ineffective peripheral 112

Pain, acute 114

Gas Exchange, impaired (in presence of pulmonary embolus) 115

Knowledge, deficient [Learning Need] 116

CHAPTER 5 Respiratory 118

Chronic Obstructive Pulmonary Disease (COPD) and Asthma 118

Airway Clearance, ineffective 122

Gas Exchange, impaired 124

Nutrition: less than body requirements, imbalanced 126

Self-Health Management, ineffective 126

Pneumonia 129

Airway Clearance, ineffective 133

Gas Exchange, impaired 134

Infection, risk for [spread] 135

Activity Intolerance 136

Pain, acute 137

Nutrition: less than body requirements, risk for imbalanced 137

Fluid Volume, risk for deficient 138

Knowledge, deficient [Learning Need] 139

Sample Clinical Pathway 140

Lung Cancer: Postoperative Care 141

Gas Exchange, impaired 145

Airway Clearance, ineffective 146

Pain, acute 147

Anxiety [specify level] 148

Knowledge, deficient [Learning Need] 149

Pneumothorax/Hemothorax 150

Breathing Pattern, ineffective 153

Suffocation, risk for 156

Knowledge, deficient [Learning Need] 156

Ventilatory Assistance (Mechanical) 157

Breathing Pattern, ineffective/Spontaneous Ventilation, impaired 159

Airway Clearance, ineffective 162

Communication, impaired verbal 163

Anxiety [specify level] 164

Oral Mucous Membrane, impaired 165

Nutrition: less than body requirements, imbalanced 165

Infection, risk for 166

Ventilatory Weaning Response, risk for

dysfunctional 168

Knowledge, deficient [Learning Need] 169

Pulmonary Tuberculosis (TB) 170

Infection, risk for [spread/reactivation] 173

Airway Clearance, ineffective 175

Gas Exchange, risk for impaired 176

Nutrition: less than body requirements, imbalanced 176

Self-Health Management, risk for ineffective 177

Respiratory Acid-Base Imbalances 179

Respiratory Acidosis (Primary Carbonic Acid Excess) 179

Gas Exchange, impaired 182

Respiratory Alkalosis (Primary Carbonic Acid Deficit) 184

Gas Exchange, impaired 186

CHAPTER 6 Neurological/Sensory Disorders 188

Seizure Disorders 188

Trauma/Suffocation, risk for 192

Airway Clearance, risk for ineffective 193

Self-Esteem, [specify situational or chronic low] 194

Self-Health Management, ineffective 195

Craniocerebral Trauma—Acute Rehabilitative Phase 197

Tissue Perfusion, risk for ineffective cerebral 202

Breathing Pattern, risk for ineffective 205

Sensory Perception, disturbed (specify) 206

Confusion, risk for chronic 208

Mobility, impaired physical 209

Infection, risk for 210

Nutrition: less than body requirements, risk for imbalanced 211

Family Processes, interrupted 212

Knowledge, deficient [Learning Need] 213

Cerebrovascular Accident (CVA)/Stroke 214

Tissue Perfusion, ineffective cerebral 218

Mobility, impaired physical 220

Communication, impaired verbal [and/or written] 222

Sensory Perception, disturbed [specify] 223

Self-Care Deficit [specify] 224

Coping, ineffective 225

Swallowing, risk for impaired 226

Neglect, unilateral 227

Knowledge, deficient [Learning Need] 228

Brain Infections: Meningitis and Encephalitis 229

Infection, risk for [spread] 233

Intracranial Adaptive Capacity, risk for decreased 234

Comfort, impaired 235

Knowledge, deficient [Learning Need] 236

Disc Surgery 237

Peripheral Neurovascular Dysfunction, risk for 239

Injury, risk for [spinal] 240

Breathing Pattern, risk for ineffective 241

Pain, acute 242

Mobility, impaired physical 243

Constipation 243

Urinary Retention, risk for 244

Knowledge, deficient [Learning Need] 244

Sample Clinical Pathway 246

Spinal Cord Injury (Acute Rehabilitative Phase) 248

Breathing Pattern, risk for ineffective 252

Injury, risk for [additional spinal] 253

Mobility, impaired physical 254

Sensory Perception, disturbed tactile/proprioception 255

Pain, acute 256

Grieving 257

Self-Esteem, situational low 258

Bowel Incontinence/Constipation 259

Urinary Elimination, impaired 260

Skin/Tissue Integrity, risk for impaired 262

Knowledge, deficient [Learning Need] 263

Autonomic Dysreflexia, risk for 265

Multiple Sclerosis (MS) 266

Fatigue 270

Self-Care Deficit [specify] 272

Self-Esteem, situational low 273

Powerlessness 274

Coping, risk for ineffective 275

Coping, risk for disabled family 276

Urinary Elimination, impaired 277

Caregiver Role Strain, risk for 278

Self-Health Management, ineffective 279

xxiv

DETAILED CONTENTS

xxv

CHAPTER 7 Gastrointestinal Disorders 281

Upper Gastrointestinal/Esophageal Bleeding 281

Bleeding, risk for 284

Shock, risk for 287

Anxiety [specify level] 288

Pain, acute 289

Knowledge, deficient [Learning Need] 290

Inflammatory Bowel Disease (IBD): Ulcerative Colitis, Crohn’s Disease 291

Diarrhea 296

Fluid Volume, risk for deficient 298

Nutrition: less than body requirements, imbalanced 298

Anxiety [specify level] 300

Pain, acute 301

Coping, ineffective 301

Self-Health Management 303

Fecal Diversions: Postoperative Care of Ileostomy and Colostomy 304

Skin Integrity, risk for impaired 306

Body Image, disturbed 307

Pain, acute 308

Skin/Tissue Integrity, impaired 309

Fluid Volume, risk for deficient 309

Nutrition: less than body requirements, risk for imbalanced 310

Insomnia 311

Constipation/Diarrhea, risk for 311

Sexual Dysfunction, risk for 312

Knowledge, deficient [Learning Need] 314

Appendectomy 315

Infection, risk for [spread] 318

Fluid Volume, risk for deficient 318

Pain, acute 319

Knowledge, deficient [Learning Need] 320

Peritonitis 320

Infection, risk for [septicemia] 324

Fluid Volume, deficient 325

Pain, acute 326

Nutrition: less than body requirements, risk for imbalanced 327

Anxiety [specify level] 327

Knowledge, deficient [Learning Need] 328

Cholecystitis with Cholelithiasis 329

Pain, acute 332

Fluid Volume, risk for deficient 333

Nutrition: less than body requirements, risk for imbalanced 333

Knowledge, deficient [Learning Need] 334

Cholecystectomy 335

Breathing Pattern, ineffective 336

Fluid Volume, risk for deficient 337

Skin/Tissue Integrity, impaired 338

Knowledge, deficient [Learning Need] 339

CHAPTER 8 Metabolic and Endocrine Disorders 340

Eating Disorders: Anorexia Nervosa/Bulimia Nervosa 340

Nutrition: less than body requirements, imbalanced 345

Fluid Volume, risk for deficient 347

Body Image, disturbed 348

Self-Esteem, chronic low 348

Parenting, impaired 350

Skin Integrity, risk for impaired 351

Self-Health Management, ineffective 352

Sample Clinical Pathway 354

Eating Disorders: Obesity 358

Nutrition: more than body requirements, imbalanced 361

Lifestyle, sedentary 363

Body Image, disturbed 364

Social Interaction, impaired 365

Self-Health Management, ineffective 366

Obesity: Bariatric Surgery 367

Breathing Pattern, ineffective 370

Tissue Perfusion, risk for ineffective [specify] 371

Fluid Volume, risk for deficient 372

Nutrition: less than body requirements, risk for imbalanced 372

Skin Integrity, impaired 373

Infection, risk for 374

Diarrhea 375

Knowledge, deficient [Learning Need] 376

Diabetes Mellitus/Diabetic Ketoacidosis 377

Fluid Volume, deficient [specify] 381

Blood Glucose Level, unstable 383

Infection, risk for 385

Sensory Perception, risk for disturbed (specify) 386

Fatigue 387

Coping, ineffective 387

Self-Health Management, ineffective 388

Hyperthyroidism (Graves’ Disease, Thyrotoxicosis) 391

Cardiac Output, risk for decreased 394

Fatigue 396

Nutrition: less than body requirements, risk for imbalanced 397

Anxiety [specify level] 398

Dry Eye, risk for 399

Knowledge, deficient [Learning Need] 400

Hepatitis 400

Liver Function, impaired 404

Fatigue 406

Nutrition: less than body requirements, imbalanced 406

Fluid Volume, risk for deficient/Bleeding 408

Self-Esteem, risk for situational low 409

Infection, risk for [secondary/spread] 409

Tissue Integrity, risk for impaired 410

Knowledge, deficient [Learning Need] 411

Cirrhosis of the Liver 412

Nutrition: less than body requirements, imbalanced 416

Fluid Volume, risk for excess 417

Infection, risk for 419

Skin Integrity, risk for impaired 420

Breathing Pattern, risk for ineffective 421

Bleeding, risk for 422

Confusion, risk for acute 423

Body Image, disturbed 424

Self-Health, ineffective 425

Pancreatitis 426

Pain, acute 430

Fluid Volume, risk for deficient 431

Nutrition: less than body requirements, imbalanced 433

Blood Glucose Level, risk for unstable 433

Infection, risk for [sepsis] 434

Gas Exchange, impaired 435

Self-Health Management, ineffective 436

Total Nutritional Support: Enteral Feeding 437

Nutrition: less than body requirements, imbalanced 442

Infection, risk for 444

Injury, risk for 445

Aspiration, risk for 446

Fluid Volume, risk for deficient 447

Fatigue 448

Knowledge, deficient [Learning Need] 449

Metabolic Acid-Base Imbalances 450

Metabolic Acidosis—Primary Base Bicarbonate (HCO3) Deficiency 450

Metabolic Alkalosis—Primary Base Bicarbonate Excess 455

CHAPTER 9 Diseases of the Blood/Blood-Forming

Organs 459

Anemias—Iron Deficiency, Anemia of Chronic Disease, Pernicious, Aplastic, Hemolytic 459

Activity Intolerance 464

Nutrition: less than body requirements, imbalanced 465

Constipation/Diarrhea 466

Infection, risk for 467

Knowledge, deficient [Learning Need] 468

Sickle Cell Crisis 469

Gas Exchange, impaired 475

Pain, acute/chronic 476

Tissue Perfusion, risk for ineffective [specify] 477

Fluid Volume, risk for deficient 479

Mobility, impaired physical 480

Skin Integrity, risk for impaired 480

Infection, risk for 481

Self-Health Management, ineffective 481

Adult Leukemias 484

Infection, risk for 488

Fluid Volume, risk for deficient 490

Pain, acute 491

Fatigue 492

Knowledge, deficient [Learning Need] 493

Lymphomas 494

Gas Exchange, risk for impaired 499

Nausea 500

Sexual Dysfunction 501

Knowledge, deficient [Learning Need] 502

CHAPTER 10 Renal and Urinary Tract 505

Acute Kidney Injury (Acute Renal Failure) 505

Fluid Volume, excess 510

Cardiac Output, risk for decreased 512

Nutrition: less than body requirements, risk for imbalanced 513

Infection, risk for 514

Fluid Volume, risk for deficient 515

Knowledge, deficient [Learning Need] 516

Renal Failure: Chronic (End-Stage Renal Disease) 517

Cardiac Output, risk for decreased 522

Activity Intolerance 523

Bleeding, risk for 524

Confusion, risk for acute 525

Skin Integrity, risk for impaired 526

Oral Mucous Membrane, risk for impaired 526

Self-Health Management, ineffective 527

Renal Dialysis—General Considerations 529

Nutrition: less than body requirements, imbalanced 531

Skin Integrity, risk for impaired 533

Self-Care Deficit (specify) 533

Constipation, risk for 534

Confusion, risk for acute 534

Anxiety [specify level] 535

Body Image, disturbed 536

Self-Health Management, risk for ineffective 537

Peritoneal Dialysis (PD) 539

Fluid Volume, risk for excess 540

Fluid Volume, risk for deficient 541

Trauma, risk for 541

Pain, acute 542

Infection, risk for 543

Breathing Pattern, risk for ineffective 543

Hemodialysis (HD) 544

Injury, risk for [loss of vascular access] 545

Fluid Volume, risk for deficient 546

Fluid Volume, risk for excess 547

Urinary Diversions/Urostomy (Postoperative Care) 548

Skin Integrity, risk for impaired 550

Body Image, disturbed 552

Pain, acute 553

Infection, risk for 554

Urinary Elimination, impaired 555

Sexual Dysfunction, risk for 556

Knowledge, deficient [Learning Need] 557

Benign Prostatic Hyperplasia (BPH) 559

Urinary Retention, [acute/chronic] 561

Pain, acute 563

Fluid Volume, risk for deficient 563

Anxiety [specify level] 564

Knowledge, deficient [Learning Need] 564

Prostatectomy 566

Urinary Elimination, impaired 567

Bleeding, risk for 568

Infection, risk for 569

Pain, acute 569

Sexual Dysfunction, risk for 570

Knowledge, deficient [Learning Need] 571

Sample Clinical Pathway 572

Urolithiasis (Renal Calculi) 573

Pain, acute 576

Urinary Elimination, impaired 577

Fluid Volume, risk for deficient 579

Knowledge, deficient [Learning Need] 579

xxvi

CHAPTER 11 Women’s Reproductive 581

Hysterectomy 581

Urinary Retention, risk for [acute] 583

Constipation, risk for 583

Tissue Perfusion, risk for ineffective (specify) 584

Sexual Dysfunction, risk for 585

Grieving 586

Knowledge, deficient [Learning Need] 587

Mastectomy 589

Anxiety 592

Tissue Integrity, impaired 593

Pain, acute 594

Self-Esteem, situational low 595

Mobility, impaired physical 596

Knowledge, deficient [Learning Need] 597

Sample Clinical Pathway 599

CHAPTER 12 Orthopedic 601

Fractures 601

Injury, risk for 605

Pain, acute 606

Peripheral Neurovascular Dysfunction, risk for 607

Gas Exchange, risk for impaired 609

Mobility, impaired physical 610

Tissue Integrity, impaired 611

Infection, risk for 613

Knowledge, deficient [Learning Need] 614

Self-Care, readiness for enhanced 615

Amputation 616

Pain, acute 618

Tissue Perfusion, risk for ineffective peripheral 619

Infection, risk for 620

Mobility, impaired physical 621

Grieving 623

Knowledge, deficient [Learning Need] 624

Total Joint Replacement 625

Pain, acute 627

Bleeding, risk for 629

Infection, risk for 629

Peripheral Neurovascular Dysfunction,

risk for 630

Mobility, impaired physical 631

Constipation, risk for 632

Knowledge, deficient [Learning Need] 633

Sample Clinical Pathway 635

CHAPTER 13 Integumentary 638

Burns: Thermal, Chemical, and Electrical—Acute and Convalescent Phases 638

Airway Clearance, risk for ineffective 643

Fluid Volume, risk for deficient 644

Pain, acute 646

Infection, risk for 647

Peripheral Neurovascular Dysfunction, risk for 649

Nutrition: less than body requirements, imbalanced 650

Mobility, impaired physical 651

Skin Integrity, impaired [grafts] 652

Post-Trauma Syndrome, risk for 653

Body Image, disturbed 654

Knowledge, deficient [Learning Need] 655

Wound Care: Complicated or Chronic 657

Skin/Tissue Integrity, impaired 659

Pain, acute/chronic 661

Infection, risk for 662

Nutrition: less than body requirements, imbalanced 663

Self-Health Management, risk for ineffective 663

CHAPTER 14 Systemic Infections and Immunological

Disorders 665

Sepsis/Septicemia 665

Infection, risk for [progression; opportunistic/hospital acquired] 669

Hyperthermia 671

Shock, risk for 671

Fluid Volume, risk for deficient 673

Confusion, risk for acute 674

Gas Exchange, risk for impaired 675

Knowledge, deficient [Learning Need] 676

The HIV-Positive Client 677

Health Behavior, risk-prone 679

Fatigue 681

Nutrition: less than body requirements, imbalanced 682

Knowledge, deficient [Learning Need] 683

Social Isolation, risk for 686

Self-Health Management, ineffective 687

Acquired Immunodeficiency Syndrome (AIDS) 689

Infection, risk for [progression/onset of

opportunistic infection] 694

Fluid Volume, risk for deficient 695

Breathing Pattern, ineffective 696

Bleeding, risk for 697

Nutrition: less than body requirements,

imbalanced 698

Pain, acute/chronic 700

Skin Integrity, impaired 701

Oral Mucous Membrane, impaired 702

Fatigue 703

Confusion, risk for acute/chronic 703

Death Anxiety 705

Social Isolation 706

Powerlessness 707

Self-Health Management, ineffective 708

Rheumatoid Arthritis (RA) 709

Pain, acute/chronic 713

Mobility, impaired physical 715

Role Performance, ineffective 716

Self-Care Deficit (specify) 716

Home Maintenance, risk for impaired 717

Self-Health Management, risk for ineffective 718

Transplantation Considerations—Postoperative and Lifelong 719

Infection, risk for 723

Anxiety [specify level] 723

Coping, family compromised 725

Knowledge, deficient [Learning Need] 726

xxvii

DETAILED CONTENTS

CHAPTER 15 General 729

Psychosocial Aspects of Care 729

Coping, ineffective 731

Decisional Conflict (specify) 732

Coping, risk for compromised family 733

Coping, readiness for enhanced family 734

Anxiety [specify level] 734

Self-Esteem, risk for situational low 736

Grieving [specify] 738

Religiosity, risk for impaired 739

Self-Health Management, ineffective 740

Violence, risk for self- or other-directed 741

Dementia of the Alzheimer’s Type/Vascular Dementia/Lewy Body Disease 743

Environmental Interpretation Syndrome, impaired 748

Confusion, chronic 749

Sensory Perception, disturbed (specify) 752

Anxiety 753

Grieving 753

Sleep Deprivation 754

Self-Care Deficit (specify type/level) 755

Nutrition: less/more than body requirements, risk for imbalanced 756

Bowel, Incontinence/Urinary Elimination, impaired 757

Sexual Dysfunction, risk for 758

Coping, compromised family 758

Health Maintenance, ineffective 760

Caregiver Role Strain, risk for 760

Relocation Stress Syndrome, risk for 761

Surgical Intervention 762

Knowledge, deficient [Learning Need] 765

Fear/Anxiety [specify level] 766

Perioperative Positioning Injury, risk for 768

Injury, risk for 769

Infection, risk for 771

Body Temperature, risk for imbalanced 772

Breathing Pattern, ineffective 773

[Sensory Perception, disturbed (specify)] 774

Fluid Volume, risk for deficient 775

Pain, acute 776

Tissue Integrity, impaired 778

Tissue Perfusion, risk for ineffective 779

Knowledge, deficient [Learning Need] 780

Extended/Long-Term Care 781

Relocation Stress Syndrome, risk for 783

Grieving 785

Memory, impaired 785

Coping, compromised family 787

Poisoning, risk for [drug toxicity] 788

Communication, impaired verbal 789

Sleep Pattern, disturbed 790

Nutrition: less [or] more than body requirements, imbalanced 790

Self-Care Deficit [specify] 792

Skin Integrity, risk for impaired 793

Urinary Elimination, risk for impaired 794

Constipation/Diarrhea, risk for 795

Mobility, impaired physical 796

Diversional Activity, deficient 798

Sexual Dysfunction, risk for 798

Self-Health Maintenance, ineffective 799

Alcohol: Acute Withdrawal 800

Breathing Pattern, risk for ineffective 805

Cardiac Output, risk for decreased 806

Injury, risk for [specify] 807

[Sensory Perception, disturbed (specify)] 808

Anxiety [severe/panic] 809

Sample Clinical Pathway 811

Substance Use Disorders (SUDs) 815

Denial, ineffective 817

Coping, ineffective 818

Powerlessness 820

Nutrition: less than body requirements, imbalanced 821

Self-Esteem, chronic low 822

Family Processes, dysfunctional 823

Sexual Dysfunction 825

Knowledge, deficient [Learning Need] 826

Cancer—General Considerations 827

Fear/Anxiety [specify level] 832

Grieving 833

Self-Esteem, risk for situational low 834

Pain, acute/chronic 835

Nutrition: less than body requirements, imbalanced 837

Fluid Volume, risk for deficient 839

Fatigue 840

Infection, risk for 841

Oral Mucous Membrane, risk for impaired 842

Skin/Tissue Integrity, risk for impaired 843

Constipation/Diarrhea, risk for 844

Sexual Dysfunction, risk for 845

Family Processes, risk for interrupted 846

Knowledge, deficient [Learning Need] 847

End-of-Life Care/Hospice 848

Pain, acute/chronic 851

Fatigue 852

Grieving/Death Anxiety 853

Coping, compromised family 855

Spiritual Distress, risk for 856

Caregiver Role Strain, risk for 857

Disaster Considerations 858

Injury—Trauma, Suffocation, Poisoning, risk for 860

Infection, risk for 862

Anxiety [severe/panic] 863

Spiritual Distress 865

Post-Trauma Syndrome, risk for 866

Coping, ineffective community 867

Coping, readiness for enhanced community 867

Pediatric Considerations 872

Pain, acute/chronic 875

Anxiety/Fear 876

Activity Intolerance, [specify level] 877

Growth and Development, risk for delayed 878

Nutrition: less than body requirements, risk for imbalanced 879

Injury, risk for (specify: Trauma, Suffocation, Poisoning) 880

Fluid Volume, risk for imbalanced 881

Family Processes, interrupted 882

Body Temperature, risk for imbalanced 883

Health Maintenance, risk for ineffective 884

Fluid and Electrolyte Imbalances 885

Fluid Balance 885

xxviii

xxix

Hypervolemia (Extracellular Fluid Volume

Excess) 886

Fluid Volume, excess 888

Hypovolemia (Extracellular Fluid Volume

Deficit) 890

Fluid Volume, deficient 891

Sodium 893

Hyponatremia (Sodium Deficit) 893

Electrolyte Imbalance, risk for 896

Hyponatremia (Sodium Excess) 897

Electrolyte Imbalance, risk for 899

Potassium 900

Hypokalemia (Potassium Deficit) 900

Electrolyte Imbalance, risk for 902

Hyperkalemia (Potassium Excess) 903

Electrolyte Imbalance, risk for 905

Calcium 906

Hypocalcemia (Calcium Deficit) 906

Electrolyte Imbalance, risk for 908

Hypercalcemia (Calcium Excess) 909

Electrolyte Imbalance, risk for 911

Magnesium 912

Hypomagnesemia (Magnesium Deficit) 912

Electrolyte Imbalance, risk for 913

Hypermagnesemia (Magnesium Excess) 915

Electrolyte Imbalance, risk for 916

Bibliography 918

Index of Nursing Diagnoses 949

Nursing Care Plans Guidelines for individualizing Client Care Across the Life Span 9th edition eBook

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