Sunday, October 15, 2006

# 14

List the relevant nursing diagnoses for the surgical client.

Preoperative Nursing Diagnoses: Deficient Knowledge.
Fear
Disturbed sleep pattern.
Anticipatory grieving.
Ineffective coping.

Intraoperative Nursing DX: Risk for aspiration.
Ineffective protection.
Impaired skin integrity.
Risk for perioperative-positioning Injury.
Risk for imbalanced temperature.
Ineffective tissue perfusion.
Risk for deficient fluid volume deficit.

Postoperative Nursing diagnoses: Acute pain.
Risk for infection.
Risk for injury.
Risk for deficient fluid volume.
Ineffective airway clearance.
Ineffective breathing pattern.
Self care deficit.
(Bathing/Hygiene, dressing, grooming, toileting)
Ineffective Health maintenance.
Disturbed Body image.

Fundamentals pgs: 901, 911, 914

1 comment:

Whiskey.in.a.teacup said...

Just wanted to add from the ATI book...

Preoperative Nursing Diagnoses:
-Deficient Knowledge related to (preop and post-op routines/care)
-Fear related to anticipation of post-op pain
-Disturbed sleep pattern related to hospital routines, stress, anxiety
-Anticipatory grieving related to anticipated surgical loss of body part
-Anxiety related to unknown effects of surgery or usual functions or roles

Intraoperative Nursing Diagnosis:
-Hyperthermia
-Latex allergy response
-RF latex allergy response

Postoperative Nursing diagnoses:
-Altered Urinary elimination
-Impaired gas exchange
-Impaired verbal communication
-Impaired skin integrity
-Impaired physical mobility
-Nausea
-Urinary retention