Nursing Care Plan for Diverticulitis

Diverticulitis occur when fecal material becomes lodged in these pouches causing inflammation and bacterial invasion. Nursing Diagnosis: Pain related to physical injuring agents (bacterial invasion) causing edema, irritability, spasm of colon. Expected Outcomes: Relief or control of pain evidenced by verbalization that pain reduced or absent. Nursing intervention with rationale: I. Assess for: A. Intermittent abdominal pain in left lower quadrant, cramping. Rationale: Indicates diverticulosis. B. Severity, type of pain, referred back pain,...

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Nursing Care Plan Gestational Diabetes Mellitus | Risk for Fetal Injury

Nursing Care Plan for Gestational Diabetes Mellitus Nursing Diagnosis: Risk for fetal injury related to elevated maternal serum glucose levels, changes in circulation. Desired Outcomes: Display normally reactive NST and negative OCT and/or CST. Be full-term, with size appropriate for gestational age. Nursing intervention and rationale: 1. Determine White’s classification for diabetes; explain classification and significance to client/couple. Rationale: Fetus is at less risk if White’s classification is A, B, or C. The client with classification...

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Nursing Care Plan Gestational Diabetes Mellitus | Risk for Maternal Injury

This nursing care plan for gestational diabetes mellitus is designed for the nursing diagnosis of risk for maternal injury may be related to changes in diabetic control, abnormal blood profile/anemia, tissue hypoxia, altered immune response. Desired Outcomes: Remain normotensive. Maintain normoglycemia, free of signs/symptoms of ketoacidosis. Be free of complications (e.g., infection, placental separation). Nursing intervention with rationale: 1. Note White’s classification for diabetes. Assess degree of diabetic control (Pederson’s criteria). Rationale:...

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Nursing Care Plan for Circumcision

Circumcision is a surgical procedure in which the prepuce (foreskin) of the penis is separated from the glans, and a portion is excised. This elective procedure is performed in the United States based on parental choice for reasons related to hygiene, religion, tradition, social norms, and culture. It is usually performed at 12–24 hr of age or when the infant is considered physically stable. Frequency of this procedure has declined in recent years to approximately 62%. NURSING PRIORITIES 1. Provide parents with sufficient information to make...

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Nursing Diagnosis Generalized Anxiety Disorder | Sleep Pattern Disturbance

This care plan is designed for patients with generalized anxiety disorder with a nursing diagnosis of sleep pattern disturbance may be related to psychological stress; and repetitive thoughts possibly evidenced by reports of difficulty in falling asleep/awakening earlier or later than desired; not feeling rested, and dark circles under eyes; frequent yawning. Desired Outcomes: (1) Verbalize understanding of relationship of anxiety and sleep disturbance; (2) Identify appropriate interventions to promote sleep; and (3) Report improvement in sleep...

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Nursing Care Plan for Seizure | Risk for Ineffective Airway Clearance |

This care plan is designed for patients suffering from seizure disorder with a nursing diagnosis of risk for ineffective airway clearance related to neuromuscular impairment; tracheobronchial obstruction; and perceptual/cognitive impairment. Desired Outcome: Maintain effective respiratory pattern with airway patent/aspiration prevented. Nursing intervention with rationale: 1. Encourage patient to empty mouth of dentures/foreign objects if aura occurs and to avoid chewing gum/sucking lozenges if seizures occur without warning. Rationale: Reduces...

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