Nursing Care Plan for Keratoplasty

Keratoplasty is the surgical removal of a scared cornea and transplantation of a donor cornea to treat corneal degeneration and dystrophies, opacities, scarring, injuries. Types of corneal grafts include penetrating, lamellar, keyhole lamellar. Nursing diagnosis for keratoplasty: Anxiety related to threat to health status caused by possible loss of vision or transplant injection. Expected Outcomes: Anxiety within manageable levels of evidenced by verbalizations that anxiety and fear reduced and feeling relaxed. Nursing intervention with rationale: I....

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Nursing Care Plan for Precipitous Labor

Rapid progression of labor, lasting less than 3 hr from onset to delivery, and out-of-hospital delivery are emergency situations that place the client/fetus at increased risk for complications and/or untoward outcomes. The attending nurse may have primary responsibility for the safety of the mother and fetus. NURSING PRIORITIES 1. Promote maternal and fetal/newborn well-being. 2. Provide a physiologically and psychologically safe experience for client and newborn. 3. Prevent complications. Nursing diagnosis of precipitous labor: Anxiety may be...

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Nursing Care Plan for Premature Dilation of the Cervix (Incompetent/Dysfunctional Cervix)

Premature dilation of the cervix often occurs in the 4th or 5th mo and is associated with repeated second-trimester spontaneous abortions accounting for 15%–20% of second-trimester pregnancy losses. NURSING PRIORITIES 1. Evaluate client/fetal status. 2. Assist with efforts to maintain the pregnancy, if possible. 3. Provide emotional support. 4. Provide appropriate instruction/information. DISCHARGE GOALS 1. Client/fetal condition stable following procedure 2. Uterine contractions absent 3. Therapeutic needs and concerns understood Nursing diagnosis...

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Nursing Care Plan for Cesarean Delivery

Cesarean birth is an alternative to vaginal birth only when the safety of the mother and/or fetus is compromised. NURSING PRIORITIES 1. Promote maternal/fetal well-being. 2. Provide client/couple with necessary information. 3. Support client’s/couple’s desires to participate actively in birth experience. 4. Prepare client for surgical procedure. 5. Prevent complications. Nursing Diagnosis: Anxiety may be related to situational crisis, threat to self-concept, perceived/actual threat of maternal and fetal well-being, interpersonal transmission...

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Nursing Care Plan for Prenatal Hemorrhage

Prenatal Hemorrhage may occur early or late in pregnancy, owing to certain physiological problems, each with its own signs and symptoms, which help in establishing a differential diagnosis and in creating the plan of care. This general guide for care is meant to treat hemorrhage in the antepartal client. Where appropriate, interventions specific to each physiological problem are identified. NURSING PRIORITIES 1. Determine client/fetal status. 2. Maintain circulating fluid volume. 3. Assist with efforts to sustain the pregnancy, if possible. 4....

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Nursing Care Plan for Prenatal Substance Dependence/Abuse

Substance Dependence/Abuse is a continuum of phases incorporating a cluster of cognitive, behavioral, and physiological symptoms that include loss of control over use of the substance and continued use of the substance, despite adverse maternal/fetal consequences (e.g., poor nutrition/weight gain, anemia, predisposition to infection, PIH, fetal defects/IUGR, fetal alcohol syndrome [FAS]). The drugs most often abused are alcohol, cocaine (crack), heroin, methamphetamine, barbiturates, marijuana, and phencyclidine (PCP). Care depends on the degree...

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