Nanda Nursing Diagnosis

Nursing Diagnosis for Plan Tuberculosis (TB) : Ineffective airway clearance related to the accumulation of purulent secretions in the airway. Goal: Airway clearance back effectively. Nursing Interventions: Assess respiratory function, for example; breath sounds, speed and rhythm. Give the patient semi-Fowler's position or high Fowler effectively assist the patient to cough and deep breathing exercises. Maintain fluid intake at least 2500 ml / day, except, contra indications. Collaboration for the administration of drugs according to indications, mucolytic drugs. Rational: Decreased breath sounds may indicate atelectasis, crackles, wheezing showed accumulation of secretions inability to clean the airway. The position helps maximize lung expansion and lower respiratory effort. High input of fluids helps to thin the secretions, making it easily removed. Mucolytic agents decrease the viscosity and adhesion of lung secretions for easy cleaning. Nursing Diagnosis for Plan Tuberculosis (...

Nursing Care Plan for Prostate Cancer -  Assessment and 6 Nursing Diagnosis Definition Prostate cancer is the development of cancer in the prostate, a gland in the male reproductive system. Etiology As with other malignant tumors, the etiology of prostate cancer is not known precisely. There is a link with inflammation or hormones. Nearly 75% of prostate cancers are found in the posterior part of the medial lobe, and almost entirely from parts close to the hoop. There is the opinion noted that there are three times more likely the case because there is a history of the father or grandfather of prostate cancer. Prostate carcinoma is a malignant tumor that is often found in older men (50% of all malignant tumors of men) aged over 50 years and will rise sharply at the age of 80 years. Signs and Symptoms The onset of signs and symptoms usually after an advanced stage that is the enlargement of the prostate, because at the beginning of a difficult palpable in touche rectal examination. ...

Nursing Care Plan for Cesarean Section Nursing Diagnosis : Risk for Injury related to biochemical function or regulation, the effects of anesthesia, tissue trauma. Goal: Demonstrate behaviors to reduce risk factors and / or self-protection. Free from complications. Itervention: 1. Review the prenatal and intra prenatal record, the factors of clients in complications. Rationale: The presence of risk factors such as fatigue miometrial, excessive uterine distension, slow oxytocin stimulation, or thrombophlebitis a prenatal, allowing clients more susceptible to post-operative complications. 2. Monitor blood pressure, pulse and temperature. Note the skin is cold, wet, weak pulse and subtle, changes in behavior, delayed capillary refill, or cyanosis. Rationale: High blood pressure can indicate the occurrence or continuation of hypertension. Hypotension and tachycardia may indicate dehydration and hypovolemia but may not occur until the circulating blood volume has been decreased to 35% - 50...

Nursing Diagnosis for Cesarean Section : Acute pain related to surgical trauma, anesthesia, hormonal effects, distended bladder / abdomen. Goal: Identify and use interventions to treat pain / discomfort appropriately. Reveal a reduction in pain. Relaxed able to sleep / rest. Intervention: 1. Determine the characteristics and location of discomfort. Pay attention to verbal and non-verbal cues such as grimacing, stiffness, and limited movement or protect. Rationale: The client may not be verbally reported pain and discomfort directly. Distinguish specific characteristics of pain and postoperative pain helps distinguish from complications. 2. Evaluation of blood pressure and pulse, note the change in behavior change. Rationale: Pain can cause restlessness and increased blood pressure and pulse. 3. Change the position of the client, reduce harmful stimuli, and give a back rub. Encourage the use of breathing techniques, relaxation and distraction. Rationale: muscle relaxes and distracts fr...

Nursing Care Plan for Down's Syndrome Assessment 1. During the neonatal period, which needs to be studied: The state of the body temperature, especially the neonatal period. Nutritional needs / food. The state of hearing and sight. Assessment of cognitive abilities and mental development of children. Children's ability to communicate and socialize. Motor skills. The ability of the family in caring for down syndrome premises, especially on the progress of the child's mental development. 2. Assessment of motor skills. 3. Assessment of cognitive abilities and mental development. 4. Assessment of the child's ability to communicate. 5. A hearing test, vision and bone abnormalities. 6. How family adjustment to diagnosis and progress of mental development. Nursing Diagnosis for Down's Syndrome 1. Imbalanced nutrition less than body requirements related to difficulty feeding due to tongue far and high palate. 2. Risk for injury related to reduced hearing ability. 3. Ineffec...

Nursing Diagnosis and Interventions for Bronchopneumonia - 1. Ineffective airway clearance related to accumulation of secretions. Goal: Airway clearance back effectively. Outcomes: secretions can come out. Interventions: Monitor respiratory status every 2 hours, assess the increase in respiratory and abnormal breath sounds. Do suction as indicated. Give oxygen therapy every 6 hours. Create an environment / convenient so patients can sleep. Give a comfortable position for the patient. Monitor blood gas analysis to assess respiratory status. Perform chest percussion. Provide sputum for culture / sensitivity test. 2. Impaired gas exchange related to changes in alveolar capillaries. Goal: back to normal gas exchange. Outcomes: The client showed improved ventilation, gas exchange and oxygenation optimally adequately. Interventions: Observation of level of consciousness, respiratory status, signs cianosis. Give appropriate sleeping position fowler / semi-Fowler. Give oxygen according to th...

Nursing Care Plan for Bronchopneumonia Definition Bronchopneumonia is an inflammation of the lungs that affects one or more lobes of the lungs characterized by patches of infiltrates (Whalley and Wong, 1996). Bronchopneumonia is the frequency of pulmonary complications, long productive cough, signs and symptoms usually increased temperature, increased pulse rate, increased respiration (Suzanne G. Bare, 1993). Bronchopneumonia also called lobularis pneumonia, is inflammation of the lungs caused by bacteria, viruses, mold and foreign objects (Sylvia Anderson, 1994). Etiology Bacteria : Diplococcus Pneumoniae, Pneumococcus, Streptococcus Haemolyticus Aureus, Haemophilus Influenzae, Bacillus Friedlander, Mycobacterium Tuberculosis. Virus : Respiratory syncytial virus, influenza virus, citomegalic virus. Fungi : Histoplasma capsulatum, Cryptococcus Nepromas, Blastomyces Dermatitidis, Coccidioides Immitis, Aspergillus Sp, Candida Albicans, Mycoplasma Pneumonia. Foreign body aspiration: Facto...