Nursing Education Site
Nursing Diagnosis with Nursing Interventions and Rationales.
Hematuria is blood in the urine. It can be gross (visible: pink, red, or cola-colored urine, sometimes with clots) or microscopic (seen only under the microscope). Hematuria is a finding, not a NANDA-I label, so the nursing diagnosis depends on what the bleeding is doing to the client. The most common nursing diagnoses are Impaired … See Nursing Diagnoses
A hydatidiform mole (molar pregnancy) is an abnormal pregnancy in which the placental tissue (trophoblast) overgrows into fluid-filled vesicles and a normal fetus does not develop. It is the most common form of gestational trophoblastic disease. The priority NANDA-I nursing diagnosis is usually Risk for Bleeding, because the overgrown tissue is very vascular and bleeding … See Nursing Diagnoses
Cellulitis is a bacterial infection of the deeper layers of the skin (the dermis) and the fat just under it (subcutaneous tissue), causing a spreading area of redness, warmth, swelling, and pain, most often on one lower leg. The main NANDA-I nursing diagnosis is Impaired Skin Integrity, because bacteria entered through a break in the … See Nursing Diagnoses
Psychosis is a state in which a person loses contact with reality, most often through hallucinations, delusions, or disorganized thinking and speech. The main NANDA-I nursing diagnosis is Disturbed Thought Process, because the client’s beliefs and reasoning no longer match what is real. Common companion diagnoses are Risk for Other-Directed Violence or Risk for Self-Directed … See Nursing Diagnoses
Edema is swelling caused by extra fluid trapped in the spaces between the body’s cells. The main NANDA-I nursing diagnosis is Excessive Fluid Volume when the body is holding too much fluid, as in heart failure, kidney disease, or liver disease. Common companion diagnoses are Risk for Impaired Skin Integrity because swollen skin is stretched … See Nursing Diagnoses