Nurse's Pocket Guide: Diagnoses, Interventions, and by Marilynn E. Doenges APRN BC-retired, Mary Frances Moorhouse

By Marilynn E. Doenges APRN BC-retired, Mary Frances Moorhouse RN MSN CRRN LNC, Alice C. Murr BSN RN-retired

Beth-El collage of Nursing and well-being Sciences, Colorado Springs, CO. Pocket-sized define aids scholars and nurses settling on interventions in general linked to nursing diagnoses. comprises an alphabetical directory of latest and revised nursing diagnoses throughout the newest NANDA convention. earlier version: c2000. Softcover. DNLM: Nursing Diagnosis--Handbooks.

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Extra info for Nurse's Pocket Guide: Diagnoses, Interventions, and Rationales

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A. Davis Company Food/Fluid SUBJECTIVE (REPORTS) Usual diet (type): 2400 calorie (occ. ”) No. of meals daily: 3/1 snack Dietary pattern: B: fruit juice/toast/ham/decaf coffee L: meat/potatoes/veg/fruit/milk D: meat sandwich/soup/fruit/decaf coffee Snack: milk/crackers at hs. ” Nausea/Vomiting: 0 Food allergies: none Heartburn/food intolerance: cabbage causes gas, coffee after supper causes heartburn Mastication/swallowing problems: no Dentures: partial upper plate — fits well Usual weight: 175 lb Recent changes: has lost about 5 lb this month Diuretic therapy: no OBJECTIVE (EXHIBITS) Wt: 171 lb Ht: 5 ft 10 in Build: stocky Skin turgor: good/leathery Appearance of tongue: midline, pink Mucous membranes: pink, intact Condition of teeth/gums: good, no irritation/bleeding noted Breath sounds: few wheezes cleared with cough Bowel sounds: active all 4 quads Urine Chemstix: 2% Fingerstick: 356 (Dr.

Davis Company Food/Fluid SUBJECTIVE (REPORTS) Usual diet (type): 2400 calorie (occ. ”) No. of meals daily: 3/1 snack Dietary pattern: B: fruit juice/toast/ham/decaf coffee L: meat/potatoes/veg/fruit/milk D: meat sandwich/soup/fruit/decaf coffee Snack: milk/crackers at hs. ” Nausea/Vomiting: 0 Food allergies: none Heartburn/food intolerance: cabbage causes gas, coffee after supper causes heartburn Mastication/swallowing problems: no Dentures: partial upper plate — fits well Usual weight: 175 lb Recent changes: has lost about 5 lb this month Diuretic therapy: no OBJECTIVE (EXHIBITS) Wt: 171 lb Ht: 5 ft 10 in Build: stocky Skin turgor: good/leathery Appearance of tongue: midline, pink Mucous membranes: pink, intact Condition of teeth/gums: good, no irritation/bleeding noted Breath sounds: few wheezes cleared with cough Bowel sounds: active all 4 quads Urine Chemstix: 2% Fingerstick: 356 (Dr.

A. Davis Company Avoids direct pressure to area of injury, which could result in vasoconstriction/ increased pain. Provides relief of discomfort when unrelieved by other measures. ” Outcome: Knowledge: Diabetes Management (NOC) Indicators: Patient Will: Verbalize understanding of relationship between chronic disease (diabetes mellitus) and circulatory changes within 48 hr (6/30 1900). Demonstrate awareness of safety factors/proper foot care within 48 hr (6/30 1900). Maintain adequate level of hydration to maximize perfusion, as evidenced by balanced intake/output, moist skin/mucous membranes, adequate capillary refill less than 4 seconds (ongoing).

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