Nurse's Pocket Guide

SAMPLE NURSING OUTCOMES & INTERVENTIONS
CLASSIFICATIONS (NOC/NIC)
NOC—Knowledge: Prescribed Activity
NIC—Exercise Promotion
risk for impaired Liver Function
Taxonomy II: Nutrition—Class 4 Metabolism (0000178)
[Diagnostic Division: Food/Fluid]
Submitted 2006
Definition: At risk for liver dysfunction
Risk Factors
Viral infection (e.g., hepatitis A, hepatitis B, hepatitis C,
Epstein-Barr)
HIV co-infection
Hepatotoxic medications (e.g., acetaminophen, statins)
Substance abuse (e.g., alcohol, cocaine)
NOTE: A risk diagnosis is not evidenced by signs and symptoms, as
the problem has not occurred and nursing interventions are
directed at prevention.
Desired Outcomes/Evaluation
Criteria—Client Will:
• Verbalize understanding of individual risk factors that contribute
to possibility of liver damage/failure.
• Demonstrate behaviors, lifestyle changes to reduce risk factors
and protect self from injury.
• Be free of signs of liver failure as evidenced by liver function
studies within normal levels, and absence of jaundice, hepatic
enlargement, or altered mental status.
Actions/Interventions
NURSING PRIORITY NO. 1.To identify individual risk factors/
needs:
• Determine presence of condition(s) as listed in Risk Factors,
noting whether problem is acute (e.g., viral hepatitis, acetaminophen
overdose) or chronic (e.g., alcoholic cirrhosis).
Influences choice of interventions.
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
Diagnostic Studies Pediatric/Geriatric/Lifespan Medications 445
risk for impaired LIVER FUNCTION