Nurse's Pocket Guide

E
Dysrhythmia, cardiac MS
risk for decreased Cardiac Output: risk factors may include altered electrical
conduction and reduced myocardial contractility.*
Anxiety [specify level] may be related to perceived threat of death, possibly
evidenced by increased tension, apprehension, and expressed
concerns.
deficient Knowledge [Learning Need] regarding medical condition/
therapy needs may be related to lack of information/misinterpretation
and unfamiliarity with information resources, possibly evidenced
by questions, statement of misconception, failure to improve
on previous regimen, and development of preventable complications.
risk for Activity Intolerance: risk factors may include imbalance
between myocardial O2 supply and demand, and cardiac depressant
effects of certain drugs (-blockers, antidysrhythmics).*
risk for Poisoning, [digitalis toxicity]: risk factors may include limited
range of therapeutic effectiveness, lack of education/proper precautions,
reduced vision/cognitive limitations.*
Eating disorders CH/PSY
(Refer to Anorexia nervosa; Bulimia nervosa; Obesity)
Eclampsia OB
(Refer to Pregnancy-induced hypertension)
Ectopic pregnancy (tubal) OB
(Also refer to Abortion, spontaneous termination)
acute Pain may be related to distention/rupture of fallopian tube, possibly
evidenced by verbal reports, guarding/distraction behaviors, facial mask
of pain, and autonomic responses (diaphoresis, changes in vital signs).
risk for deficient Fluid Volume [isotonic]: risk factors may include hemorrhagic
losses and decreased/restricted intake.*
Anxiety [specify level]/Fear may be related to threat of death and possible
loss of ability to conceive, possibly evidenced by increased tension,
apprehension, sympathetic stimulation, restlessness, and focus on self.
Eczema (dermatitis) CH
Pain/[Discomfort] may be related to cutaneous inflammation and irritation,
possibly evidenced by verbal reports, irritability, and scratching.
risk for Infection: risk factors may include broken skin and tissue
trauma.*
Social Isolation may be related to alterations in physical appearance,
possibly evidenced by expressed feelings of rejection and decreased
interaction with peers.
Edema, pulmonary MS
excess Fluid Volume may be related to decreased cardiac functioning,
excessive fluid/sodium intake, possibly evidenced by dyspnea, presence
of crackles (rales), pulmonary congestion on x-ray, restlessness,
anxiety, and increased central venous pressure (CVP)/pulmonary
pressures.
*A risk diagnosis is not evidenced by signs and symptoms, as the
problem has not occurred and nursing interventions are directed at
prevention.
832 NURSE’S POCKET GUIDE