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Jaundice NCLEX Review and Nursing Care Plans The hepatobiliary system is composed of the liver, gall bladder and the corresponding bile ducts. The primary function of this system is the production of bile, a type of digestive enzyme utilized in the digestion of fat. Jaundice is a medical condition where there is an excess of bile in the circulatory system, producing unwanted effects such as yellowing of the eyes or icteric sclera. Patients of all ages can develop jaundice and causes will depend on various factors. Signs and Symptoms of JaundiceAdult Jaundice The clinical manifestations of jaundice in Adults are as follows:
Infant Jaundice In infants, the clinical manifestations are as follows:
Causes and Risk factors of JaundiceAdult Jaundice In adults, the causes and risk factors of jaundice depend on which phase of bilirubin production and are as follows:
Infant Jaundice The causes of infant jaundice are the following:
The risk factors of neonatal jaundice are:
Complications of JaundiceThe complications of jaundice can be due to the following:
Diagnosis of JaundiceDiagnosing jaundice involves the following:
Treatment for JaundiceAdult Jaundice The treatment for jaundice for adults will depend on the cause of the jaundice.
Infant Jaundice The treatment plan for neonatal jaundice includes the following:
Nursing Diagnosis for JaundiceJaundice Nursing Care Plan 1Nursing Diagnosis: Hyperthermia related to infection and excessive bile in the blood secondary to adult jaundice as evidenced by temperature of 39 degrees Celsius, rapid and shallow breathing, flushed skin, profuse sweating, and weak pulse. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range.
Jaundice Nursing Care Plan 2Nursing Diagnosis: Fatigue related to elevated serum bilirubin levels resulting to adult jaundice, as evidenced by overwhelming lack of energy, verbalization of tiredness, generalized weakness, and shortness of breath upon exertion Desired Outcome: The adult patient will demonstrate active participation in necessary and desired activities and demonstrate increase in activity levels.
Jaundice Nursing Care Plan 3Nursing Diagnosis: Deficient Knowledge related to infant jaundice as evidenced by patient’s mother’s verbalization of “I want to know more about how I can take care of my baby.” Desired Outcome: At the end of the health teaching session, the patient’s mother will be able to demonstrate sufficient knowledge of infant jaundice and its management.
Other possible nursing diagnoses:
Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines and policies and procedures. Please enable JavaScript Nursing Stat FactsThe medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is not intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. |