N

Narcissistic Personality Disorder

Decisional Conflict r/t lack of realistic problem-solving skills

Defensive Coping r/t grandiose sense of self

Interrupted Family Processes r/t taking advantage of others to achieve own goals

Disturbed personal Identity r/t psychological impairment

Ineffective Relationship r/t lack of mutual support/respect between partners

Impaired individual Resilience r/t psychological disorders

Impaired Social Interaction r/t self-concept disturbance

Risk-prone Health behavior r/t low self-efficacy

Risk for Loneliness r/t inability to interact appropriately with others

Risk for Self-Mutilation: Risk factor: inadequate coping

Narcolepsy

Anxiety r/t fear of lack of control over falling asleep

Disturbed Sleep Pattern r/t uncontrollable desire to sleep

Risk for Trauma: Risk factor: falling asleep during potentially dangerous activity

Readiness for enhanced Sleep: expression of willingness to enhance sleep

Narcotic Use

Risk for Constipation: Risk factor: effects of opioids on peristalsis

See Substance Abuse (if relevant)

Nasogastric Suction

Impaired Oral Mucous Membrane r/t presence of nasogastric tube

Risk for imbalanced Fluid Volume: Risk factor: loss of gastrointestinal fluids without adequate replacement

Risk for dysfunctional Gastrointestinal Motility: Risk factor: blockage in the intestines

Nausea

Nausea: biophysical, situational, treatment-related (See Nausea, Section III)

Near-Drowning

Ineffective Airway Clearance r/t aspiration, impaired gas exchange

Aspiration r/t aspiration of fluid into the lungs

Fear: parental r/t possible death of child, possible permanent and debilitating sequelae

Impaired Gas Exchange r/t laryngospasm, holding breath, aspiration

Grieving r/t potential death of child, unknown sequelae, guilt about accident

Ineffective Health Maintenance r/t parental deficient knowledge regarding safety measures appropriate for age

Hypothermia r/t central nervous system injury, prolonged submersion in cold water

Risk for delayed Development/disproportionate Growth: Risk factors: hypoxemia, cerebral anoxia

Risk for complicated Grieving: Risk factors: potential death of child, unknown sequelae, guilt about accident

Risk for Infection: Risk factors: aspiration, invasive monitoring

Risk for ineffective Cerebral tissue perfusion: Risk factor: hypoxia

Readiness for enhanced Spiritual Well-Being: struggle with survival of life-threatening situation

See Child with Chronic Condition; Hospitalized Child; Safety, Childhood; Terminally Ill Child/Death of Child, Parent

Nearsightedness

Readiness for enhanced Self-Health Management: early diagnosis and appropriate referral for eyeglasses or contact lenses when nearsightedness is suspected; signs that may indicate a vision problem, including sitting close to television, holding books very close when reading, or having difficulty reading the blackboard in school or signs on a wall

Nearsightedness; Corneal Surgery

See LASIK Eye Surgery (Laser-Assisted in Situ Keratomileusis)

Neck Vein Distention

Decreased Cardiac Output r/t decreased contractility of heart resulting in increased preload

Excess Fluid Volume r/t excess fluid intake, compromised regulatory mechanisms

See CHF (Congestive Heart Failure)

Necrosis, Renal Tubular; ATN (Acute Tubular Necrosis); Necrosis, Acute Tubular

See Renal Failure

Necrotizing Enterocolitis (NEC)

Ineffective Breathing Pattern r/t abdominal distention, hypoxia

Diarrhea r/t infection

Disturbed Energy Field r/t illness

Deficient Fluid Volume r/t vomiting, gastrointestinal bleeding

Neonatal Jaundice r/t feeding pattern not well-established

Imbalanced Nutrition: less than body requirements r/t decreased ability to absorb nutrients, decreased perfusion to gastrointestinal tract

Risk for Infection: Risk factors: bacterial invasion of gastrointestinal tract, invasive procedures

Risk for dysfunctional Gastrointestinal Motility: Risk factor: infection

Risk for ineffective Gastrointestinal Perfusion: Risk factors: shunting of blood away from mesenteric circulation and toward vital organs as a result of perinatal stress, hypoxia

See Hospitalized Child; Premature Infant (Child)

Necrotizing Fasciitis (Flesh-Eating Bacteria)

Decreased Cardiac Output r/t tachycardia and hypotension

Fear r/t possible fatal outcome of disease

Grieving r/t poor prognosis associated with disease

Hyperthermia r/t presence of infection

Acute Pain r/t toxins interfering with blood flow

Ineffective peripheral Tissue Perfusion r/t thrombosis of the subcutaneous blood vessels, leading to necrosis of nerve fibers

Ineffective Protection r/t cellulites resistant to treatment

Risk for Shock: Risk factors: infection; sepsis

See Renal Failure; Septicemia; Shock, Septic

Negative Feelings About Self

Self-Neglect r/t negative feelings

Chronic low Self-esteem r/t long-standing negative self-evaluation

Situational low Self-esteem r/t inappropriate learned negative feelings about self

Readiness for enhanced Self-Concept: expresses willingness to enhance self-concept

Neglect, Unilateral

Unilateral Neglect (See Unilateral Neglect, Section III)

Neglectful Care of Family Member

Caregiver Role Strain r/t care demands of family member, lack of social or financial support

Disabled family Coping r/t highly ambivalent family relationships, lack of respite care

Interrupted Family Processes r/t situational transition or crisis

Deficient Knowledge r/t care needs

Impaired individual Resilience r/t vulnerability from neglect

Risk for compromised Human Dignity: Risk factor: inadequate participation in decision-making

Neonatal Jaundice

Neonatal Jaundice (See Neonatal Jaundice, Section III)

Neonate

Readiness for enhanced Childbearing Process: appropriate care of newborn

See Newborn, Normal; Newborn, Postmature; Newborn, Small for Gestational Age (SGA)

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