V

VAD (Ventricular Assist Device)

See Ventricular Assist Device (VAD)

Vaginal Hysterectomy

Urinary Retention r/t edema at surgical site

Risk for urge urinary Incontinence: Risk factors: edema, congestion of pelvic tissues

Risk for Infection: Risk factor: surgical site

Risk for Perioperative Positioning Injury: Risk factor: lithotomy position

See Postpartum Hemorrhage

Vaginitis

Impaired Comfort r/t pruritus, itching

Ineffective Health Maintenance r/t deficient knowledge regarding self-care with vaginitis

Ineffective Sexuality Pattern r/t abstinence during acute stage, pain

Vagotomy

See Abdominal Surgery

Value System Conflict

Decisional Conflict r/t unclear personal values or beliefs

Spiritual Distress r/t challenged value system

Readiness for enhanced Spiritual Well-Being: desire for harmony with self, others, higher power, God

Varicose Veins

Ineffective Health Maintenance r/t deficient knowledge regarding health care practices, prevention, treatment regimen

Chronic Pain r/t impaired circulation

Ineffective peripheral Tissue Perfusion r/t venous stasis

Risk for impaired Skin Integrity: Risk factor: altered peripheral tissue perfusion

Vascular Dementia (Formerly Called Multiinfarct Dementia)

See Dementia

Vascular Obstruction, Peripheral

Anxiety r/t lack of circulation to body part

Acute Pain r/t vascular obstruction

Ineffective peripheral Tissue Perfusion r/t interruption of circulatory flow

Risk for Peripheral Neurovascular Dysfunction: Risk factor: vascular obstruction

Vasectomy

Decisional Conflict r/t surgery as method of permanent sterilization

Vasocognopathy

See Alzheimer’s Disease; Dementia

Venereal Disease

See STD (Sexually Transmitted Disease)

Ventilation, Impaired Spontaneous

Impaired Spontaneous Ventilation (See Spontaneous Ventilation, impaired, Section III)

Ventilator Client

Ineffective Airway Clearance r/t increased secretions, decreased cough and gag reflex

Ineffective Breathing Pattern r/t decreased energy and fatigue as a result of possible altered nutrition: less than body requirements

Impaired verbal Communication r/t presence of endotracheal tube, decreased mentation

Fear r/t inability to breathe on own, difficulty communicating

Impaired Gas Exchange r/t ventilation-perfusion imbalance

Powerlessness r/t health treatment regimen

Social Isolation r/t impaired mobility, ventilator dependence

Impaired Spontaneous Ventilation r/t metabolic factors, respiratory muscle fatigue

Dysfunctional Ventilatory Weaning Response r/t psychological, situational, physiological factors

Risk for Latex Allergy Response: Risk factor: repeated exposure to latex products

Risk for Infection: Risk factors: presence of endotracheal tube, pooled secretions

Risk for compromised Resilience: Risk factor: illness

See Child with Chronic Condition; Hospitalized Child; Respiratory Conditions of the Neonate

Ventilatory Weaning Response, Dysfunctional (DVWR)

Dysfunctional Ventilatory Weaning Response (See Ventilatory Weaning Response, dysfunctional, Section III)

Ventricular Assist Device (VAD)

Risk for Vascular Trauma: Risk factor: insertion site

Readiness for enhanced Decision-Making: expresses desire to enhance the understanding of the meaning of choices regarding implanting a ventricular assist device

See Open Heart Surgery

Ventricular Fibrillation

See Dysrhythmia

Vertigo

See Syncope

Violent Behavior

Risk for other-directed Violence (See Violence, other-directed, risk for, Section III)

Risk for self-directed Violence (See Violence, self-directed, risk for, Section III)

Viral Gastroenteritis

Diarrhea r/t infectious process, rotavirus, Norwalk virus

Ineffective Self-Health Management r/t inadequate handwashing

Risk for dysfunctional Gastrointestinal Motility: Risk factor: infection

See Gastroenteritis, Child

Vision Impairment

Fear r/t loss of sight

Social Isolation r/t altered state of wellness, inability to see

Vision Loss r/t impaired visual function; integration; reception; and or transmission

Risk for compromised Resilience: Risk factor: presence of new crisis

See Blindness; Cataracts; Glaucoma

Vomiting

Nausea r/t chemotherapy, postsurgical anesthesia, irritation to the gastrointestinal system, stimulation of neuropharmacological mechanisms

Risk for Electrolyte Imbalance: Risk factor: vomiting

Risk for imbalanced Fluid Volume: Risk factors: decreased intake, loss of fluids with vomiting

Risk for imbalanced Nutrition: less than body requirements: Risk factor: inability to ingest food

von Recklinghausen’s Disease

See Neurofibromatosis