Brunner and Suddarth's Textbook of Medical-Surgical Nursing,9780781715751

Brunner and Suddarth's Textbook of Medical-Surgical Nursing

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Edition: 9th
ISBN13: 9780781715751
ISBN10: 078171575X
Format: Hardcover
Pub. Date: 1999-11-12
Publisher(s): LWW
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List Price: $91.95

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Summary

Meticulously revised and completely updated, this best-selling medical-surgical nursing text is the ultimate resource for meeting today's nursing challenges. Numerous illustrations and charts provide the reader with easily accessible information. The Ninth Edition features new chapters: Individual and Family Considerations Related to Illness, Hypertension, and Neurological Trauma. Every chapter provides the reader with a glossary of key terms for quick access to definitions, while gerontologic considerations are highlighted throughout. A free CD-ROM is included, and a companion Web page on Lippincott's BookLink keeps content up to date, and provides additional teaching and learning aids for the instructor and student. Risk factors, patient and community-based nursing care, collaborative problems, and nursing research boxes are a few of the numerous features that help make this text a comprehensive and highly organized resource for today's medical-surgical nurse. A Study Guide and Handbook are also sold separately to enhance teaching and learning techniques.

Table of Contents

UNIT 1 Basic Concepts in Nursing Practice 1(68)
Health Care Delivery and Nursing Practice
3(12)
The Health Care Industry and the Nursing Profession
4(1)
Nursing Defined
4(1)
The Patient/Client: Consumer of Nursing and Health Care
4(1)
Health Care in Transition
4(1)
Health and Health Promotion
5(1)
Forces Influencing Health Care
5(6)
Population Demographics
5(1)
Changing Pattern of Disease
6(1)
Technology
6(1)
Economic Changes
6(1)
Demand for Quality Care
7(1)
Alternative Health Care Delivery Systems
8(1)
Managed Care
9(1)
Case and Care Management
9(1)
Clinical Pathways and Care Mapping
9(2)
Nursing Delivery Systems
11(2)
Roles of the Nurse
11(1)
Nursing Care Delivery
11(2)
Advanced Practice Nursing
13(1)
Collaborative Practice
13(2)
Community-Based Nursing Practice
15(7)
The Growing Need for Community-Based Health Care
16(1)
Community/Public Health Care
16(1)
Home Health Care
16(4)
Hospital Versus Community-Based Nursing Care
17(1)
Discharge Planning for Home Care
18(1)
Community Resources and Referrals
18(1)
Preparing for a Home Visit
18(1)
Personal Safety Precautions
18(1)
Conducting a Home Visit
18(1)
Determining the Need for Future Visits
19(1)
Closing the Visit
19(1)
Other Community-Based Health Care Settings
20(2)
Ambulatory Settings
20(1)
Occupational Health Programs
20(1)
School Health Programs
20(1)
Care for the Homeless
20(2)
Critical Thinking, Ethical Decision Making, and the Nursing Process
22(18)
Critical Thinking
23(1)
Characteristics of Critical Thinking and Critical Thinkers
23(1)
Critical Thinking in Nursing Practice
23(1)
Ethical Nursing Care
24(1)
Domain of Nursing Ethics
24(4)
Ethics Versus Morality
24(1)
Ethics Theories
24(1)
Approaches to Ethics
25(1)
Moral Situations
25(1)
Types of Ethical Problems in Nursing
26(2)
Preventive Ethics
28(1)
Advance Directives
28(1)
Ethical Decision Making
28(1)
Steps of the Nursing Process
28(1)
Assessment
29(2)
Health History
29(1)
Physical Assessment
30(1)
Other Components of the Database
30(1)
Recording the Database
30(1)
Diagnosis
31(3)
Nursing Diagnosis
31(2)
Collaborative Problems
33(1)
Planning
34(1)
Setting Priorities
34(1)
Establishing Goals
34(1)
Establishing Expected Outcomes
34(1)
Determining Nursing Actions
34(1)
Implementation
35(1)
Evaluation
36(4)
Health Education and Promotion
40(11)
Health Education Today
41(1)
The Purpose of Health Education
41(1)
Adherence to the Therapeutic Regimen
41(1)
Gerontologic Considerations
42(1)
The Nature of Teaching and Learning
42(2)
Learning Readiness
42(1)
The Learning Environment
43(1)
Teaching Technique
43(1)
Gerontologic Considerations
43(1)
The Nursing Process in Patient Teaching
44(2)
Assessment
44(1)
Nursing Diagnosis
44(1)
Planning
44(1)
Implementation
45(1)
Evaluation
45(1)
Health Promotion
46(2)
Health and Wellness
46(1)
Health-Promotion Models
47(1)
Definition of Health Promotion
47(1)
Health-Promotion Principles
47(1)
Health Promotion Throughout the Life Span
48(1)
Children and Adolescents
48(1)
Young and Middle-aged Adults
48(1)
Elderly Adults
48(1)
Implications for Nursing
49(2)
Health Assessment
51(18)
The Role of the Nurse in Assessment
52(1)
Basic Guidelines for Conducting a Health Assessment
52(1)
Ethical Use of History or Physical Examination Data
52(1)
The Health History
52(5)
The Informant
52(1)
Content of the Health History
53(4)
Gerontologic Considerations
57(1)
Other Health History Formats
57(1)
Physical Assessment
57(3)
Inspection
58(1)
Palpation
59(1)
Percussion
59(1)
Auscultation
59(1)
The Nutritional Assessment
60(6)
Anthropometric Measurements
60(2)
Biochemical Assessment
62(1)
Clinical Examination
63(1)
Dietary Intake
63(1)
Dietary Intake
63(1)
Conducting the Dietary Interview
63(1)
Cultural Considerations
64(1)
Evaluating the Dietary Information
64(1)
Factors Influencing Nutritional Status in Varied Situations
64(1)
Analysis of Nutritional Status
64(1)
Gerontologic Considerations
64(2)
Assessment in the Home and Community
66(3)
UNIT 2 Biophysical and Psychosocial Concepts in Nursing Practice 69(104)
Homeostasis, Stress, and Adaptation
71(18)
Stress and Function
72(1)
Dynamic Balance: The Steady State
72(1)
Historical Theories of the Steady State
72(1)
Stress and Adaptation
72(1)
Stressors: Threats to the Steady State
73(5)
Types of Stressors
73(1)
Stress as a Stimulus for Disease
73(1)
Psychological Responses to Stress
73(1)
Physiologic Response to Stress
74(3)
Maladaptive Responses to Stress
77(1)
Indicators of Stress
78(1)
Nursing Implications
78(1)
Stress at the Cellular Level
78(6)
Control of the Steady State
79(1)
Cellular Adaptation
79(1)
Cellular Injury
80(2)
Cellular Response to Injury: Inflammation
82(1)
Cellular Healing
83(1)
Nursing Implications
83(1)
Stress Management: Nursing Interventions
84(5)
Promoting a Health Lifestyle
84(1)
Enhancing Coping Strategies
84(1)
Teaching Relaxation Techniques
85(1)
Educating
86(1)
Enhancing Social Support
86(1)
Recommending Support and Therapy Groups
87(2)
Individual and Family Considerations Related to Illness
89(13)
Holistic Approach to Health and Health Care
90(1)
The Brain and Physical and Emotional Health
90(1)
Emotional Health and Emotional Distress
90(2)
Family Health and Distress
92(1)
Nursing Implications
92(1)
Anxiety
93(1)
Nursing Implications
93(1)
Posttraumatic Stress Disorder
94(1)
Nursing Implications
94(1)
Depression
94(2)
Nursing Implications
96(1)
Substance Abuse
96(1)
Nursing Implications
96(1)
Loss and Grief
97(1)
Nursing Implications
97(1)
Death and Dying
98(1)
Death and Dying Frameworks
98(1)
Nursing Implications
98(1)
Spirituality and Spiritual Distress
98(4)
Nursing Implications
99(3)
Perspectives in Transcultural Nursing
102(8)
Definitions of Culture
103(1)
Subcultures and Minorities
103(1)
Transcultural Nursing
103(1)
Culturally Competent Nursing Care
104(1)
Cross-Cultural Communication
104(1)
Culturally Mediated Characteristics
105(1)
Space and Distance
105(1)
Eye Contact
105(1)
Time
105(1)
Touch
105(1)
Observance of Holidays
105(1)
Diet
106(1)
Causes of Illness
106(1)
Folk Healers
107(1)
Cultural Assessment
107(1)
Additional Cultural Considerations: Know Thyself
107(1)
The Future of Transcultural Nursing Care
108(2)
Chronic Illness
110(9)
The Phenomenon of Chronicity
111(2)
Definition of Chronic Conditions
111(1)
Prevalence and Causes of Chronic Conditions
111(2)
The Implications of Chronicity
113(4)
The Problems of Managing Chronic Care Conditions
114(1)
Implications for Nursing
114(1)
Phases of Chronic Illness
114(1)
Care by Phase: Applying the Nursing Process
115(2)
Promoting Home and Community-Based Care
117(2)
Teaching Patients Self-Care
117(1)
Continuing Care
117(2)
Principles and Practices of Rehabilitation
119(29)
Focus of Rehabilitation
120(1)
The Rehabilitation Team
120(1)
Team Members
120(1)
Areas of Specialty Practice in Rehabilitation
120(1)
Assessing Functional Abilities
121(1)
The Patient With Self-Care Deficit---Activities of Daily Living
122(1)
Assessment
122(1)
Nursing Diagnosis
122(1)
Planning and Goals
122(1)
Nursing Interventions
122(1)
Evaluation
123(1)
The Patient With Impaired Physical Mobility
123(12)
Assessment
123(1)
Nursing Diagnosis
124(1)
Planning and Goals
124(1)
Nursing Interventions
124(11)
Evaluation
135(1)
The Patient With Impaired Skin Integrity
135(6)
Assessment of Factors Contributing to Pressure Ulcers
135(2)
Nursing Diagnosis
137(1)
Planning and Goals
137(1)
Nursing Interventions
137(4)
Evaluation
141(1)
The Patient With Altered Elimination Patterns
141(2)
Assessment
141(1)
Nursing Diagnosis
142(1)
Planning and Goals
142(1)
Nursing Interventions
142(1)
Evaluation
143(1)
Sexuality Issues
143(1)
Coping with Fatigue
144(1)
Promoting Home and Community-Based Care
144(4)
Continuing Care
144(2)
Americans With Disabilities Act
146(2)
Health Care of the Older Adult
148(25)
Caring for Older Adults
149(1)
Demographics of Aging
149(1)
Psychosocial Aspects of Aging
149(1)
Stress and Coping in the Older Adult
150(1)
Developmental Theories of Aging
150(1)
Sociologic Theories of Aging
150(1)
Cognitive Aspects of Aging
150(1)
Intelligence
151(1)
Learning and Memory
151(1)
Normal Biologic Aging
151(1)
Body System Changes and Health Promotion Activities
151(5)
Cardiovascular System
151(2)
Respiratory System
153(1)
Integumentary System
153(1)
Reproductive System
153(1)
Genitourinary System
153(1)
Gastrointestinal System
154(1)
Nutritional Health
154(1)
Musculoskeletal System
154(1)
Nervous System
155(1)
Sensory System
155(1)
Mental Health Disorders
156(1)
Depression
156(1)
Delirium
157(1)
Alzheimer's Disease and Other Dementias
157(5)
Multi-Infarct Dementia
159(1)
Alzheimer's Disease
159(3)
Geriatric Syndromes: Multiple Problems With Multiple Etiologic Factors
162(2)
Impaired Mobility
162(1)
Dizziness
162(1)
Falls and Falling
163(1)
Urinary Incontinence
163(1)
Aids in Older Adults
164(1)
Medications and the Elderly
164(1)
Altered Pharmacokinetics
164(1)
Nursing Implications
164(1)
The Older Person in the Community
165(2)
Family
166(1)
The Home Environment
166(1)
Community Programs and Health Services
167(1)
Ethical and Legal Issues Affecting the Older Adult
167(1)
The Older Adult in an Acute Care Setting: Altered Responses to Illness
168(1)
Increased Susceptibility to Infection
168(1)
Altered Febrile and Pain Responses
168(1)
Altered Emotional Impact
169(1)
Altered Systemic Response
169(1)
The Older Adult in a Protected Environment
169(4)
UNIT 3 Concepts and Challenges in Patient Management 173(140)
Pain Management
175(27)
Overview
176(1)
Types of Pain
176(1)
Acute Pain
176(1)
Chronic (Nonmalignant) Pain
176(1)
Cancer-Related Pain
177(1)
Harmful Effects of Pain
177(1)
Acute Pain
177(1)
Chronic Pain
177(1)
Neurophysiologic Mechanisms of Pain
177(4)
Pain Transmission
177(2)
Dorsal Horn and Ascending Pathways
179(1)
Descending Control System
180(1)
Nursing Assessment of Pain
181(4)
Goals for Pain Relief
181(1)
Tools for Assessing Perception of Pain
181(1)
Guidelines for Using Pain Assessment Scales
182(1)
Assessment of Physiologic and Behavioral Responses to Pain
183(2)
Nurse's Role in Pain Management
185(1)
Identifying Goals for Pain Management
185(1)
Establishing the Nurse-Patient Relationship and Teaching
186(1)
Providing Physical Care
186(1)
Managing Anxiety Related to Pain
186(1)
Pain Management Strategies
186(13)
Pharmacologic Interventions
187(8)
Nonpharmacologic Interventions
195(2)
Promoting Home and Community-Based Care
197(2)
Evaluating Pain Management Strategies
199(3)
Expected Outcomes
199(3)
Fluid and Electrolytes: Balance and Disturbances
202(42)
Fundamental Concepts
203(5)
Amount and Composition of Body Fluids
203(1)
Electrolytes
203(1)
Regulation of Body Fluid Compartments
204(1)
Routes of Gains and Losses
205(1)
Laboratory Tests for Evaluating Fluid Status
205(1)
Homeostatic Mechanisms
206(2)
Gerontologic Considerations
208(1)
Fluid Volume Disturbances
208(5)
Fluid Volume Deficit (Hypovolemia)
208(4)
Fluid Volume Excess (Hypervolemia)
212(1)
Electrolyte Imbalances
213(16)
Significance of Sodium
213(2)
Sodium Deficit (Hyponatremia)
215(2)
Sodium Excess (Hypernatremia)
217(1)
Significance of Potassium
218(1)
Potassium Deficit (Hypokalemia)
218(2)
Potassium Excess (Hyperkalemia)
220(1)
Significance of Calcium
221(1)
Calcium Deficit (Hypocalcemia)
222(1)
Calcium Excess (Hypercalcemia)
223(1)
Significance of Magnesium
224(1)
Magnesium Deficit (Hypomagnesemia)
225(1)
Magnesium Excess (Hypermagnesemia)
226(1)
Significance of Phosphorus
226(1)
Phosphorus Deficit (Hypophosphatemia)
227(1)
Phosphorus Excess (Hyperphosphatemia)
227(1)
Significance of Chloride
228(1)
Chloride Deficit (Hypochloremia)
228(1)
Chloride Excess (Hyperchloremia)
229(1)
Acid-Base Disturbances
229(4)
Buffer Systems
229(1)
Acute and Chronic Metabolic Acidosis (Base Bicarbonate Deficit)
229(1)
Acute and Chronic Metabolic Alkalosis (Base Bicarbonate Excess)
230(1)
Acute and Chronic Respiratory Acidosis (Carbonic Acid Excess)
231(1)
Acute and Chronic Respiratory Alkalosis (Carbonic Acid Deficit)
232(1)
Mixed Acid-Base Disorders
232(1)
Parenteral Fluid Therapy
233(11)
Purpose
233(1)
Types of IV Solutions
233(1)
Nursing Management of the Patient Receiving IV Therapy
234(10)
Shock and Multisystem Failure
244(19)
Significance of Shock
245(1)
Conditions Precipitating Shock
245(2)
Classification of Shock
245(1)
Normal Cellular Function
245(1)
Pathophysiology
245(2)
Stages of Shock
247(3)
Compensatory Stage
247(1)
Progressive Stage
248(2)
Irreversible Stage
250(1)
Overall Management Strategies in Shock
250(2)
Fluid Replacement
251(1)
Vasoactive Medication Therapy
251(1)
Nutritional Support
252(1)
Hypovolemic Shock
252(2)
Cardiogenic Shock
254(3)
Distributive Shock
257(3)
Septic Shock
257(2)
Neurogenic Shock
259(1)
Anaphylactic Shock
259(1)
Multiple Organ Dysfunction Syndrome
260(3)
Oncology: Nursing Management in Cancer Care
263(50)
Epidemiology
264(1)
Pathophysiology of the Malignant Process
264(5)
Proliferative Patterns
265(1)
Characteristics of Malignant Cells
266(1)
Invasion and Metastasis
266(1)
Carcinogenesis
267(1)
Etiology
268(1)
Role of the Immune System
269(1)
Detection and Prevention of Cancer
269(1)
Primary Prevention
270(1)
Secondary Prevention
270(1)
Diagnosis of Cancer and Related Nursing Considerations
270(2)
Tumor Staging and Grading
272(1)
Management of Cancer
272(23)
Surgery
272(2)
Radiation Therapy
274(2)
Chemotherapy
276(5)
Bone Marrow Transplantation
281(10)
Hyperthermia
291(1)
Biologic Response Modifiers
292(2)
Photodynamic Therapy
294(1)
Gene Therapy
294(1)
Unproven and Unconventional Therapies
295(1)
The Patient With Cancer
295(9)
Assessment
295(2)
Diagnosis
297(1)
Planning and Goals
298(1)
Nursing Interventions
298(5)
Evaluation
303(1)
Cancer Rehabilitation
304(1)
Gerontologic Considerations
304(1)
Age-Related Physiologic Changes
304(1)
Other Age-Related Concerns
305(1)
Care of the Patient with Advanced Cancer
305(1)
Hospice
305(1)
Oncologic Emergencies
305(8)
UNIT 4 Perioperative Concepts and Nursing Management 313(58)
Preoperative Nursing Management
315(14)
Perioperative and Perianesthesia Nursing
316(1)
Surgical Classifications
316(1)
Informed Consent
317(1)
Preparing the Patient for Surgery
318(1)
Assessment
318(1)
Nursing Diagnoses
319(1)
Planning and Goals
319(1)
Nursing Interventions
319(1)
Evaluation
319(1)
Psychosocial Nursing Assessment and Interventions
319(1)
Alleviating Fear
319(1)
Respecting Spiritual and Cultural Beliefs
319(1)
General Physical Assessment
320(3)
Nutritional Status
320(1)
Drug or Alcohol Use
320(1)
Respiratory Status
320(1)
Cardiovascular Status
320(1)
Hepatic and Renal Function
320(1)
Endocrine Function
321(1)
Immunologic Function
322(1)
Previous Medication Therapy
322(1)
Assessing the Ambulatory Surgical Patient
322(1)
Gerontologic Considerations
322(1)
Preoperative Patient Education
323(1)
Teaching Deep Breathing and Coughing Exercises
323(1)
Encouraging Mobility and Active Body Movement
324(1)
Explaining Pain Management
324(1)
Teaching Cognitive Coping Strategies
324(1)
Providing Information
324(1)
Teaching the Ambulatory Surgical Patient
324(1)
Preoperative Nursing Interventions
324(2)
Managing Nutrition and Fluids
324(2)
Preparing the Bowel for Surgery
326(1)
Preparing the Skin
326(1)
Immediate Preoperative Nursing Interventions
326(3)
Administering Preanesthetic Medication
326(1)
Maintaining the Preoperative Record
326(1)
Transporting the Patient to the Presurgical Suite
326(1)
Attending to Family Needs
326(3)
Intraoperative Nursing Management
329(18)
The Surgical Team
330(1)
The Patient Undergoing Anesthesia
330(1)
The Intraoperative Nurses
331(1)
The Anesthesiologist and Anesthetist
331(1)
The Surgical Environment
331(3)
Principles of Perioperative Asepsis
332(1)
Health Hazards Associated With the Surgical Environment
333(1)
The Surgical Experience
334(8)
Anesthesia: An Overview
334(7)
Patient Position on the Operating Table
341(1)
Induced Hypotension
341(1)
Potential Intraoperative Complications
342(2)
Nausea and Vomiting
342(1)
Hypoxia and Other Respiratory Complications
343(1)
Hypothermia
343(1)
Malignant Hypothermia
343(1)
Caring for the Patient During Surgery
344(3)
Assessment
344(1)
Diagnosis
344(1)
Planning and Goals
344(1)
Nursing Interventions
344(1)
Evaluation
344(3)
Postoperative Nursing Management
347(24)
The Postanesthesia Care Unit
348(5)
Admitting the Patient to the Postanesthesia Care Unit
348(1)
Nursing Management in the Postanesthesia Care Unit
348(5)
The Hospitalized Postoperative Patient
353(7)
Receiving the Patient in the Clinical Unit
353(1)
Nursing Management During the First Hours After Surgery
353(6)
The First Postoperative Day to Day of Discharge
359(1)
The Patient Recovering from Surgery
360(11)
Assessment
360(1)
Diagnosis
360(1)
Planning and Goals
360(1)
Nursing Interventions
361(8)
Evaluation
369(2)
UNIT 5 Gas Exchange and Respiratory Function 371(158)
Assessment of Respiratory Function
373(28)
Anatomic and Physiologic Overview
374(8)
Anatomy of the Upper Respiratory Tract: Upper Airway
374(1)
Anatomy of the Lower Respiratory Tract: Lungs
375(2)
Function of the Respiratory System
377(5)
Assessment
382(11)
Health History
382(3)
Physical Assessment of the Upper Respiratory Structures
385(1)
Physical Assessment of the Lower Respiratory Structures and Breathing
386(6)
Physical Assessment of Breathing Ability
392(1)
Diagnostic Evaluation
393(8)
Cultures
394(1)
Sputum Studies
394(1)
Pulmonary Function Tests
394(1)
Arterial Blood Gas Studies
394(1)
Pulse Oximetry
394(1)
Imaging Studies
395(1)
Radioisotope Diagnostic Procedures (Lung Scans)
396(1)
Endoscopic Procedures
396(1)
Thoracentesis
397(1)
Biopsy
397(4)
Management of Patients With Upper Respiratory Tract Disorders
401(21)
Upper Airway Infections
402(7)
Common Cold
402(1)
Acute Sinusitis
403(1)
Chronic Sinusitis
404(1)
Rhinitis
405(1)
Acute Pharyngitis
406(1)
Chronic Pharyngitis
407(1)
Tonsillitis and Adenoiditis
407(1)
Peritonsillar Abscess
408(1)
Laryngitis
408(1)
The Patient With Upper Airway Infection
409(1)
Assessment
409(1)
Diagnosis
409(1)
Planning and Goals
409(1)
Nursing Interventions
409(1)
Evaluation
410(1)
Obstruction and Trauma of the Upper Respiratory Airway
410(4)
Obstruction During Sleep
410(1)
Epistaxis (Nosebleed)
411(1)
Nasal Obstruction
412(1)
Fractures of the Nose
412(1)
Laryngeal Obstruction
413(1)
Cancer of the Larynx
414(3)
The Patient Undergoing Laryngectomy
417(5)
Assessment
417(1)
Diagnosis
417(1)
Planning and Goals
417(1)
Nursing Interventions
417(3)
Evaluation
420(2)
Management of Patients With Chest and Lower Respiratory Tract Disorders
422(68)
Atelectasis
423(3)
Respiratory Infections
426(8)
Acute Tracheobronchitis
426(1)
Pneumonia
426(8)
The Patient With Pneumonia
434(6)
Assessment
434(1)
Diagnosis
435(1)
Planning and Goals
435(1)
Nursing Interventions
435(1)
Evaluation
436(1)
Pulmonary Tuberculosis
436(4)
The Patient With Tuberculosis
440(4)
Assessment
440(1)
Diagnosis
441(1)
Planning and Goals
441(1)
Nursing Interventions
441(1)
Evaluation
442(1)
Lung Abscess
442(2)
Pleural Conditions
444(2)
Pleurisy
444(1)
Pleural Effusion
444(1)
Empyema
445(1)
Chronic Obstructive Pulmonary Disease
446(2)
The Patient With COPD
448(18)
Assessment
448(1)
Diagnosis
448(1)
Planning and Goals
449(1)
Nursing Interventions
449(2)
Evaluation
451(1)
Chronic Bronchitis
451(1)
Bronchiectasis
452(1)
Emphysema
453(7)
Asthma
460(5)
Status Asthmaticus
465(1)
Pulmonary Edema
466(1)
Acute Respiratory Failure
466(1)
Acute Respiratory Distress Syndrome
467(2)
Pulmonary Hypertension
469(1)
Pulmonary Heart Disease (Cor Pulmonale)
470(1)
Pulmonary Embolism
471(4)
Sarcoidosis
475(1)
Occupational Lung Diseases: Pneumoconioses
476(1)
Silicosis
476(1)
Asbestosis
476(1)
Coal Worker's Pneumoconiosis
477(1)
Chest Tumors
477(4)
Lung Cancer (Bronchogenic Carcinoma)
477(4)
Tumors of the Mediastinum
481(1)
Chest Trauma
481(5)
Blunt Trauma
481(3)
Penetrating Trauma: Gunshot and Stab Wounds
484(1)
Pneumothorax
484(2)
Subcutaneous Emphysema
486(1)
Aspiration
486(4)
Respiratory Care Modalities
490(39)
Noninvasive Respiratory Therapies
491(7)
Oxygen Therapy
491(3)
Intermittent Positive-Pressure Breathing
494(1)
Mini-Nebulizer Therapy
494(1)
Incentive Spirometry (Sustained Maximal Inspiration)
495(1)
Chest Physiotherapy
495(3)
Airway Management
498(5)
Emergency Management of Upper Airway Obstruction
498(1)
Endotracheal Intubation
499(1)
Tracheostomy
500(3)
Mechanical Ventilation
503(6)
Indications
503(1)
Classification of Ventilators
503(6)
The Patient on a Ventilator
509(4)
Assessment
509(1)
Diagnosis
509(1)
Planning and Goals
510(1)
Nursing Interventions
510(1)
Evaluation
511(1)
Weaning the Patient From the Ventilator
511(2)
The Patient Undergoing Thoracic Surgery
513(3)
Preoperative Management
513(2)
Preoperative Nursing Management
515(1)
Postoperative Management
515(1)
The Patient Undergoing Thoracic Surgery
516(13)
Postoperative Assessment
516(1)
Diagnosis
516(3)
Planning and Goals
519(1)
Nursing Interventions
519(3)
Evaluation
522(7)
UNIT 6 Cardiovascular, Circulatory, and Hematologic Function 529(260)
Assessment of Cardiovascular Function
531(33)
Anatomic and Physiologic Overview
532(6)
Anatomy of the Heart
532(2)
Function of the Heart: Conduction System
534(3)
Gerontologic Considerations
537(1)
Gender Differences in Cardiac Structure and Function
537(1)
Assessment
538(13)
Health History and Clinical Manifestations
538(6)
Physical Assessment
544(7)
Diagnostic Evaluation
551(13)
Laboratory Tests
551(2)
Chest X-Ray and Fluoroscopy
553(1)
Electrocardiography
553(1)
Cardiac Stress Testing
554(1)
Echocardiography
555(1)
Radionuclide Imaging
556(1)
Cardiac Catheterization
557(1)
Angiography
557(1)
Electrophysiologic Testing
558(1)
Hemodynamic Monitoring
559(5)
Management of Patients With Dysrhythmias and Conduction Problems
564(29)
Dysrhythmias
565(1)
Normal Electrical Conduction
565(1)
Influences on Heart Rate and Contractility
565(1)
ECG Interpretation
566(3)
Obtaining an ECG
567(1)
ECG Analysis
567(2)
Types of Dysrhythmias
569(10)
Sinus Node Dysrhythmias
569(2)
Atrial Dysrhythmias
571(2)
Junctional Dysrhythmias
573(1)
Ventricular Dysrhythmias
574(2)
Conduction Abnormalities
576(3)
The Patient With a Dysrhythmia
579(1)
Assessment
579(1)
Diagnosis
579(1)
Planning and Goals
580(1)
Nursing Interventions
580(1)
Evaluation
580(1)
Adjunctive Modalities and Management
580(6)
Cardioversion and Defibrillation
580(3)
Pacemaker Therapy
583(3)
The Patient With a Pacemaker
586(1)
Assessment
586(1)
Diagnosis
586(1)
Planning and Goals
586(1)
Nursing Interventions
587(1)
Evaluation
587(1)
Electrophysiologic Studies
587(2)
Implantable Cardioverter Defibrillator
589(1)
Cardiac Conduction Surgery
589(4)
Management of Patients With Coronary Vascular Disorders
593(44)
Coronary Artery Disease
594(6)
Coronary Atherosclerosis
594(3)
Angina Pectoris
597(3)
The Patient With Angina Pectoris
600(6)
Assessment
600(1)
Diagnosis
600(1)
Planning and Goals
600(1)
Nursing Interventions
600(1)
Evaluation
601(5)
The Patient Awaiting Cardiac Surgery
606(3)
Assessment
606(1)
Diagnosis
607(1)
Planning and Goals
607(1)
Nursing Interventions
607(1)
Evaluation
608(1)
The Patient who Has Had Cardiac Surgery
609(19)
Assessment
609(6)
Diagnosis
615(1)
Planning and Goals
616(1)
Nursing Interventions
616(3)
Evaluation
619(1)
Myocardial Infarction (MI)
619(9)
The Patient With Myocardial Infarction
628(2)
Assessment
628(1)
Diagnosis
628(1)
Planning and Goals
628(1)
Nursing Interventions
628(2)
Evaluation
630(1)
Cardiac Rehabilitation
630(7)
Phases of Cardiac Rehabilitation
631(6)
Management of Patients With Structural, Infectious, or Inflammatory Cardiac Disorders
637(19)
Acquired Valvular Disorders
638(3)
Mitral Valve Prolapse
638(2)
Mitral Stenosis
640(1)
Mitral Regurgitation
640(1)
Aortic Stenosis
640(1)
Aortic Regurgitation
641(1)
Valve Repair and Replacement Procedures
641(4)
Valvuloplasty
641(1)
Commissurotomy
642(1)
Annuloplasty
643(1)
Chordoplasty
643(1)
Valve Replacement
643(2)
Septal Repair
645(1)
Cardiomyopathies
645(1)
The Patient With Cardiomyopathy
646(2)
Assessment
646(1)
Diagnosis
647(1)
Planning and Goals
647(1)
Nursing Interventions
647(1)
Evaluation
648(1)
Heart Transplantation
648(1)
Transplantation Techniques
648(1)
Postoperative Course
649(1)
Mechanical Assist Devices and Total Artificial Hearts
649(1)
Cardiac Tumor and Trauma Surgery
650(1)
Tumor Excision
650(1)
Trauma Repair
650(1)
Infectious Diseases of the Heart
650(4)
Rheumatic Endocarditis
650(1)
Infective Endocarditis
651(1)
Myocarditis
652(1)
Pericarditis
653(1)
Chronic Constrictive Pericarditis
654(1)
The Patient With Pericarditis
654(2)
Assessment
654(1)
Diagnosis
654(1)
Planning and Goals
654(1)
Nursing Interventions
654(1)
Evaluation
655(1)
Management of Patients With Complications From Heart Disease
656(23)
Acute Pulmonary Edema
657(5)
Cardiac Failure: Congestive Heart Failure
662(7)
The Patient With Cardiac Failure
669(3)
Assessment
669(1)
Diagnosis
669(1)
Planning and Goals
670(1)
Nursing Interventions
670(2)
Evaluation
672(1)
Cardiogenic Shock
672(2)
Thromboembolism
674(1)
Pericardial Effusion and Cardiac Tamponade
674(2)
Myocardial Rupture
676(1)
Cardiac Arrest
676(3)
Assessment and Management of Patients With Vascular Disorders and Problems of Peripheral Circulation
679(37)
Anatomic and Physiologic Overview
680(4)
Anatomy of the Vascular System
680(1)
Function of the Vascular System
681(2)
Pathophysiology of the Vascular System
683(1)
Assessment
684(1)
Health History and Clinical Manifestations
684(1)
Diagnostic Evaluation
685(3)
Doppler Ultrasound Flow Studies
685(2)
Exercise Testing
687(1)
Duplex Ultrasound
687(1)
Computed Tomography (CT)
687(1)
CT Angiography
687(1)
Magnetic Resonance Angiography
687(1)
Angiography
687(1)
Lumbar Sympathetic Block
687(1)
Air Plethysmography
688(1)
Contrast Phlebography
688(1)
Lymphangiography
688(1)
Lymphoscintigraphy
688(1)
Management of Arterial Disorders
688(2)
Arteriosclerosis and Atherosclerosis
688(2)
The Patient With Peripheral Arterial Insufficiency of the Extremities
690(15)
Assessment
690(1)
Nursing Diagnoses
691(1)
Planning and Goals
691(1)
Nursing Interventions
691(3)
Evaluation
694(1)
Peripheral Arterial Occlusive Disease
695(3)
Upper Extremity Arterial Occlusive Disease
698(1)
Thromboangiitis Obliterans (Buerger's Disease)
699(1)
Aortitis
699(1)
Aortoiliac Disease
700(1)
Aortic Aneurysm
700(1)
Thoracic Aortic Aneurysm
700(1)
Abdominal Aortic Aneurysm
701(2)
Dissecting Aorta
703(1)
Other Aneurysms
703(1)
Arterial Embolism and Arterial Thrombosis
703(1)
Raynaud's Disease
704(1)
Management of Venous Disorders
705(6)
Venous Thrombosis, Deep Vein Thrombosis, Thrombophlebitis, and Phlebothrombosis
705(4)
Chronic Venous Insufficiency
709(1)
Leg Ulcers
709(2)
The Patient With Leg Ulcers
711(3)
Assessment
711(1)
Diagnosis
711(1)
Planning and Goals
711(1)
Nursing Interventions
711(1)
Evaluation
712(1)
Varicose Veins
712(2)
Management of Lymphatic Disorders
714(2)
Lymphangitis and Lymphadenitis
714(1)
Lymphedema and Elephantiasis
714(2)
Assessment and Management of Patients With Hypertension
716(12)
Hypertension Defined
717(1)
Primary Hypertension
717(3)
The Patient With Hypertension
720(6)
Assessment
720(1)
Diagnosis
720(1)
Planning and Goals
721(1)
Nursing Interventions
721(5)
Evaluation
726(1)
Hypertensive Crises
726(2)
Assessment and Management of Patients With Hematologic Disorders
728(61)
Anatomic and Physiologic Overview
729(7)
Bone Marrow
730(1)
Blood Cells
730(4)
Plasma
734(1)
Reticuloendothelial System (RES)
734(1)
Hemostasis
735(1)
Pathophysiology of the Hematologic System
736(1)
Gerontologic Considerations
736(1)
Assessment
736(2)
Hematologic Studies
736(2)
Management of Hematologic Disorders
738(1)
Anemia
738(2)
Classification of Anemias
738(2)
The Patient With Anemia
740(1)
Assessment
740(1)
Diagnosis
740(1)
Planning and Goals
740(1)
Nursing Interventions
740(1)
Evaluation
741(1)
Hypoproliferative Anemias
741(8)
Iron Deficiency Anemia
741(1)
Anemias in Renal Disease
742(1)
Anemia of Chronic Disease
743(1)
Aplastic Anemia
743(1)
Megaloblastic Anemias
744(1)
Myelodysplastic Syndromes (MDS)
745(1)
Hemolytic Anemias
746(1)
Sickle Cell Anemia
746(3)
The Patient With Sickle Cell Crisis
749(3)
Assessment
749(1)
Diagnosis
749(1)
Planning and Goals
750(1)
Nursing Interventions
750(1)
Evaluation
750(1)
Thalassemia
751(1)
Thalassemia Major
751(1)
Glucose-6-Phosphate Dehydrogenase Deficiency
751(1)
Hereditary Spherocytosis
751(1)
Immune Hemolytic Anemia
752(1)
Hereditary Hemochromatosis
752(1)
Polycythemia
753(1)
Polycythemia Vera
753(1)
Secondary Polycythemia
754(1)
Leukopenia and Neutropenia
754(1)
Neutropenia
754(1)
Leukocytosis and Malignancies
755(1)
Leukemias
755(5)
Acute Myeloid Leukemia
755(3)
Chronic Myeloid Leukemia
758(1)
Acute Lymphocytic Leukemia
758(1)
Chronic Lymphocytic Leukemia
759(1)
The Patient With Acute Leukemia
760(3)
Assessment
760(1)
Diagnosis
760(1)
Planning and Goals
760(1)
Nursing Interventions
760(3)
Evaluation
763(1)
Malignant Lymphomas and Multiple Myeloma
763(4)
Hodgkin's Disease
763(1)
Non-Hodgkin's Lymphomas
764(2)
Multiple Myeloma
766(1)
Bleeding Disorders
767(3)
Primary Thrombocythemia
767(1)
Secondary Thrombocytosis
768(1)
Thrombocytopenia
768(1)
Idiopathic Thrombocytopenic Purpura (ITP)
769(1)
Other Bleeding Disorders
770(2)
Platelet Defects
770(1)
Hemophilia
770(2)
von Willebrand's Disease
772(1)
Acquired Coagulation Disorders
772(1)
Liver Disease
772(1)
Vitamin K Deficiency
772(1)
Complications of Anticoagulant Therapy
772(1)
Disseminated Intravascular Coagulopathy (DIC)
772(1)
The Patient With DIC
773(1)
Assessment
773(1)
Diagnosis
773(1)
Planning and Goals
774(1)
Nursing Interventions
774(1)
Thrombotic Disorders
774(4)
Homocystinemia
774(2)
Antithrombin III (AT III) Deficiency
776(1)
Protein C Deficiency
777(1)
Activated Protein C (APC) Resistance and Factor V Leiden
777(1)
Protein S Deficiency
777(1)
Acquired Thrombophilia
777(1)
Therapies in Blood Disorders
778(11)
Splenectomy
778(1)
Therapeutic Apheresis
778(1)
Therapeutic Phlebotomy
779(1)
Blood and Blood Component Therapy
779(2)
Transfusion
781(4)
Pharmacologic Alternatives to Blood Transfusions
785(1)
Bone Marrow Transplantation
786(3)
UNIT 7 Digestive and Gastrointestinal Function 789(128)
Assessment of Digestive and Gastrointestinal Function
791(16)
Anatomic and Physiologic Overview
792(4)
Anatomy of the Gastrointestinal Tract
792(1)
Function of the Digestive System
792(4)
Assessment
796(2)
Health History and Clinical Manifestations
796(1)
Physical Assessment
797(1)
Diagnostic Evaluation
798(7)
Upper Gastrointestinal Tract Study
798(1)
Lower Gastrointestinal Tract Study
799(1)
Gastric Analysis, Gastric Acid Stimulation Test, and pH Monitoring
799(1)
Laparoscopy (Peritoneoscopy)
800(1)
Upper Gastrointestinal Fiberoscopy/Esophagogastroduodenoscopy
800(1)
Anoscopy, Proctoscopy, and Sigmoidoscopy
801(1)
Fiberoptic Colonoscopy
801(2)
Small Bowel Enteroscopy
803(1)
Abdominal Ultrasonography
803(1)
Computed Tomography
803(1)
Magnetic Resonance Imaging
803(1)
Gastrointestinal Motility Studies
804(1)
Manometry and Electrophysiologic Studies
804(1)
Defecography
804(1)
Stool Tests
804(1)
Hydrogen Breath Test
805(1)
Urea Breath Test
805(1)
Tagged Red Blood Cells and Leukocytes
805(1)
Pathophysiologic and Psychological Considerations
805(1)
Gerontologic Considerations
805(2)
Management of Patients With Oral and Esophageal Disorders
807(26)
Disorders of the Lips, Mouth, and Gums
808(1)
Disorders of the Teeth
808(3)
Dental Plaque and Caries
808(2)
Dentoalveolar Abscess or Periapical Abscess
810(1)
Malocclusion
811(1)
Disorders of the Jaw
811(1)
Temporomandibular Disorders
811(1)
Correction of Mandibular Structural Abnormalities
811(1)
Disorders of the Salivary Glands
812(1)
Parotitis
812(1)
Sialadenitis
812(1)
Salivary Calculus (Sialolithiasis)
812(1)
Neoplasms
813(1)
Cancer of the Oral Cavity
813(1)
The Patient With Conditions of the Oral Cavity
814(3)
Assessment
814(1)
Nursing Diagnosis
815(1)
Planning and Goals
815(1)
Nursing Interventions
815(2)
Evaluation
817(1)
Neck Dissection
817(1)
The Patient Undergoing a Neck Dissection
818(6)
Assessment
818(1)
Diagnosis
818(1)
Planning and Goals
818(1)
Nursing Interventions
818(6)
Evaluation
824(1)
Disorders of The Esophagus
824(6)
Achalasia
824(1)
Diffuse Spasm
825(1)
Gastroesophageal Reflux
825(1)
Hiatal Hernia
826(1)
Diverticulum
827(1)
Perforation
828(1)
Foreign Bodies
828(1)
Chemical Burns
828(1)
Benign Tumors
828(1)
Cancer of the Esophagus
828(2)
The Patients With a Condition of the Esophagus
830(3)
Assessment
830(1)
Nursing Diagnosis
830(1)
Planning and Goals
830(1)
Nursing Interventions
830(1)
Evaluation
831(2)
Gastrointestinal Intubation and Special Nutritional Modalities
833(24)
Gastrointestinal Intubation
834(6)
Short Tubes
835(1)
Medium Tubes
836(1)
Nasoenteric Tubes
836(1)
Nursing Management of Nasogastric and Nasoenteric Intubation
837(3)
Nasogastric and Nasoenteric Tube Feedings
840(1)
Osmosis and Osmolality
840(1)
Tube Feeding Formulas
841(1)
Tube Feeding Administration Methods
841(1)
The Patient Receiving a Tube Feeding
841(4)
Assessment
841(1)
Diagnosis
841(1)
Planning and Goals
842(1)
Nursing Interventions
842(3)
Evaluation
845(1)
Gastrostomy
845(2)
The Patient With a Gastrostomy
847(2)
Assessment
847(1)
Diagnosis
847(1)
Planning and Goals
847(1)
Nursing Interventions
847(2)
Evaluation
849(1)
Total Parenteral Nutrition (IV Hyperalimentation)
849(3)
Preventing Negative Nitrogen Balance
849(1)
Clinical Indications for TPN
849(1)
Types of Nutritional Solutions
850(1)
Preparing the Solution and Initiating Therapy
850(1)
Methods of Administration
850(2)
Discontinuing TPN
852(1)
The Patient Receiving TPN
852(5)
Assessment
852(1)
Diagnosis
852(1)
Planning and Goals
852(1)
Nursing Interventions
852(3)
Evaluation
855(2)
Management of Patients With Gastric and Duodenal Disorders
857(18)
Gastritis
858(1)
The Patient With Gastritis
859(1)
Assessment
859(1)
Nursing Diagnoses
859(1)
Planning and Goals
859(1)
Nursing Interventions
859(1)
Evaluation
860(1)
Peptic Ulcer
860(4)
The Patient With a Peptic Ulcer
864(4)
Assessment
864(1)
Diagnosis
865(1)
Planning and Goals
866(1)
Nursing Interventions
866(2)
Evaluation
868(1)
Morbid Obesity
868(1)
Gastric Cancer
868(1)
The Patient With Gastric Cancer
869(1)
Assessment
869(1)
Nursing Diagnoses
869(1)
Planning and Goals
869(1)
Nursing Interventions
870(1)
Evaluation
870(1)
Gastric Surgery
870(1)
The Patient Undergoing Gastric Surgery
871(4)
Assessment
871(1)
Diagnosis
871(1)
Planning and Goals
871(1)
Nursing Interventions
871(2)
Evaluation
873(2)
Management of Patients With Intestinal and Rectal Disorders
875(42)
Abnormalities of Fecal Elimination
876(4)
Constipation
876(1)
Diarrhea
877(2)
Fecal Incontinence
879(1)
Irritable Bowel Syndrome
880(1)
Conditions of Malabsorption
880(1)
Acute Inflammatory Intestinal Disorders
881(4)
Appendicitis
881(3)
Diverticular Disease
884(1)
The Patient With Diverticulitis
885(3)
Assessment
885(1)
Diagnosis
886(1)
Planning and Goals
886(1)
Nursing Interventions
886(1)
Evaluation
886(1)
Peritonitis
886(2)
Inflammatory Bowel Disease
888(3)
Regional Enteritis (Crohn's Disease)
888(1)
Ulcerative Colitis
888(1)
Management of Chronic Inflammatory Bowel Disorders
889(2)
Management of the Patient With Inflammatory Bowel Disease
891(6)
Assessment
891(1)
Diagnosis
891(1)
Planning and Goals
892(1)
Nursing Interventions
892(1)
Evaluation
893(1)
Nursing Management of the Patient Requiring an lleostomy
894(3)
Intestinal Obstruction
897(6)
Small Bowel Obstruction
897(5)
Large Bowel Obstruction
902(1)
Colorectal Cancer
903(2)
The Patient With Colorectal Cancer
905(6)
Assessment
905(1)
Diagnosis
905(1)
Planning and Goals
905(1)
Nursing Interventions
906(5)
Evaluation
911(1)
Polyps of the Colon and Rectum
911(1)
Diseases of the Anorectum
911(2)
Anorectal Abscess
911(1)
Anal Fistula
912(1)
Anal Fissure
912(1)
Hemorrhoids
912(1)
Pilonidal Sinus or Cyst
913(1)
The Patient With an Anorectal Condition
913(4)
Assessment
913(1)
Diagnosis
913(1)
Planning and Goals
913(1)
Nursing Interventions
914(1)
Evaluation
914(3)
UNIT 8 Metabolic and Endocrine Function 917(164)
Assessment and Management of Patients With Hepatic and Biliary Disorders
919(54)
Anatomic and Physiologic Overview
920(3)
Anatomy of the Liver and Gallbladder
920(1)
Functions of the Liver
920(3)
Function of the Gallbladder
923(1)
Gerontologic Considerations
923(1)
Assessment
923(1)
Physical Assessment
923(1)
Diagnostic Evaluation
923(1)
Liver Function Tests
923(1)
Percutaneous Needle Biopsy
924(1)
Other Diagnostic Tests
924(1)
Hepatic Dysfunction
924(15)
Pathophysiology
924(1)
Clinical Manifestations
924(15)
Hepatic Disorders
939(10)
Hepatitis A Virus (HAV)
940(2)
Hepatitis B Virus (HBV)
942(2)
Hepatitis C Virus
944(1)
Hepatitis D Virus
945(1)
Hepatitis E Virus
945(1)
Hepatitis G Virus
945(1)
Nonviral Hepatitis
945(1)
Toxic Hepatitis
945(1)
Drug-Induced Hepatitis
945(1)
Fulminant Hepatic Failure
945(1)
Hepatic Cirrhosis
946(3)
The Patient With Hepatic Cirrhosis
949(13)
Assessment
949(1)
Diagnosis
949(1)
Planning and Goals
949(1)
Nursing Interventions
949(1)
Evaluation
950(1)
Bleeding Esophageal Varices
951(5)
Cancer of the Liver
956(3)
Liver Transplantation
959(2)
Liver Abscesses
961(1)
Biliary Conditions
962(6)
Cholecystitis
962(1)
Cholelithiasis
962(6)
The Patient Undergoing Surgery for Gallbladder Disease
968(5)
Assessment
968(1)
Diagnosis
969(1)
Planning and Goals
969(1)
Postoperative Nursing Interventions
969(1)
Evaluation
970(3)
Assessment and Management of Patients With Diabetes Mellitus
973(53)
Classification of Diabetes
974(1)
Overview of Physiology and Pathophysiology
975(4)
Normal Physiology
975(2)
Pathophysiology
977(2)
Clinical Manifestations
979(1)
Assessment and Diagnostic Findings
979(1)
Gerontologic Considerations
979(1)
Management
980(15)
Nutrition Management
980(4)
Exercise
984(1)
Monitoring Glucose and Ketones
985(2)
Pharmacologic Therapy
987(8)
Education
995(1)
Nursing Management
995(7)
Developing a Diabetic Teaching Plan
995(3)
Teaching Self-Administration of Insulin
998(4)
Promoting Home and Community-Based Care
1002(1)
Acute Complications of Diabetes
1002(6)
Hypoglycemia (Insulin Reactions)
1002(2)
Diabetic Ketoacidosis
1004(3)
Hyperglycemic Hyperosmolar Nonketotic Syndrome
1007(1)
The Patient Newly Diagnosed With Diabetes Mellitus
1008(3)
Assessment
1008(1)
Diagnosis
1008(1)
Planning and Goals
1009(1)
Nursing Interventions
1009(1)
Evaluation
1010(1)
Long-Term Complications of Diabetes
1011(6)
Macrovascular Complications
1011(1)
Macrovascular Complications and Diabetic Retinopathy
1012(2)
Nephropathy
1014(1)
Diabetic Neuropathies
1015(1)
Autonomic Neuropathy
1016(1)
Foot and Leg Problems in Diabetes
1016(1)
Special Issues in Diabetes
1017(4)
The Patient With Diabetes Undergoing Surgery
1017(1)
Management of Hospitalized Diabetic Patients
1018(2)
Stress
1020(1)
Gerontologic Considerations
1020(1)
The Patient With Diabetes as a Secondary Diagnosis
1021(5)
Assessment
1021(1)
Diagnoses
1022(1)
Planning and Goals
1022(1)
Nursing Interventions
1022(1)
Evaluation
1023(3)
Assessment and Management of Patients with Endocrine Disorders
1026(55)
Anatomic and Physiologic Overview
1028(1)
Glands of the Endocrine System
1028(1)
Function and Regulation of Hormones
1028(1)
Classification and Action of Hormones
1028(1)
Assessment
1029(2)
Health History and Clinical Manifestations
1029(1)
Physical Assessment
1029(2)
Diagnostic Evaluation
1031(1)
The Pituitary Gland
1031(3)
Posterior Pituitary
1031(1)
Anterior Pituitary
1031(1)
Abnormal Pituitary Function
1031(1)
Hypopituitarism
1032(1)
Pituitary Tumors
1032(1)
Diabetes Insipidus
1033(1)
Syndrome of Inappropriate Antidiuretic Hormone Secretion
1034(1)
The Thyroid Gland
1034(12)
Thyroid Hormone
1034(1)
Iodine Uptake and Metabolism
1035(1)
Regulation of Thyroid Function
1035(1)
Function of Thyroxine and Triiodothyronine
1035(1)
Calcitonin
1035(1)
Examination of the Thyroid Gland
1035(1)
Tests of Thyroid Function
1036(1)
Abnormalities of Thyroid Function
1037(1)
Hypothyroidism
1038(3)
Hyperthyroidism
1041(5)
The Patient With Hyperthyroidism
1046(6)
Assessment
1046(1)
Diagnosis
1046(1)
Planning and Goals
1046(1)
Nursing Interventions
1046(2)
Evaluation
1048(1)
Thyroiditis
1048(1)
Thyroid Tumors
1049(2)
Thyroidectomy
1051(1)
The Parathyroid Glands
1052(3)
Hyperparathyroidism
1052(1)
Hypoparathyroidism
1053(2)
The Adrenal Glands
1055(6)
Adrenal Medulla
1055(1)
Adrenal Cortex
1055(1)
Pheochromocytoma
1056(2)
Adrenocortical Insufficiency (Addison's Disease)
1058(2)
Cushing's Syndrome
1060(1)
The Patient With Cushing's Syndrome
1061(4)
Assessment
1061(1)
Diagnosis
1062(1)
Planning and Goals
1062(1)
Nursing Interventions
1062(1)
Evaluation
1063(1)
Primary Aldosteronism
1064(1)
Adrenalectomy
1064(1)
Corticosteroid Therapy
1064(1)
The Pancreas
1065(4)
Exocrine Pancreas
1065(1)
Endocrine Pancreas
1066(1)
Endocrine Control of Carbohydrate Metabolism
1067(1)
Gerontologic Considerations
1067(1)
Pancreatitis
1067(1)
Acute Pancreatitis
1067(2)
The Patient With Acute Pancreatitis
1069(12)
Assessment
1069(1)
Diagnosis
1070(1)
Planning and Goals
1070(1)
Nursing Interventions
1070(1)
Evaluation
1071(1)
Chronic Pancreatitis
1071(4)
Pancreatic Cysts
1075(1)
General Pancreatic Tumors
1075(1)
Tumors of the Head of the Pancreas
1076(2)
Pancreatic Islet Tumors
1078(1)
Hyperinsulinism
1078(1)
Ulcerogenic (Zollinger-Ellison) Tumors
1078(3)
UNIT 9 Urinary and Renal Function 1081(108)
Assessment of Urinary and Renal Function
1083(18)
Anatomic and Physiologic Overview
1084(5)
Anatomy of the Kidneys and Urinary System
1084(1)
Functions of the Kidneys and Urinary System
1085(4)
Functions of the Ureters, Bladder, and Urethra
1089(1)
Assessment
1089(3)
Health History and Clinical Manifestations
1089(3)
Physical Assessment
1092(1)
Diagnostic Evaluation
1092(6)
Urinalysis
1092(1)
Renal Function Tests
1093(1)
X-rays and Other Imaging Modalities
1094(2)
Urologic Endoscopic Procedures
1096(1)
Biopsy
1096(1)
Urodynamic Tests
1097(1)
Nursing Implications
1098(3)
Gerontologic Considerations
1098(1)
Nursing Diagnoses
1098(1)
Planning, Implementation, and Evaluation
1098(2)
Promoting Home and Community-Based Care
1100(1)
Management of Patients With Urinary and Renal Dysfunction
1101(34)
Fluid and Electrolyte Imbalances in Renal Disorders
1102(1)
Dysfunctional Voiding Patterns
1102(10)
Urinary Retention
1102(2)
Urinary Incontinence
1104(3)
Neurogenic Bladder
1107(5)
Dialysis
1112(13)
Hemodialysis
1112(5)
Continuous Renal Replacement Therapies
1117(2)
Peritoneal Dialysis
1119(5)
Special Considerations: Care of the Hospitalized Dialysis Patient
1124(1)
Kidney Surgery
1125(2)
Preoperative Considerations
1125(1)
Perioperative Concerns
1125(1)
Postoperative Management
1125(2)
The Patient Undergoing Kidney Surgery
1127(8)
Assessment
1127(1)
Diagnosis
1128(1)
Planning and Goals
1128(1)
Nursing Interventions
1128(4)
Evaluation
1132(3)
Management of Patients With Urinary and Renal Disorders
1135(54)
Infections of the Urinary Tract
1136(4)
Lower Urinary Tract Infections
1136(4)
The Patient With Lower Urinary Tract Infection
1140(2)
Assessment
1140(1)
Diagnosis
1140(1)
Planning and Goals
1140(1)
Nursing Interventions
1140(1)
Evaluation
1141(1)
Upper Urinary Tract Infection: Acute Pyelonephritis
1142(1)
Upper Urinary Tract Infection: Chronic Pyelonephritis
1142(1)
Primary Glomerular Diseases
1142(4)
Acute Glomerulonephritis
1143(1)
Chronic Glomerulonephritis
1144(1)
Nephrotic Syndrome
1145(1)
Renal Failure
1146(9)
Acute Renal Failure
1147(4)
Chronic Renal Failure (End-Stage Renal Disease)
1151(4)
Kidney Transplantation
1155(7)
Preoperative Management
1155(5)
Postoperative Management
1160(2)
Urolithiasis
1162(4)
The Patient With Renal Stones
1166(1)
Assessment
1166(1)
Diagnosis
1166(1)
Planning and Goals
1166(1)
Nursing Interventions
1166(1)
Evaluation
1167(1)
Genitourinary Trauma
1167(2)
Renal Trauma
1167(1)
Ureteral Trauma
1168(1)
Bladder Trauma
1168(1)
Urethral Trauma
1168(1)
Renal Tumors
1169(2)
Cancer of the Bladder
1171(1)
Urinary Diversions
1172(5)
Cutaneous Urinary Diversions
1172(4)
Continent Urinary Diversions
1176(1)
Other Urinary Diversion Procedures
1177(1)
The Patient Undergoing Urinary Diversion Surgery
1177(4)
Preoperative Assessment
1177(1)
Preoperative Nursing Diagnoses
1177(1)
Preoperative Planning and Goals
1177(1)
Preoperative Nursing Interventions
1177(1)
Preoperative Evaluation
1178(1)
Postoperative Assessment
1179(1)
Postoperative Diagnosis
1179(1)
Postoperative Planning and Goals
1179(1)
Postoperative Nursing Interventions
1179(1)
Postoperative Evaluation
1180(1)
Other Renal and Urinary Tract Disorders
1181(8)
Nephrosclerosis
1181(1)
Hydronephrosis
1182(1)
Urethritis
1182(1)
Renal Abscess
1182(1)
Tuberculosis of the Kidney and Genitourinary Tract
1183(1)
Urethral Strictures
1183(1)
Renal Cysts
1184(1)
Congenital Anomalies
1184(1)
Interstitial Cystitis
1184(5)
UNIT 10 Reproductive Function 1189(138)
Assessment and Management: Problems Related to Female Physiologic Processes
1191(34)
Role of Nurses in Women's Health
1192(1)
Anatomic and Physiologic Overview
1192(3)
Anatomy of the Female Reproductive System
1192(1)
Function of the Female Reproductive System
1192(3)
Assessment
1195(5)
Health History and Clinical Manifestations
1195(2)
Physical Assessment
1197(3)
Diagnostic Evaluation
1200(4)
Cytologic Test for Cancer (Papanicolaou Smear)
1200(2)
Colposcopy and Cervical Biopsy
1202(1)
Cryotherapy and Laser Therapy
1202(1)
Cone Biopsy
1202(1)
Endometrial (Aspiration) Smears and Biopsy
1203(1)
Dilation and Curettage
1203(1)
Endoscopic Examinations
1203(1)
Other Diagnostic Procedures
1203(1)
Management of Normal and Altered Female Physiologic Processes
1204(6)
Menstruation
1205(1)
Perimenopause
1205(1)
Menopause
1205(2)
Premenstrual Syndrome
1207(2)
Dysmenorrhea
1209(1)
Abnormal Uterine Bleeding
1210(1)
Management of Normal and Altered Female Reproductive Function
1210(11)
Dyspareunia
1210(1)
Contraception
1210(1)
Oral Contraceptives
1211(4)
Abortion
1215(2)
Infertility
1217(2)
Ectopic Pregnancy
1219(2)
The Patient With an Ectopic Pregnancy
1221(4)
Assessment
1221(1)
Diagnosis
1221(1)
Planning and Goals
1221(1)
Nursing Interventions
1221(1)
Evaluation
1222(3)
Management of Patients With Female Reproductive Disorders
1225(34)
Infectious Disorders
1226(2)
Vulvovaginal Infections
1226(1)
Candidiasis
1227(1)
Bacterial Vaginosis
1227(1)
Trichomoniasis
1227(1)
The Patient With a Vulvovaginal Infection
1228(3)
Assessment
1228(1)
Nursing Diagnoses
1229(1)
Planning and Goals
1229(1)
Nursing Interventions
1229(1)
Evaluation
1230(1)
Human Papillomavirus
1230(1)
Herpesvirus Type 2 Infection (Herpes Genitalis, Herpes Simplex Virus)
1230(1)
The Patient With a Genital Herpesvirus Infection
1231(1)
Assessment
1231(1)
Nursing Diagnoses
1231(1)
Planning and Goals
1231(1)
Nursing Interventions
1231(1)
Evaluation
1231(1)
Toxic Shock Syndrome
1231(1)
The Patient With Toxic Shock Syndrome
1232(4)
Assessment
1232(1)
Diagnosis
1232(1)
Planning and Goals
1233(1)
Nursing Interventions
1233(1)
Evaluation
1233(1)
Endocervicitis and Cervicitis
1234(1)
Chlamydia and Gonorrhea
1234(1)
Pelvic Infection (Pelvic Inflammatory Disease)
1234(2)
Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome
1236(1)
Structural Disorders
1236(4)
Fistulas of the Vagina
1236(1)
Cystocele, Rectocele, Enterocele, and Lacerations of the Perineum
1237(1)
Altered Positions and Uterine Prolapse
1238(2)
Benign Tumors and Conditions
1240(3)
Vulvar Cysts
1240(1)
Vulvar Dystrophy
1240(1)
Ovarian Cysts
1241(1)
Benign Tumors of the Uterus: Fibroids (Leiomyomas and Myomas)
1241(1)
Endometriosis
1242(1)
Adenomyosis
1243(1)
Malignant Conditions
1243(5)
Cancer of the Cervix
1243(4)
Hydatidiform Mole
1247(1)
Cancer of the Uterus (Endometrium)
1247(1)
Cancer of the Vulva
1247(1)
The Patient Undergoing Vulvar Surgery
1248(4)
Assessment
1248(1)
Diagnosis
1248(1)
Planning and Goals
1248(1)
Preoperative Nursing Interventions
1248(1)
Postoperative Nursing Interventions
1248(1)
Evaluation
1249(1)
Cancer of the Vagina
1250(1)
Cancer of the Fallopian Tubes
1250(1)
Cancer of the Ovary
1250(2)
Hysterectomy
1252(1)
Preoperative Management
1252(1)
Postoperative Management
1252(1)
The Patient Undergoing a Hysterectomy
1252(2)
Assessment
1252(1)
Diagnosis
1252(1)
Planning and Goals
1253(1)
Nursing Interventions
1253(1)
Evaluation
1254(1)
Radiation Therapy
1254(5)
Side Effects of Radiation Therapy
1254(1)
Methods of Radiation Therapy
1254(5)
Assessment and Management of Patients With Breast Disorders
1259(38)
Anatomic And Physiologic Overview
1260(1)
Assessment
1260(3)
Health History and Clinical Manifestations
1260(1)
Physical Assessment: Female Breast
1261(2)
Physical Assessment: Male Breast
1263(1)
Diagnostic Evaluation
1263(3)
Breast Self-Examination
1263(1)
Mammography
1264(1)
Ultrasonography
1264(2)
Magnetic Resonance Imaging
1266(1)
Procedures for Tissue Analysis
1266(1)
Overview of Breast Conditions and Diseases
1266(1)
Conditions Affecting the Nipple
1267(1)
Fissure
1267(1)
Breast Discharge
1267(1)
Bleeding or Bloody Nipple Discharge
1267(1)
Breast Infections
1267(1)
Mastitis
1267(1)
Lactational Abscess
1267(1)
Benign Conditions of the Breast
1267(1)
Fibrocystic Breast Changes
1267(1)
Fibroadenomas
1268(1)
Other Benign Conditions
1268(1)
Benign Proliferative Breast Disease
1268(1)
Malignant Conditions of The Breast
1268(2)
Carcinoma in Situ (Noninvasive)
1269(1)
Invasive Carcinoma
1269(1)
Current Research in Breast Cancer
1270(1)
Chemoprevention
1270(1)
Prophylactic Mastectomy
1270(1)
Breast Cancer
1270(10)
Special Issues In Breast Cancer Management
1280(1)
Reconstructive Surgery
1280(1)
Prosthetics
1280(1)
Quality of Life and Breast Cancer
1280(1)
Pregnancy and Breast Cancer
1281(1)
The Patient With Breast Cancer
1281(6)
Assessment
1281(1)
Diagnosis
1281(1)
Planning and Goals
1281(1)
Preoperative Nursing Interventions
1281(1)
Postoperative Nursing Interventions
1282(4)
Preoperative Evaluation
1286(1)
Postoperative Evaluation
1286(1)
Recurrent Breast Cancer
1287(1)
Reconstructive Breast Surgery
1287(5)
Reduction Mammoplasty
1287(3)
Augmentation Mammoplasty
1290(1)
Reconstructive Procedures After Mastectomy
1291(1)
Diseases of the Male Breast
1292(5)
Gynecomastia
1292(1)
Male Breast Cancer
1293(4)
Assessment and Management: Problems Related to Male Reproductive Processes
1297(30)
Anatomic and Physiologic Overview
1298(1)
Assessment
1299(1)
Health History and Clinical Manifestations
1299(1)
Physical Assessment
1300(1)
Diagnostic Evaluation
1300(1)
Prostate-Specific Antigen Test
1300(1)
Ultrasonography
1300(1)
Prostate Fluid or Tissue Analysis
1300(1)
Tests of Male Sexual Function
1300(1)
Disorders of Male Sexual Function
1300(3)
Erectile Dysfunction
1300(3)
Ejaculation Problems
1303(1)
Infections of the Male Genitourinary Tract
1303(1)
Conditions of the Prostate
1304(11)
Prostatitis
1304(1)
Benign Prostatic Hyperplasia (Enlarged Prostate)
1305(1)
Cancer of the Prostate
1306(2)
The Patient Undergoing Prostate Surgery
1308(7)
The Patient Undergoing Prostatectomy
1315(3)
Assessment
1315(1)
Diagnoses
1315(1)
Planning and Goals
1315(1)
Preoperative Nursing Interventions
1315(1)
Postoperative Nursing Interventions
1316(2)
Evaluation
1318(1)
Conditions Affecting the Testes and Adjacent Structures
1318(4)
Undescended Testis (Cryptorchidism)
1318(1)
Orchitis
1318(1)
Epididymitis
1318(1)
Testicular Cancer
1319(2)
Hydrocele
1321(1)
Varicocele
1321(1)
Vasectomy
1321(1)
Conditions Affecting the Penis
1322(1)
Hypospadias and Epispadias
1322(1)
Phimosis
1322(1)
Cancer of the Penis
1322(1)
Priapism
1322(1)
Peyronie's Disease
1322(1)
Urethral Stricture
1322(1)
Circumcision
1323(1)
Gerontologic Considerations
1323(4)
UNIT 11 Immunologic Function 1327(108)
Assessment of Immune Function
1329(13)
Anatomic and Physiologic Overview
1330(7)
Anatomy of the Immune System
1330(1)
Immune Function: Defenses and Responses
1331(6)
Assessment
1337(4)
Health History
1338(2)
Physical Examination
1340(1)
Diagnostic Evaluation
1341(1)
Management of Patients With Immunodeficiency
1342(7)
Primary Immunodeficiencies
1343(3)
Phagocytic Dysfunction
1343(1)
B-Cell Deficiencies
1343(2)
T-Cell Deficiencies
1345(1)
Combined B-Cell and T-Cell Deficiencies
1346(1)
Deficiencies of the Complement System
1346(1)
Secondary Immunodeficiencies
1346(3)
Management of Patients With HIV Infection and AIDS
1349(33)
HIV Infection and AIDS
1350(16)
The Patient With AIDS
1366(12)
Assessment
1366(6)
Diagnosis
1372(1)
Planning and Goals
1373(1)
Nursing Intervention
1373(5)
Evaluation
1378(1)
Emotional and Ethical Concerns for Nurses
1378(4)
Assessment and Management of Patients With Allergic Disorders
1382(23)
Allergic Reaction: Physiologic Overview
1383(4)
Function and Production of Immunoglobulins
1383(1)
Function of Antigens
1384(1)
Function of Chemical Mediators
1384(1)
Hypersensitivity
1385(2)
Assessment
1387(1)
Health History and Clinical Manifestations
1387(1)
Diagnostic Evaluation
1387(3)
Complete Blood Count With Differential
1387(2)
Eosinophil Count
1389(1)
Total Serum Immunoglobulin E Levels
1389(1)
Skin Tests
1389(1)
Provocative Tests
1390(1)
Radioallergosorbent Test
1390(1)
Allergic Disorders
1390(6)
Anaphylaxis
1390(2)
Allergic Rhinitis
1392(4)
The Patient With Allergic Rhinitis
1396(9)
Assessment
1396(1)
Diagnoses
1396(1)
Planning and Goals
1396(1)
Nursing Interventions
1396(1)
Evaluation
1397(1)
Contact Dermatitis
1398(1)
Atopic Dermatitis
1398(1)
Dermatitis Medicamentosa (Drug Reactions)
1398(1)
Urticaria and Angioneurotic Edema
1399(1)
Hereditary Angioedema
1399(1)
Food Allergy
1400(1)
Serum Sickness
1401(1)
Latex Allergy
1401(4)
Assessment and Management of Patients With Rheumatic Disorders
1405(32)
Rheumatic Diseases
1406(8)
The Patient With a Rheumatic Disease
1414(7)
Assessment
1414(1)
Diagnosis
1415(1)
Planning and Goals
1415(1)
Nursing Interventions
1415(6)
Evaluation
1421(1)
Diffuse Connective Tissue Diseases
1421(7)
Rheumatoid Arthritis
1422(2)
Systemic Lupus Erythematosus
1424(2)
Scleroderma
1426(1)
Polymyositis
1427(1)
Polymyalgia Rheumatica
1427(1)
Degenerative Joint Disease (osteoarthritis)
1428(1)
Spondyloarthropathies
1429(1)
Ankylosing Spondylitis
1430(1)
Reiter's Syndrome
1430(1)
Psoriatic Arthritis
1430(1)
Metabolic and Endocrine Disease Associated With Rheumatic Disorders
1430(1)
Gout
1430(1)
Arthritis Associated With Infectious Organisms
1431(1)
Neoplasms And Neurovascular, Bone, And Extra-Articular Disorders
1431(1)
Other Disorders
1432(6)
UNIT 12 Integumentary Function 1435(102)
Assessment of Integumentary Function
1437(15)
Anatomic and Physiologic Overview
1438(4)
Anatomy of the Skin
1438(3)
Functions of the Skin
1441(1)
Gerontologic Considerations
1442(1)
Assessment
1442(8)
Health History and Clinical Manifestations
1442(1)
Physical Assessment
1443(7)
Diagnostic Evaluation
1450(2)
Skin Biopsy
1450(1)
Immunofluorescence
1450(1)
Patch Testing
1450(1)
Skin Scraping
1450(1)
Tzanck Smear
1450(1)
Wood's Light Examination
1450(1)
Clinical Photographs
1450(2)
Management of Patients with Dermatologic Problems
1452(49)
Management of Skin Care for Patients with Skin Conditions
1453(1)
Protecting the Skin
1453(1)
Preventing Secondary Infection
1453(1)
Reversing the Inflammatory Process
1453(1)
Dressings for Skin Conditions
1453(3)
Dressings and Rules of Wound Care
1453(1)
Wet Dressings
1454(1)
Moisture-Retentive Dressings
1454(1)
Occlusive Dressings
1455(1)
Therapeutic Baths (Balneotherapy) and Medications
1456(1)
Topical Pharmacotherapy
1456(1)
Intralesional Therapy
1457(1)
Systemic Mediations
1457(1)
The Patient with an Abnormal Skin Condition
1457(6)
Assessment
1457(1)
Diagnosis
1458(1)
Planning and Goals
1458(1)
Nursing Interventions
1458(4)
Evaluation
1462(1)
Pruritus
1463(1)
Perianal Itching
1464(1)
Secretory Disorders
1464(2)
Seborrheic Dermatoses
1464(1)
Acne Vulgaris
1465(1)
Bacterial Infections (Pyodermas)
1466(3)
Impetigo
1466(2)
Folliculitis, Furuncles, and Carbuncles
1468(1)
Viral Skin Infections
1469(1)
Herpes Zoster
1469(1)
Herpes Simplex
1469(1)
Fungal (Mycotic) Infections
1470(2)
Tinea Pedis (Athlete's Foot)
1471(1)
Tinea Corporis (Ringworm of the Body)
1471(1)
Tinea Capitis (Ringworm of the Scalp)
1472(1)
Tinea Cruris (Ringworm of the Groin)
1472(1)
Tinea Unguium (Onychomycosis)
1472(1)
Parasitic Skin Infestation
1472(2)
Pediculosis (Lice)
1472(1)
Pediculosis Capitis
1472(1)
Pediculosis Corporis and Pubis
1473(1)
Scabies
1473(1)
Contact Dermatitis
1474(1)
Noninfectious Inflammatory Dermatoses
1474(3)
Psoriasis
1474(3)
The Patient with Psoriasis
1477(3)
Assessment
1477(1)
Diagnosis
1477(1)
Planning and Goals
1478(1)
Nursing Interventions
1478(1)
Evaluation
1479(1)
Exfoliative Dermatitis
1479(1)
Common Blistering Diseases
1480(1)
Pemphigus
1480(1)
Bullous Pemphigoid
1480(1)
Dermatitis Herpetiformis
1481(1)
Herpes Gestationis
1481(1)
The Patient with Common Blistering Diseases
1481(2)
Assessment
1481(1)
Diagnosis
1481(1)
Planning and Goals
1481(1)
Nursing Interventions
1481(1)
Evaluation
1482(1)
Toxic Epidermal Necrolysis and Stevens-Johnson Syndrome
1482(1)
The Patient With Toxic Epidermal Necrolysis
1483(2)
Assessment
1483(1)
Diagnosis
1483(1)
Planning and Goals
1483(1)
Nursing Interventions
1484(1)
Evaluation
1484(1)
Ulcerations
1485(1)
Benign Tumors of the Skin
1485(1)
Cysts
1485(1)
Actinic and Seborrheic Keratoses
1485(1)
Verrucae (Warts)
1485(1)
Angiomas
1485(1)
Pigmented Nevi (Moles)
1485(1)
Keloids
1486(1)
Dermatofibroma
1486(1)
Neurofibromatosis (von Recklinghausen's Disease)
1486(1)
Skin Cancer
1486(3)
Basal Cell and Squamous Cell Carcinoma
1486(2)
Malignant Melanoma
1488(1)
The Patient with Malignant Melanoma
1489(4)
Assessment
1489(1)
Diagnosis
1490(1)
Planning and Goals
1490(1)
Nursing Interventions
1490(1)
Evaluation
1491(1)
Metastatic Skin Tumors
1492(1)
Other Malignancies of The Skin
1493(1)
Kaposi's Sarcoma
1493(1)
Dermatologic and Plastic Reconstructive Surgery
1493(3)
Wound Coverage: Grafts and Flaps
1493(2)
Chemical Face Peeling
1495(1)
Dermabrasion
1495(1)
Facial Reconstructive Surgery
1496(1)
The Patient with Facial Reconstruction
1496(5)
Assessment
1496(1)
Diagnosis
1496(1)
Planning and Goals
1496(1)
Nursing Interventions
1496(2)
Evaluation
1498(1)
Face Lift
1498(1)
Laser Treatment of Cutaneous Lesions
1498(3)
Management of Patients with Burn Injury
1501(36)
Incidence of Burn Injury
1502(1)
Outlook for Survival and Recovery
1502(1)
Pathophysiology of Burns
1502(5)
Burn Classification
1503(1)
Local and Systemic Responses to Burns
1504(3)
Management of the Patient with a Burn Injury
1507(3)
Emergent/Resuscitative Phase of Burn Care
1507(3)
Care During the Emergent/Resuscitative Phase of Burn Care
1510(11)
Assessment
1510(1)
Acute of Intermediate Phase of Burn Care
1511(9)
Disorders of Wound Healing
1520(1)
Burn Care During the Acute Phase
1521(9)
Assessment
1521(1)
Diagnosis
1521(1)
Planning and Goals
1521(1)
Nursing Interventions
1521(7)
Evaluation
1528(1)
Rehabilitation Phase of Burn Care
1529(1)
Burn Care During the Rehabilitation Phase
1530(3)
Assessment
1530(1)
Diagnosis
1530(1)
Planning and Goals
1530(1)
Nursing Interventions
1530(3)
Evaluation
1533(1)
Care of Burns in the Home Setting
1533(1)
Gerontologic Considerations
1533(4)
Nursing Interventions
1534(3)
UNIT 13 Sensorineural Function 1537(68)
Assessment and Management of Patients with Eye and Vision Disorders
1539(39)
Anatomic and Physiologic Overview
1540(3)
Assessment
1543(1)
The Ocular Examination
1543(1)
Diagnostic Evaluation
1544(1)
Direct Ophthalmoscopy
1544(1)
Indirect Ophthalmoscopy
1544(1)
Slit-Lamp Examination
1544(1)
Color Vision Testing
1544(1)
Amsler Grid
1545(1)
Ultrasonography
1545(1)
Color Fundus Photography
1545(1)
Fluorescein Angiography
1545(1)
Tonometry
1545(1)
Gonioscopy
1545(1)
Perimetry Testing
1545(1)
Impaired Vision
1545(4)
Refractive Errors
1545(1)
Low Vision and Blindness
1546(3)
Glaucoma
1549(5)
Cataract
1554(3)
Corneal Disorders
1557(2)
Corneal Dystrophies
1557(1)
Keratoconus
1558(1)
Corneal Surgical Procedures
1558(1)
Retinal Disorders
1559(2)
Retinal Detachment
1559(1)
Retinal Vascular Disorders
1560(1)
Macular Degeneration
1560(1)
Orbital and Ocular Trauma
1561(2)
Orbital Trauma
1561(1)
Ocular Trauma
1562(1)
Ocular Burns
1563(1)
Prevention of Eye Injuries
1563(1)
Infectious and Inflammatory Conditions
1563(5)
Dry Eye Syndrome
1563(2)
Conjunctivitis
1565(2)
Uveitis
1567(1)
Orbital Cellulitis
1567(1)
Mucormycosis
1568(1)
Orbital and Ocular Tumors
1568(2)
Benign Tumors of the Orbit
1568(1)
Benign Tumors of the Eyelids
1569(1)
Benign Tumors of the Conjunctiva
1569(1)
Malignant Tumors of the Orbit
1569(1)
Malignant Tumors of the Eyelid
1569(1)
Malignant Tumors of the Conjunctiva
1569(1)
Ocular Melanoma
1569(1)
Surgical Procedures and Enucleation
1570(1)
Orbital Surgeries
1570(1)
Enucleation
1570(1)
Ocular Consequences of Systemic Disease
1571(1)
Diabetic Retinopathy
1571(1)
Cytomegalovirus Retinitis
1571(1)
Hypertension-Related Eye Changes
1572(1)
Concepts in Ocular Medication Administration
1572(6)
Commonly Used Ocular Medications
1573(1)
Nursing Considerations
1574(4)
Assessment and Management of Patients with Hearing and Balance Disorders
1578(27)
Adult Hearing and Balance
1579(1)
Anatomic and Physiologic Overview
1579(3)
Anatomy of the External Ear
1580(1)
Anatomy of the Middle Ear
1581(1)
Anatomy of the Inner Ear
1581(1)
Function of the Ears
1581(1)
Assessment
1582(1)
Physical Assessment
1582(1)
Diagnostic Evaluation
1583(2)
Audiometry
1583(1)
Tympanogram
1584(1)
Auditory Brain Stem Response
1584(1)
Electronystagmography
1585(1)
Platform Posturography
1585(1)
Sinusoidal Harmonic Acceleration
1585(1)
Middle Ear Endoscopy
1585(1)
Hearing Loss
1585(2)
Conditions of the External Ear
1587(2)
Cerumen Impaction
1587(1)
Foreign Bodies
1588(1)
External Otitis (otitis External)
1588(1)
Malignant External Otitis
1589(1)
Masses of the External Ear
1589(1)
Gaping Erring Puncture
1589(1)
Conditions of the Middle Ear
1589(2)
Tympanic Membrane Perforation
1589(1)
Acute Otitis Media
1589(1)
Serous Otitis Media
1590(1)
Chronic Otitis Media
1590(1)
The Patient Undergoing Mastoid Surgery
1591(3)
Assessment
1591(1)
Nursing Diagnoses
1591(1)
Planning and Goals
1592(1)
Nursing Interventions
1592(1)
Evaluation
1593(1)
Otosclerosis
1593(1)
Middle Ear Masses
1594(1)
Conditions of the Inner Ear
1594(6)
Motion Sickness
1594(1)
Meniere's Disease
1595(1)
Labyrinthitis
1596(1)
Vestibular Neuronitis
1596(1)
Benign Paroxysmal Positional Vertigo
1596(3)
Ototoxicity
1599(1)
Acoustic Neuroma
1600(1)
Aural Rehabilitation
1600(5)
Hearing Aids
1600(2)
Implanted Hearing Devices
1602(1)
Hearing Guide Dogs
1603(2)
UNIT 14 Neurologic Function 1605(156)
Assessment of Neurologic Function
1607(26)
Anatomic and Physiologic Overview
1608(13)
Cells of The Nervous System
1608(1)
Neurotransmitters
1608(1)
The Central Nervous System
1608(6)
The Peripheral Nervous System
1614(3)
Motor and Sensory Functions of the Nervous System
1617(4)
Assessment: The Neurologic Examination
1621(4)
Assessing Cerebral Function
1621(1)
Examining the Cranial Nerves
1622(1)
Examining the Motor System
1622(1)
Examining the Reflexes
1623(2)
Sensory Examination
1625(1)
Gerontologic Considerations
1625(1)
Structural Changes
1625(1)
Sensory Alterations
1626(1)
Temperature Regulation and Pain Perception
1626(1)
Taste and Smell Alterations
1626(1)
Tactile and Visual Alterations
1626(1)
Mental Status
1626(1)
Nursing Implications
1626(1)
Diagnostic Evaluation
1626(7)
Computed Tomography Scanning
1626(1)
Positron Emission Tomography
1627(1)
Single Photon Emission Computed Tomography
1627(1)
Magnetic Resonance Imaging
1627(1)
Cerebral Angiography
1627(1)
Digital Subtraction Angiography
1628(1)
Myelography
1628(1)
Lumbar Epidural Venography
1628(1)
Radionuclide Imaging Studies (Brain Scan)
1628(1)
Echoencephalography
1629(1)
Noninvasive Carotid Flow Studies
1629(1)
Electroencephalography
1629(1)
Evoked Potential Studies
1629(1)
Electromyography
1630(1)
Nerve Conduction Studies
1630(1)
Lumbar Puncture and Examination of Cerebrospinal Fluid
1630(1)
Home and Community-Based Care
1630(3)
Management of Patients With Neurologic Dysfunction
1633(41)
Increased Icp
1634(4)
The Patient With Increased Icp
1638(6)
Assessment
1638(1)
Diagnosis
1639(1)
Planning and Goals
1639(1)
Nursing Interventions
1639(4)
Evaluation
1643(1)
The Unconscious Patient
1644(1)
The Unconscious Patient
1644(5)
Assessment
1644(1)
Diagnosis
1644(2)
Planning and Goals
1646(1)
Nursing Interventions
1646(2)
Evaluation
1648(1)
Cerebrovascular Disease
1649(6)
Transient Ischemic Attacks
1649(1)
Stroke (Cerebrovascular Accident)
1650(5)
The Patient Recovering From a Stroke
1655(6)
Assessment
1655(1)
Diagnosis
1655(1)
Planning and Goals
1655(1)
Nursing Interventions
1655(6)
Evaluation
1661(1)
Intracranial Surgery
1661(3)
The Patient Undergoing Intracranial Surgery
1664(5)
Assessment
1664(1)
Diagnosis
1664(1)
Planning and Goals
1664(1)
Nursing Interventions
1664(3)
Evaluation
1667(1)
Transsphenoidal Surgery
1667(2)
Neurologic and Neurosurgical Approaches to Pain Management
1669(5)
Stimulation Procedures
1669(1)
Intraspinal Opioids
1670(1)
Cordotomy
1670(1)
Rhizotomy
1671(3)
Management of Patients With Neurologic Trauma
1674(26)
Head Injuries
1675(4)
Scalp Injury
1675(1)
Skull Fractures
1675(1)
Brain Injury
1676(3)
The Patient With a Brain Injury
1679(7)
Assessment
1679(1)
Diagnosis
1679(1)
Planning and Goals
1680(1)
Nursing Interventions
1680(6)
Evaluation
1686(1)
Spinal Cord Injury
1686(4)
Pathophysiology
1687(1)
Clinical Manifestations
1687(1)
Assessment and Diagnostic Findings
1687(1)
Emergency Management
1687(1)
Management of Spinal Cord Injuries (Acute Phase)
1687(3)
The Patient With Acute Spinal Cord Injury
1690(5)
Assessment
1690(1)
Diagnosis
1690(1)
Planning and Goals
1691(1)
Nursing Interventions
1691(3)
Evaluation
1694(1)
Management of the Quadriplegic or Paraplegic Patient
1695(1)
The Patient with Quadriplegia or Paraplegia
1695(5)
Assessment
1695(1)
Diagnosis
1696(1)
Planning and Goals
1696(1)
Nursing Interventions
1696(2)
Evaluation
1698(2)
Management of Patients With Neurologic Disorders
1700(61)
Headache
1701(4)
Assessment and Diagnostic Evaluation
1701(1)
Migraine
1701(3)
Cluster Headache
1704(1)
Cranial Arteritis
1704(1)
Tension Headache (Muscle Contraction Headache)
1704(1)
Brain Tumors
1705(4)
Cerebral Metastases
1709(1)
The Patient With Cerebral Metastases or an Incurable Brain Tumor
1709(2)
Assessment
1709(1)
Diagnosis
1710(1)
Planning and Goals
1710(1)
Nursing Interventions
1710(1)
Evaluation
1711(1)
Intracranial Infections
1711(3)
Meningitis
1711(3)
Brain Abscess
1714(1)
Intracranial Aneurysm
1714(2)
The Patient With a Cerebral Aneurysm
1716(2)
Assessment
1716(1)
Diagnosis
1717(1)
Planning and Goals
1717(1)
Nursing Interventions
1717(1)
Evaluation
1718(1)
Degenerative Neurologic Disorders
1718(2)
Multiple Sclerosis
1718(2)
The Patient With Multiple Sclerosis
1720(7)
Assessment
1720(1)
Diagnosis
1720(1)
Planning and Goals
1720(1)
Nursing Interventions
1720(1)
Evaluation
1720(3)
Parkinson's Disease
1723(4)
The Patient With Parkinson's Disease
1727(6)
Assessment
1727(1)
Diagnosis
1727(1)
Planning and Goals
1728(1)
Nursing Interventions
1728(1)
Evaluation
1729(1)
Huntington's Disease
1730(1)
Alzheimer's Disease
1731(1)
Creutzfeldt-Jakob Disease
1731(2)
Myasthenia Gravis
1733(1)
The Patient With Myasthenia Gravis
1733(5)
Assessment
1733(2)
Diagnosis
1735(1)
Planning and Goals
1735(1)
Nursing Interventions
1735(1)
Evaluation
1736(1)
Amyotrophic Lateral Sclerosis
1737(1)
Muscular Dystrophies
1737(1)
Seizure Disorders
1738(5)
Seizures
1738(1)
The Epilepsies
1739(4)
The Patient With Epilepsy
1743(2)
Assessment
1743(1)
Diagnosis
1743(1)
Planning and Goals
1743(1)
Nursing Interventions
1743(1)
Evaluation
1743(1)
Status Epilepticus
1744(1)
Disorders of the Spinal Cord
1745(3)
Intraspinal Tumors
1745(1)
Herniation of an Intervertebral Disk
1746(1)
Herniation of a Cervical Intervertebral Disk
1747(1)
The Patient Undergoing a Cervical Discectomy
1748(3)
Assessment
1748(1)
Diagnosis
1748(1)
Planning and Goals
1748(1)
Nursing Interventions
1748(2)
Evaluation
1750(1)
Herniation of a Lumbar Disk
1750(1)
Cranial Nerve Disorders
1751(3)
Trigeminal Neuralgia (Tic Douloureux)
1751(3)
Bell's Palsy
1754(1)
Disorders of the Peripheral Nervous System
1754(1)

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