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Health and Physical Assessment in Nursing

by ;
Edition:
2nd
ISBN13:

9780130493736

ISBN10:
0130493732
Format:
Hardcover
Pub. Date:
1/1/2012
Publisher(s):
Prentice Hall
List Price: $103.89

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Summary

Undergraduate nursingin physical and health assessment,the text begins with introductory concepts, such as overall health assessment, conducting a health interview and health history, as well as documentation. The second half is organized by body systems, and each chapter reviews anatomy and physiology, teaches students how to conduct an interview, and walks students through the examination for that body system.With our three step approach, we will help students prepare for success. Learn the techniques Demonstrate your skills Practice and test yourselfThisis a program that combines thetext and mediain order tocreateanintegrated teaching and learning system. Media is a driving force in this course,possibly more than any other nursing course. With our program,the difference is,the media is chapter specific.

Table of Contents

Preface viii
UNIT I INTRODUCTION TO HEALTH ASSESSMENT
1(94)
Health Assessment
1(21)
Healthy People 2010
2(1)
Health
3(1)
Definitions of Health
3(1)
Models of Health
3(1)
Health Assessment
4(7)
The Interview
4(1)
The Health History
4(1)
The Focused Interview
4(1)
Physical Assessment
5(1)
Documentation
5(3)
Interpretation of Findings
8(3)
Nursing Process
11(2)
Assessment
11(1)
Diagnosis
11(2)
Planning
13(1)
Implementation
13(1)
Evaluation
13(1)
Critical Thinking
13(4)
Collection of Information
14(1)
Analysis of the Situation
15(1)
Generation of Alternatives
16(1)
Selection of Alternatives
16(1)
Evaluation
16(1)
Role of the Professional Nurse
17(4)
Teacher
17(2)
Caregiver
19(1)
Advanced Practice Roles
19(2)
Application Through Critical Thinking
21(1)
Case Study
21(1)
Critical Thinking Questions
21(1)
Wellness and Health Promotion
22(24)
Wellness
23(2)
Wellness Theories
23(2)
Health Promotion
25(3)
Definition
25(1)
Perspectives on Health Promotion
25(3)
Healthy People 2010
28(9)
Leading Health Indicators
29(8)
Health Promotion and the Nursing Process
37(7)
Assessment
37(7)
Plan Development
44(1)
Roles of the Professional Nurse
44(1)
Application Through Critical Thinking
44(1)
Case Study
44(2)
Critical Thinking Questions
45(1)
Health Assessment Across the Life Span
46(23)
Principles of Growth and Development
47(1)
Theories of Development
48(1)
Cognitive Theory
48(1)
Psychoanalytic Theory
48(1)
Psychosocial Theory
49(1)
Stages of Development
49(17)
Infants
49(3)
Toddlers
52(2)
Preschool Children
54(2)
School-Age Children
56(2)
Adolescents
58(3)
Young Adults
61(1)
Middle-Aged Adults
61(2)
Older Adults
63(3)
Growth and Development in Health Assessment
66(1)
Factors That Influence Growth and Development
66(2)
Nutrition
66(1)
Family
66(1)
Culture
67(1)
Socioeconomic Status
67(1)
Application Through Critical Thinking
68(1)
Case Study
68(1)
Critical Thinking Questions
68(1)
Cultural Considerations
69(11)
Cultural Competence
70(1)
Culture
70(1)
Terms Related to Culture
71(2)
Race
72(1)
Ethnicity
72(1)
Diversity
72(1)
Assimilation
72(1)
Cultural Phenomena That Impact Healthcare
73(5)
Communication
74(3)
Temporal Relationships
77(1)
Family Patterns
77(1)
Dietary Patterns
77(1)
Health Beliefs and Health Practices
77(1)
Culture in Comprehensive Health Assessment
78(1)
Application Through Critical Thinking
79(1)
Case Study
79(1)
Critical Thinking Questions
79(1)
Psychosocial Assessment
80(15)
Psychosocial Health
81(1)
Factors That Influence Psychosocial Health
81(5)
Internal Factors
81(1)
External Factors
82(1)
Additional Factors in Psychosocial Health
83(3)
The Nursing Process in Psychosocial Assessment
86(7)
Assessment
86(7)
Organizing the Data
93(1)
Application Through Critical Thinking
93(1)
Case Study
93(2)
Critical Thinking Questions
93(2)
UNIT II INTRODUCTION TO PHYSICAL ASSESSMENT
95(87)
Techniques and Equipment
95(13)
Basic Techniques of Physical Assessment
96(4)
Inspection
96(1)
Palpation
97(1)
Percussion
98(2)
Auscultation
100(1)
Equipment
100(5)
Stethoscope
100(3)
Doppler Ultrasonic Stethoscope
103(1)
Ophthalmoscope
103(1)
Otoscope
104(1)
Professional Responsibilities
105(2)
Cues
105(1)
Critical Thinking
105(1)
Providing a Safe and Comfortable Environment
105(1)
Standard Precautions
106(1)
Application Through Critical Thinking
107(1)
Case Study
107(1)
Critical Thinking Questions
107(1)
General Survey
108(15)
Components of the General Survey
109(2)
Physical Appearance
109(1)
Mental Status
109(1)
Mobility
110(1)
Behavior of the Client
110(1)
Age-Related Considerations
110(1)
Measuring Height and Weight
111(2)
Height
111(1)
Weight
111(1)
Age-Related Considerations
112(1)
Measuring Vital Signs
113(6)
Measuring Body Temperature
113(1)
Measuring the Pulse Rate
114(2)
Measuring Respiratory Rate
116(1)
Measuring Blood Pressure
116(2)
Age-Related Considerations
118(1)
Pain---The Fifth Vital Sign
119(1)
Pain Assessment
119(1)
The Functional Assessment as Part of the General Survey
120(2)
Functional Assessment Defined
120(1)
Functional Assessment During the General Survey
120(1)
Critical Thinking
120(2)
Application Through Critical Thinking
122(1)
Case Study
122(1)
Critical Thinking Questions
122(1)
Pain Assessment
123(12)
Definition of Pain
124(1)
Physiology of Pain
124(3)
Theories of Pain
124(1)
Nervous System
125(2)
Nature of Pain
127(1)
Types of Pain
127(1)
Concepts Associated with Pain
128(1)
Factors Influencing Pain
128(2)
Developmental Considerations
128(1)
Psychosocial Considerations
129(1)
Environmental Considerations
130(1)
Assessment
130(2)
Pain History
131(1)
Focused Interview
131(1)
Physiological Responses
132(1)
Assessment Tools
132(1)
Unidimensional Tools
132(1)
Multidimensional Tools
133(1)
Application Through Critical Thinking
133(1)
Case Study
133(2)
Critical Thinking Questions
133(1)
Applying Nursing Diagnoses
133(2)
Nutritional Assessment
135(21)
Defining Nutritional Health
136(1)
Nutritional Assessment
137(14)
Nutritional History
138(1)
Physical Assessment
139(10)
Biochemical Assessment---Laboratory Measurements
149(1)
Cultural Considerations for the Nutritional Assessment
149(1)
Nutritional Assessment Across the Life Span
149(2)
Nutritional Screening and Assessment Tools
151(2)
Food Guide Pyramid
151(1)
Other Assessment Tools
152(1)
Health Promotion
153(1)
Application Through Critical Thinking
154(1)
Case Study
154(2)
Complete Documentation
155(1)
Critical Thinking Questions
155(1)
Applying Nursing Diagnoses
155(1)
The Health History
156(26)
Communication Skills
157(3)
Interactional Skills
157(3)
Barriers to Effective Client Interaction
160(1)
False Reassurance
160(1)
Interrupting or Changing the Subject
160(1)
Passing Judgment
160(1)
Cross-Examination
160(1)
Technical Terms
160(1)
Sensitive Issues
160(1)
The Influence of Culture on Nurse-Client Interactions
161(1)
Diversity
161(1)
Body Language
161(1)
Communicating with Language Differences
162(1)
Professional Characteristics to Enhance the Nurse-Client Interaction
162(1)
Positive Regard
162(1)
Empathy
163(1)
Genuineness
163(1)
Concreteness
163(1)
The Health History Interview
163(3)
Sources of Information
163(1)
Phases of the Health Assessment Interview
164(2)
The Health History
166(9)
Components of the Health History
167(8)
Documentation
175(5)
Nursing Considerations
180(1)
Application Through Critical Thinking
180(1)
Case Study
180(2)
Critical Thinking Questions
181(1)
UNIT III PHYSICAL ASSESSMENT
182(600)
Skin, Hair, and Nails
182(52)
Anatomy and Physiology Review
183(2)
Skin and Glands
183(1)
Subcutaneous Tissue
184(1)
Cutaneous Glands
184(1)
Oil Glands
184(1)
Hair
185(1)
Nails
185(1)
Special Considerations
185(6)
Developmental Considerations
185(3)
Psychosocial Considerations
188(1)
Cultural and Environmental Considerations
188(3)
Gathering the Data
191(1)
Focused Interview
191(1)
Skin
192(5)
Questions Related to Illness or Infection
192(1)
Questions Related to Symptoms or Behaviors
193(2)
Questions Related to Age
195(1)
Questions Related to the Environment
196(1)
Hair
197(1)
Nails
198(2)
Physical Assessment
200(9)
Assessment Techniques and Findings
200(1)
Survey
200(1)
Inspection of the Skin
201(1)
Palpation of the Skin
202(3)
Inspection of the Scalp and Hair
205(2)
Assessment of the Nails
207(2)
Abnormal Findings
209(1)
Vascular Lesions
209(3)
Hemangioma
209(1)
Port-Wine Stain
209(1)
Spider Angioma
210(1)
Venous Lake
210(1)
Petechiae
210(1)
Purpura
211(1)
Ecchymosis
211(1)
Hematoma
212(1)
Primary Lesions
212(2)
Macule, Patch
212(1)
Papule, Plaque
212(1)
Nodule, Tumor
213(1)
Vesicle, Bulla
213(1)
Wheal
213(1)
Pustule
214(1)
Cyst
214(1)
Secondary Lesions
214(3)
Atrophy
214(1)
Erosion
215(1)
Lichenification
215(1)
Scales
215(1)
Crust
216(1)
Ulcer
216(1)
Fissure
216(1)
Scar
217(1)
Keloid
217(1)
Configurations and Shapes of Lesions
217(3)
Annular
217(1)
Confluent
218(1)
Discrete
218(1)
Grouped
218(1)
Gyrate
219(1)
Target
219(1)
Linear
219(1)
Polycyclic
220(1)
Zosteriform
220(1)
Common Skin Lesions
220(4)
Tinea
220(1)
Measles (Rubeola)
221(1)
German Measles (Rubella)
221(1)
Chickenpox (Varicella)
221(1)
Herpes Simplex
222(1)
Herpes Zoster
222(1)
Psoriasis
222(1)
Contact Dermatitis
223(1)
Eczema
223(1)
Impetigo
223(1)
Malignant Skin Lesions
224(1)
Basal Cell Carcinoma
224(1)
Squamous Cell Carcinoma
224(1)
Malignant Melanoma
224(1)
Kaposi's Sarcoma
225(1)
Abnormalities of the Hair
225(2)
Seborrheic Dermatitis
225(1)
Tinea Capitis
225(1)
Alopecia Areata
226(1)
Folliculitis
226(1)
Furuncle/Abscess
226(1)
Hirsutism
227(1)
Abnormalities of the Nails
227(2)
Spoon Nails
227(1)
Paronychia
227(1)
Beau's Line
228(1)
Splinter Hemorrhage
228(1)
Clubbing
228(1)
Onycholysis
228(1)
Health Promotion
229(2)
Application Through Critical Thinking
231(1)
Case Study
231(3)
Complete Documentation
231(1)
Critical Thinking Questions
231(1)
Applying Nursing Diagnoses
231(1)
Prepare Teaching Plan
232(2)
Head, Neck, and Related Lymphatics
234(29)
Anatomy and Physiology Review
235(5)
Head
235(1)
Neck
236(3)
Lymphatics
239(1)
Special Considerations
240(1)
Developmental Considerations
240(1)
Psychosocial Considerations
241(1)
Cultural and Environmental Considerations
241(1)
Gathering the Data
241(1)
Focused Interview
241(5)
General Questions
242(1)
Questions Related to Illness, Infection, or Injury
243(1)
Questions Related to Symptoms or Behaviors
243(1)
Questions Related to Age
244(1)
Questions Related to the Environment
245(1)
Physical Assessment
246(7)
Assessment Techniques and Findings
246(1)
The Head
247(2)
The Neck
249(4)
Abnormal Findings
253(1)
Headaches
253(1)
Classic Migraine
253(1)
Cluster Headache
254(1)
Tension Headache
254(1)
Abnormalities of the Skull and Face
254(4)
Hydrocephalus
254(1)
Craniosynostosis
254(1)
Acromegaly
255(1)
Bell's Palsy
255(1)
Cushing's Syndrome
255(1)
Down Syndrome
256(1)
Parkinson's Disease
256(1)
Brain Attack
257(1)
Fetal Alcohol Syndrome
257(1)
Torticollis
257(1)
Thyroid Abnormalities
258(1)
Hyperthyroidism
258(1)
Hypothyroidism
258(1)
Thyroiditis
258(1)
Health Promotion
259(1)
Application Through Critical Thinking
260(1)
Case Study
260(3)
Complete Documentation
260(1)
Critical Thinking Questions
261(1)
Applying Nursing Diagnoses
261(1)
Prepare Teaching Plan
261(2)
Eye
263(41)
Anatomy and Physiology Review
264(2)
Eye
264(1)
Refraction of the Eye
265(1)
Visual Pathways
265(1)
Accessory Structures of the Eye
266(1)
Special Considerations
266(3)
Developmental Considerations
266(3)
Psychosocial Considerations
269(1)
Cultural and Environmental Considerations
269(1)
Gathering the Data
269(1)
Focused Interview
269(7)
General Questions
270(1)
Questions Related to Illness or Infection
270(1)
Questions Related to Symptoms or Behaviors
271(2)
Questions Related to Age
273(1)
Questions Related to the Environment
274(2)
Physical Assessment
276(13)
Assessment Techniques and Findings
276(1)
Testing Visual Acuity
276(2)
Testing Visual Fields by Confrontation
278(1)
Testing the Six Cardinal Fields of Gaze
279(1)
Assessment of Corneal Light Reflex
280(1)
Perform the Cover Test
281(1)
Inspection of the Pupils
281(1)
Evaluation of Pupillary Response
281(1)
Testing for Accommodation of Pupil Response
282(1)
Testing of the Corneal Reflex
282(1)
Inspection of the External Eye
283(1)
Palpation of the Eye
283(1)
Examination of the Conjunctiva and Sclera Under the Lower Eyelid
284(1)
Inspection of the Fundus with the Ophthalmoscope
285(4)
Abnormal Findings
289(4)
Visual Acuity
289(1)
Visual Fields
290(1)
Cardinal Fields of Gaze
291(2)
Abnormal Pupillary Response
293(1)
Adie's Pupil
293(1)
Argyll Robertson Pupils
293(1)
Anisocoria
293(1)
Cranial Nerve III Damage
293(1)
Horner's Syndrome
293(1)
Mydriasis
294(1)
Miosis
294(1)
Monocular Blindness
294(1)
Abnormalities of the Structures of the External Eye
294(4)
Acute Glaucoma
294(1)
Basal Cell Carcinoma
295(1)
Blepharitis
295(1)
Cataract
295(1)
Chalazion
296(1)
Conjunctivitis
296(1)
Ectropion
296(1)
Entropion
297(1)
Hordeolum (Style)
297(1)
Iritis
297(1)
Periorbital Edema
298(1)
Ptosis
298(1)
Abnormalities of the Fundus
298(1)
Diabetic Retinopathy
298(1)
Hypertensive Retinopathy
298(1)
Macular Degeneration
299(1)
Health Promotion
299(2)
Application Through Critical Thinking
301(1)
Case Study
301(3)
Complete Documentation
301(1)
Critical Thinking Questions
302(1)
Applying Nursing Diagnoses
303
Prepare Teaching Plan
302(2)
Ears, Nose, Mouth, and Throat
304(44)
Anatomy and Physiology Review
305(5)
Ear
305(1)
Nose and Sinuses
306(1)
Mouth
307(3)
Throat
310(1)
Special Considerations
310(2)
Developmental Considerations
311(1)
Psychosocial Considerations
311(1)
Cultural and Environmental Considerations
312(1)
Gathering The Data
312(1)
Focused Interview
312(7)
General Questions
313(1)
Questions Related to Illness or Infection
313(1)
Questions Related to Symptoms or Behaviors
314(1)
Questions Related to the Environment
314(1)
Questions Related to Age
315(1)
Nose and Sinuses
316(1)
Mouth and Throat
317(2)
Physical Assessment
319(14)
Assessment Techniques and Findings
319(1)
Ear
320(6)
Nose and Sinuses
326(4)
Mouth and Throat
330(3)
Abnormal Findings
333(1)
Ear
333(2)
Hemotympanum
333(1)
Otitis Externa
333(1)
Otitis Media
334(1)
Perforation of the Tympanic Membrane
334(1)
Scarred Tympanic Membrane
334(1)
Tophi
335(1)
Tympanostomy Tubes
335(1)
Nose and Sinuses
335(4)
Epistaxis
335(1)
Rhinitis
336(1)
Sinusitis
337(1)
Deviated Septum
337(1)
Nasal Polyps
338(1)
Perforated Septum
338(1)
Mouth and Throat
339(4)
Ankyloglossia
339(1)
Aphthous Ulcers
339(1)
Black Hairy Tongue
340(1)
Gingival Hyperplasia
340(1)
Gingivitis
340(1)
Tonsillitis
341(1)
Smooth Tongue
341(1)
Herpes Simplex
341(1)
Carcinoma
342(1)
Leukoplakia
342(1)
Health Promotion
343(1)
Application Through Critical Thinking
344(1)
Case Study
344(4)
Complete Documentation
345(1)
Critical Thinking Questions
345(1)
Applying Nursing Diagnoses
345(1)
Prepare Teaching Plan
345(3)
Respiratory System
348(49)
Anatomy and Physiology Review
349(4)
Lower Respiratory Tract
350(2)
Respiratory Process
352(1)
Landmarks
353(6)
Special Considerations
359(2)
Developmental Considerations
359(1)
Psychosocial Considerations
360(1)
Cultural and Environmental Considerations
360(1)
Gathering the Data
361(1)
Focused Interview
361(8)
General Questions
362(1)
Questions Related to Illness or Infection
363(1)
Questions Related to Symptoms or Behaviors
363(3)
Questions Related to Age
366(1)
Questions Related to the Environment
367(2)
Physical Assessment
369(19)
Assessment Techniques and Findings
369(1)
Survey
370(1)
Inspection of the Anterior Thorax
370(1)
Inspection of the Posterior Thorax
371(1)
Palpation of the Posterior Thorax
372(2)
Percussion of the Posterior Thorax
374(2)
Auscultation of the Posterior Thorax
376(3)
Assessment of Voice Sounds
379(1)
Assessment of the Anterior Thorax
379(1)
Palpation of the Anterior Thorax
379(3)
Percussion of the Anterior Thorax
382(1)
Auscultation of the Anterior Thorax
383(5)
Abnormal Findings
388(1)
Respiratory Disorders
388(4)
Asthma
388(1)
Atelectasis
388(1)
Chronic Bronchitis
389(1)
Emphysema
389(1)
Lobar Pneumonia
390(1)
Pleural Effusion
390(1)
Pneumothorax
391(1)
Congestive Heart Failure
391(1)
Health Promotion
392(2)
Application Through Critical Thinking
394(1)
Case Study
394(3)
Complete Documentation
395(1)
Critical Thinking Questions
395(1)
Applying Nursing Diagnoses
395(1)
Prepare Teaching Plan
395(2)
Breasts and Axillae
397(28)
Anatomy and Physiology Review
398(3)
Breasts
398(1)
Axillae and Lymph Nodes
399(2)
Muscles of the Chest Wall
401(1)
Special Considerations
401(2)
Developmental Considerations
401(1)
Psychosocial Considerations
402(1)
Cultural and Environmental Considerations
402(1)
Gathering the Data
403(1)
Focused Interview
403(5)
General Questions
404(1)
Questions Related to Illness or Infection
404(1)
Questions Related to Symptoms or Behaviors
404(1)
Questions Related to Age
405(1)
Questions Related to the Environment
406(2)
Physical Assessment
408(9)
Assessment Techniques and Findings
408(1)
Inspection of the Breast
408(4)
Palpation of the Breast
412(3)
Examination of the Axillae
415(1)
Inspection of the Male Breast
416(1)
Palpation of the Male Breast and Axillae
416(1)
Abnormal Findings
417(3)
Benign Breast Disease
417(1)
Fibroadenoma
418(1)
Intraductal Papilloma
418(1)
Mammary Duct Ectasia
418(1)
Carcinoma of the Breast
419(1)
Abnormalities of the Male Breast
419(1)
Health Promotion
420(3)
Application Through Critical Thinking
423(1)
Case Study
423(2)
Complete Documentation
423(1)
Critical Thinking Questions
423(1)
Applying Nursing Diagnoses
423(1)
Prepare Teaching Plan
423(2)
Cardiovascular System
425(51)
Anatomy and Physiology Review
426(14)
Pericardium
426(1)
Heart
426(2)
Valves
428(1)
Heart Sounds
429(2)
Additional Heart Sounds
431(1)
Coronary Arteries
431(3)
Cardiac Veins
434(1)
Cardiac Conduction System
434(2)
Pulmonary Circulation
436(1)
Systemic Circulation
436(1)
Landmarks for Cardiovascular Assessment
436(1)
Cardiac Cycle
437(2)
Measurements of Cardiac Function
439(1)
Special Considerations
440(3)
Developmental Considerations
440(2)
Psychosocial Considerations
442(1)
Cultural and Environmental Considerations
442(1)
Gathering the Data
443(1)
Focused Interview
444(7)
Questions Related to Illness
445(1)
Questions Related to Symptoms or Behaviors
445(2)
Questions Related to Age
447(2)
Questions Related to the Environment
449(2)
Physical Assessment
451(12)
Assessment Techniques and Findings
451(1)
Inspection
451(6)
Palpation
457(2)
Percussion
459(1)
Auscultation
460(3)
Abnormal Findings
463(1)
Diseases of the Myocardium and Pumping Capacity of the Heart
463(1)
Myocardial Ischemia
463(1)
Myocardial Infarction
463(1)
Congestive Heart Disease
463(1)
Ventricular Hypertrophy
463(1)
Valvular Disease
464(3)
Valvular Heart Disease
464(1)
Mitral Stenosis
464(1)
Aortic Stenosis
464(1)
Mitral Regurgitation
465(1)
Pulmonic Stenosis
465(1)
Tricuspid Stenosis
466(1)
Mitral Valve Prolapse
466(1)
Aortic Regurgitation
467(1)
Septal Defects
467(1)
Ventricular Septal Defect
467(1)
Atrial Septal Defect
468(1)
Congenital Heart Disease
468(2)
Coarctation of the Aorta
468(1)
Patent Ductus Arteriosus
469(1)
Tetralogy of Fallot
469(1)
Electrical Rhythm Disturbances
470(1)
Ventricle Tachycardia
470(1)
Ventricular Fibrillation
470(1)
Heart Block
470(1)
Atrial Flutter
471(1)
Atrial Fibrillation
471(1)
Health Promotion
471(2)
Application Through Critical Thinking
473(1)
Case Study
473(3)
Complete Documentation
474(1)
Critical Thinking Questions
474(1)
Applying Nursing Diagnoses
474(1)
Prepare Teaching Plan
474(2)
Peripheral Vascular System
476(34)
Anatomy and Physiology Review
477(2)
Arteries
477(1)
Veins
478(1)
Capillaries
478(1)
Lymphatic System
478(1)
Special Considerations
479(2)
Developmental Considerations
479(2)
Psychosocial Considerations
481(1)
Cultural and Environmental Considerations
481(1)
Gathering the Data
481(1)
Focused Interview
481(4)
General Questions
482(1)
Questions Related to Illness
482(1)
Questions Related to Symptoms or Behaviors
482(2)
Questions Related to Age
484(1)
Questions Related to the Environment
484(1)
Physical Assessment
485(16)
Assessment Techniques and Findings
485(1)
Blood Pressure
486(2)
Carotid Arteries
488(1)
Arms
489(3)
Legs
492(9)
Abnormal Findings
501(4)
Arterial Insufficiency
502(1)
Arterial Aneurysm
502(1)
Venous Insufficiency
503(1)
Varicose Veins
503(1)
Raynaud's Disease
504(1)
Deep Vein Thrombosis
504(1)
Lymphedema
504(1)
Health Promotion
505(1)
Application Through Critical Thinking
506(1)
Case Study
506(4)
Complete Documentation
507(1)
Critical Thinking Questions
507(1)
Applying Nursing Diagnoses
507(1)
Prepare Teaching Plan
507(3)
Abdomen
510(44)
Anatomy and Physiology Review
511(5)
Abdomen
511(1)
Alimentary Canal
511(2)
Accessory Digestive Organs
513(1)
Other Related Structures
513(1)
Landmarks
514(2)
Special Considerations
516(3)
Developmental Considerations
516(3)
Psychosocial Considerations
519(1)
Cultural and Environmental Considerations
519(1)
Gathering the Data
519(1)
Focused Interview
519(9)
General Questions
520(1)
Questions Related to Illness or Infection
521(1)
Questions Related to Symptoms or Behaviors
522(2)
Questions Related to Age
524(2)
Questions Related to the Environment
526(2)
Physical Assessment
528(14)
Assessment Techniques and Findings
528(1)
Survey
529(1)
Inspection of the Abdomen
529(2)
Auscultation of the Abdomen
531(2)
Percussion of the Abdomen
533(2)
Percussion of the Liver
535(1)
Percussion of the Spleen
536(1)
Percussion of the Gastric Bubble
537(1)
Palpation of the Abdomen
537(2)
Palpation of the Liver
539(1)
Palpation of the Spleen
539(1)
Additional Procedures
540(2)
Abnormal Findings
542(1)
Abnormal Abdominal Sounds
542(1)
Abdominal Pain
543(1)
Abdominal Distention
544(2)
Obesity
544(1)
Gaseous Distention
545(1)
Tumor
545(1)
Ascites
546(1)
Abdominal Hernias
546(2)
Umbilical Hernia
547(1)
Ventral (Incisional) Hernias
547(1)
Hiatal Hernia
547(1)
Alterations of the Gastrointestinal Tract
548(1)
Nutritional Problems
548(1)
Eating Disorders
548(1)
Cancers
548(1)
Inflammatory Processes
549(1)
Health Promotion
549(2)
Application Through Critical Thinking
551(1)
Case Study
551(3)
Complete Documentation
552(1)
Critical Thinking Questions
552(1)
Applying Nursing Diagnoses
552(1)
Prepare Teaching Plan
552(2)
Urinary System
554(28)
Anatomy and Physiology Review
555(2)
Kidneys
555(2)
Renal Arteries
557(1)
Ureters
557(1)
Urinary Bladder
557(1)
Urethra
557(1)
Landmarks
557(1)
Special Considerations
557(4)
Developmental Considerations
557(3)
Psychosocial Considerations
560(1)
Cultural and Environmental Considerations
560(1)
Gathering the Data
561(1)
Focused Interview
561(7)
General Questions
561(1)
Questions Related to Illness or Infection
562(1)
Questions Related to Symptoms or Behaviors
563(3)
Questions Related to Age
566(1)
Questions Related to the Environment
567(1)
Physical Assessment
568(9)
Assessment Techniques and Findings
568(1)
General Survey
569(2)
The Kidneys and Flanks
571(2)
The Left Kidney
573(2)
The Right Kidney
575(1)
The Urinary Bladder
575(2)
Abnormal Findings
577(1)
Bladder Cancer
577(1)
Glomerulonephritis
577(1)
Renal Calculi
577(1)
Renal Tumor
577(1)
Renal Failure
577(1)
Urinary Tract Infection
577(1)
Changes in Urinary Elimination
577(1)
Health Promotion
578(2)
Application Through Critical Thinking
580(1)
Case Study
580(2)
Complete Documentation
580(1)
Critical Thinking Questions
580(1)
Applying Nursing Diagnoses
580(1)
Prepare Teaching Plan
580(2)
Male Reproductive System
582(42)
Anatomy and Physiology Review
583(3)
Male Reproductive System
583(2)
Duct System
585(1)
Accessory Glands
585(1)
Penis
586(1)
Inguinal Areas
586(1)
Perianal Area
586(1)
Special Considerations
586(4)
Developmental Considerations
586(2)
Psychosocial Considerations
588(1)
Cultural and Environmental Considerations
589(1)
Gathering the Data
590(1)
Focused Interview
590(8)
General Questions
591(2)
Questions Related to Illness or Infection
593(1)
Questions Related to Symptoms or Behaviors
593(3)
Questions Related to Age
596(1)
Questions Related to Environment
597(1)
Physical Assessment
598(12)
Assessment Techniques and Findings
598(1)
Inspection
599(4)
Palpation
603(7)
Abnormal Findings
610(1)
Abnormalities of the Penis
610(2)
Hypospadias
610(1)
Peyronie's Disease
610(1)
Carcinoma
611(1)
Genital Warts
611(1)
Syphilitic Chancre
611(1)
Genital Herpes
612(1)
Abnormal Findings in the Scrotum
612(4)
Hydrocele
612(1)
Scrotal Hernia
613(1)
Testicular Tumor
613(1)
Orchitis
613(1)
Epididymitis
614(1)
Torsion of the Spermatic Cord
614(1)
Small Testes
614(1)
Cryptorchidism
615(1)
Scrotal Edema
615(1)
Abnormalities of the Perianal Area
616(3)
Pilonidal Cyst
616(1)
Anal Fissure
616(1)
Hemorrhoids
617(1)
Prolapse of the Rectum
618(1)
Perianal Perirectal Abscess
618(1)
Health Promotion
619(1)
Application Through Critical Thinking
620(1)
Case Study
620(4)
Complete Documentation
621(1)
Critical Thinking Questions
621(1)
Applying Nursing Diagnoses
622(1)
Prepare Teaching Plan
622(2)
Female Reproductive System
624(42)
Anatomy and Physiology Review
625(3)
External Genitalia
625(1)
Internal Reproductive Organs
626(2)
Special Considerations
628(2)
Developmental Considerations
628(1)
Psychosocial Considerations
629(1)
Cultural and Environmental Considerations
630(1)
Gathering the Data
630(1)
Focused Interview
631(9)
General Questions
631(2)
Questions Related to Illness or Infection
633(1)
Questions Related to Symptoms or Behaviors
634(3)
Questions Related to Age
637(1)
Questions Related to Environment
638(2)
Physical Assessment
640(15)
Assessment Techniques and Findings
640(1)
Inspection
640(4)
Palpation
644(1)
Inspection with a Speculum
645(2)
Obtaining the Pap Smear and Gonorrhea Culture
647(2)
Bimanual Palpation
649(6)
Abnormal Findings
655(1)
External Genitalia
655(1)
Pediculosis Pubis
655(1)
Herpes Simplex
655(1)
Syphilitic Lesion
656(1)
Human Papillomavirus (HPV)
656(1)
Abscess of Bartholin's Gland
656(1)
Cervix
656(1)
Cyanosis
656(1)
Carcinoma
656(1)
Erosion
657(1)
Polyp
657(1)
Diethylstilbestrol (DES) Syndrome
657(1)
Internal Reproductive Organs
657(2)
Myomas/Fibroids
657(1)
Ovarian Cancer
658(1)
Ovarian Cysts
658(1)
Inflammatory Processes
659(2)
Atrophic Vaginitis
659(1)
Candidiasis
659(1)
Chlamydia
660(1)
Gonorrhea
660(1)
Trichomoniasis
660(1)
Health Promotion
661(2)
Application Through Critical Thinking
663(1)
Case Study
663(3)
Complete Documentation
663(1)
Critical Thinking Questions
664(1)
Applying Nursing Diagnoses
664(1)
Prepare Teaching Plan
664(2)
Musculoskeletal System
666(64)
Anatomy and Physiology Review
667(13)
Bones
667(1)
Skeletal Muscles
667(1)
Joints
667(13)
Special Considerations
680(3)
Developmental Considerations
680(2)
Psychosocial Considerations
682(1)
Cultural and Environmental Considerations
682(1)
Gathering the Data
683(1)
Focused Interview
683(6)
General Questions
684(1)
Questions Related to Illness, Infection, or Injury
684(1)
Questions Related to Symptoms or Behaviors
685(1)
Questions Related to Age
686(1)
Questions Related to the Environment
687(2)
Physical Assessment
689(27)
Assessment Techniques and Findings
689(1)
Survey
689(1)
Assessment of the Joints
690(1)
The Shoulders
691(4)
Elbows
695(3)
Wrists and Hands
698(5)
Hips
703(3)
Knees
706(3)
Ankles and Feet
709(2)
Spine
711(5)
Abnormal Findings
716(1)
Abnormalities of the Spine
717(1)
Kyphosis
717(1)
Scoliosis
717(1)
Lordosis
718(1)
Joint Disorders
718(6)
Head and Neck
718(1)
Shoulder
718(1)
Elbow
719(1)
Wrist and Hand
719(3)
Knee
722(1)
Foot
722(2)
Health Promotion
724(3)
Application Through Critical Thinking
727(1)
Case Study
727(3)
Complete Documentation
727(1)
Critical Thinking Questions
727(1)
Applying Nursing Diagnoses
727(1)
Prepare Teaching Plan
728(2)
Neurologic System
730(52)
Anatomy and Physiology Review
731(2)
Central Nervous System
731(2)
Reflexes
733(1)
Peripheral Nervous System
733(1)
Special Considerations
733(4)
Developmental Considerations
734(2)
Psychosocial Considerations
736(1)
Cultural and Environmental Considerations
736(1)
Gathering the Data
737(1)
Focused Interview
737(6)
General Questions
738(1)
Questions Related to Illness, Infection, or Injury
738(1)
Questions Related to Symptoms or Behaviors
739(1)
Questions Related to Age
740(2)
Questions Related to the Environment
742(1)
Physical Assessment
743(31)
Assessment Techniques and Findings
743(1)
Mental Status
744(3)
Cranial Nerves
747(10)
Motor Function
757(4)
Sensory Function
761(5)
Reflexes
766(6)
Carotid Auscultation
772(1)
Meningeal Assessment
772(1)
Use of the Glasgow Coma Scale
773(1)
Abnormal Findings
774(1)
Seizures
775(1)
Spinal Cord Injuries
775(1)
Infections of the Neurologic System
775(1)
Meningitis
775(1)
Myelitis
775(1)
Brain Abscess
775(1)
Lyme Disease
775(1)
Degenerative Neurologic Disorders
776(1)
Alzheimer's Disease
776(1)
Amyotrophic Lateral Sclerosis
776(1)
Huntington's Disease
776(1)
Multiple Sclerosis
776(1)
Myasthenia Gravis
776(1)
Parkinson's Disease
776(1)
Health Promotion
777(1)
Application Through Critical Thinking
778(1)
Case Study
778(4)
Complete Documentation
779(1)
Critical Thinking Questions
779(1)
Applying Nursing Diagnoses
779(1)
Prepare Teaching Plan
779(3)
UNIT IV PHYSICAL ASSESSMENT ACROSS THE LIFE SPAN
782
Assessment of Infants, Children, and Adolescents
782(39)
Childhood Developmental Stages
783(1)
Nutritional Assessment
783(3)
Nutritional History
784(1)
Physical Assessment
784(1)
Laboratory Measurements
785(1)
Physical Variants in Childhood
786(9)
Integument
786(1)
Head, Eyes, Ears, Nose, and Throat
786(3)
Vital Signs
789(1)
Respiratory System
789(1)
Cardiovascular System
790(1)
Breasts
791(1)
Abdomen
792(1)
Genitourinary and Reproductive Systems
792(1)
Musculoskeletal System
792(1)
Neurologic System
793(2)
Special Considerations
795(1)
Psychosocial Considerations
795(1)
Cultural Considerations
795(1)
Gathering the Data
796(1)
Focused Interview
797(3)
Questions About the Birth History
797(1)
Questions Related to Illness or Infection
798(1)
Questions Related to Well Children and Health Promotion
799(1)
Physical Assessment
800(14)
Assessment Techniques and Findings
800(1)
General Survey
801(1)
Growth and Development
801(2)
Skin, Hair, and Nails
803(1)
Head and Neck
803(1)
Eyes and Vision
804(1)
Ears and Hearing
805(1)
Nose and Sinuses
806(1)
Mouth and Throat
806(1)
Chest and Lungs
806(1)
Cardiovascular
807(1)
Abdomen
807(1)
Genitalia
808(2)
Musculoskeletal
810(3)
Neurologic
813(1)
Abnormal Findings
814(2)
Otitis Media
814(1)
Allergic Rhinitis
814(1)
Asthma
814(1)
Acne Vulgaris
815(1)
Scalp Ringworm (Tinea Capitis)
815(1)
Acute Gastroenteritis
815(1)
Health Promotion
816(2)
Application Through Critical Thinking
818(1)
Case Study
818(3)
Complete Documentation
818(1)
Critical Thinking Questions
818(1)
Applying Nursing Diagnoses
818(1)
Prepare Teaching Plan
819(2)
The Pregnant Female
821(53)
Nutritional Assessment
822(2)
Physical Assessment
822(1)
Laboratory Measurements
823(1)
Anatomy and Physiology Review
824(9)
The Placenta
824(1)
Fetal Development
825(1)
Reproductive System Changes
825(2)
Changes in Breasts
827(1)
Respiratory System Changes
828(1)
Cardiovascular and Hematologic System Changes
828(1)
Integumentary System Changes
829(1)
Changes in the Ear, Nose, Throat, and Mouth
830(1)
Gastrointestinal System Changes
830(1)
Urinary System Changes
830(1)
Musculoskeletal Changes
831(1)
Neurologic System Changes
831(1)
Endocrine System Changes
832(1)
Cultural Variations
833(1)
Laboratory Tests in Pregnancy
833(1)
The Postpartum Female
833(4)
Anatomy and Physiology Review
833(1)
The BUBBLESHE Head-to-Toe Postpartum Assessment
833(4)
Gathering the Data
837(1)
Focused Interview
837(13)
Confirmation of Pregnancy
838(1)
Demographics
838(1)
Menstrual History
839(1)
Obstetrical and Gynecological History
840(1)
Reaction to Pregnancy
840(1)
Past Obstetrical History
840(1)
Past Gynecological History
841(1)
Past Medical History and Family History
842(2)
Genetic Information
844(2)
Lifestyle and Social Health Practices
846(1)
Nutrition and Exercise History
846(2)
Environmental Exposure
848(2)
Physical Assessment
850(16)
General Survey
851(1)
Skin, Hair, and Nails
851(1)
Head and Neck
852(1)
Eyes, Ears, Nose, Mouth, and Throat
852(1)
Thorax and Lungs
852(1)
The Heart
852(1)
Breasts and Axillae
853(1)
Extremities
853(1)
Neurologic System
853(1)
Abdomen and Fetal Assessment
853(5)
External Genitalia
858(2)
Inspection of Vagina and Cervix
860(1)
Palpation of Pelvis
860(3)
Palpation of Cervix, Uterus, Adnexa, and Vagina
863(2)
Anus and Rectum
865(1)
Abnormal Findings
866(2)
Common Complications in Pregnancy
866(1)
Common Complications in the Postpartum Period
867(1)
Health Promotion
868(3)
Application Through Critical Thinking
871(1)
Case Study
871(3)
Complete Documentation
871(1)
Critical Thinking Questions
871(1)
Applying Nursing Diagnoses
871(1)
Prepare Teaching Plan
871(3)
Assessing the Older Adult
874
Theories of Aging
875(1)
Anatomy and Physiology Review with Changes of Aging
876(5)
Integumentary System
876(1)
Mouth, Nose, and Throat
876(1)
Eyes
876(1)
Ears
877(1)
Respiratory System
877(1)
Cardiovascular System
877(1)
Gastrointestinal System
877(2)
Genitourinary System
879(1)
Endocrine System
880(1)
Musculoskeletal System
880(1)
Neurologic System
881(1)
Gathering the Data
881(1)
Guidelines for Interviewing Older Adults
881(1)
Focused Interview
882(5)
Questions for the Client
882(3)
Questions for Family Members or Caregivers
885(2)
Physical Assessment
887(13)
Assessment Techniques and Findings
887(1)
General Survey
887(2)
Integumentary System
889(1)
Head and Neck
890(2)
Eye
892(1)
Ear
893(1)
Respiratory System
893(1)
Breasts
894(1)
Cardiovascular System
895(1)
Abdomen
895(1)
Genitourinary System
896(1)
Musculoskeletal System
897(1)
Neurologic System
898(2)
Abnormal Findings
900(1)
Skin Lesions
900(1)
Insulin Resistance Syndrome
900(1)
Diabetes Mellitus
900(1)
Drug and Alcohol Abuse
901(1)
Health Promotion
901(2)
Application Through Critical Thinking
903(1)
Case Study
903
Complete Documentation
904(1)
Critical Thinking Questions
904(1)
Applying Nursing Diagnoses
904(1)
Prepare Teaching Plan
905
Appendix A 2005--2006 North American Nursing Diagnosis Association (NANDA) Approved Nursing Diagnoses 1(1)
Appendix B Standard Precautions for Blood and Bodily Fluid Exposure 1(1)
Appendix C Standard Precautions for Infection Control 1(1)
Appendix D Blood Pressure Standards for Girls Ages I to 17 Years 1(1)
Appendix E Blood Pressure Standards for Boys Ages 1 to 17 Years 1(1)
Appendix F Denver Developmental Screening 1(1)
Appendix G Mini Nutritional Assessment 1(1)
Glossary 1(1)
References 1(1)
Credits 1(1)
Index 1


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