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Introductory Medical-Surgical Nursing Plus LiveAdvise Online Student Tutoring Service,9780781780322

Introductory Medical-Surgical Nursing Plus LiveAdvise Online Student Tutoring Service

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Edition:
9th
ISBN13:

9780781780322

ISBN10:
0781780322
Format:
Hardcover
Pub. Date:
1/23/2006
Publisher(s):
LIPPINCOTT WILLIAMS & WILKINS
List Price: $77.81

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Summary

The thoroughly updated Ninth Edition of this best-selling LPN/LVN text reflects the latest equipment and health care trends. New to this edition are a chapter on disaster nursing, end-of-unit review sections, new full-color skills photographs and illustrations, and exciting full-color ancillaries. Over 25 care plans are included, with new plans addressing Alzheimer's disease, cancer, diabetes mellitus, and more. "Stop! Think! Respond!" boxes in every chapter require students to respond quickly to practical scenarios. Nursing care is covered across the continuum, preparing students to practice in any setting. The LiveAdvise online tutoring and course assistance for students, powered by Smarthinking , is available when you adopt this textbook. Visit http: //connection.lww.com/liveadvise for more information on how this service can help your students!

Table of Contents

UNIT 1 Nursing Roles and Responsibilities
1(62)
Concepts and Trends in Healthcare
3(8)
Health and Wellness
4(1)
Healthcare
5(6)
Nursing in Various Settings
11(6)
Nursing Care
11(6)
The Nursing Process
17(10)
Steps of the Nursing Process
18(4)
The Nursing Process and Critical Thinking
22(5)
Interviewing and Physical Assessment
27(7)
The Interview Process
28(2)
The Physical Examination
30(4)
Legal and Ethical Issues
34(14)
Legal Issues in Nursing Practice
35(9)
Ethical Issues in Nursing Practice
44(4)
Leadership Roles and Management Functions
48(15)
Leadership and Management
48(3)
The LPN/LVN as Leader/Manager
51(12)
End of Unit Exercises
55(8)
UNIT 2 Psychosocial Aspects of Nursing
63(54)
Nurse-Client Relationships
65(10)
The Nurse--Client Relationship
66(2)
Communication
68(4)
Client Teaching
72(3)
Caring for Culturally Diverse Clients
75(10)
Cultural Concepts
75(1)
Culturally Influenced Characteristics
76(3)
Biocultural Assessment
79(1)
Cultural Assessment
79(1)
Transcultural Nursing
79(6)
Interaction of Body and Mind
85(9)
The Brain and Psychobiologic Function
86(1)
Psychobiologic Illness
87(3)
The Brain and Psychosomatic Function
90(1)
Psychosomatic Illnesses
91(2)
Psychobiologic Intervention
93(1)
Complementary and Alternative Therapies
94(8)
Caring for Dying Clients
102(15)
The Dying Client
102(2)
Care of the Dying Client
104(1)
Signs of Approaching Death
105(1)
Nursing Management
106(1)
Nursing Care Plan 11-1: Care of the Dying Client
107(10)
End of Unit Exercises
112(5)
UNIT 3 Caring for Clients With Common Psychosocial Problems
117(56)
Caring for Clients With Anxiety Disorders
119(10)
Anxiety and Fear
119(2)
Anxiety Disorders
121(5)
Nursing Process: The Client With an Anxiety Disorder
126(3)
Caring for Clients With Mood Disorders
129(16)
Major Depression
130(5)
Nursing Process: The Depressed or Suicidal Client
135(2)
Seasonal Affective Disorder
137(1)
Bipolar Disorder
138(3)
Nursing Care Plan 13-1: The Client With Bipolar Disorder/Acute Manic Phase
141(4)
Caring for Chemically Dependent Clients
145(10)
Substance Abuse and Chemical Dependence
145(5)
Nursing Process: The Client With Alcohol Dependence
150(5)
Caring for Clients With Dementia and Thought Disorders
155(18)
Delirium and Dementia
156(1)
Alzheimer's Disease
156(4)
Schizophrenia
160(1)
Nursing Care Plan 15-1: The Client With Alzheimer's Disease
161(4)
Nursing Process: The Client With Schizophrenia
165(8)
End of Unit Exercises
168(5)
UNIT 4 Caring for Clients With Common Medical-Surgical Problems
173(118)
Caring for Clients With Pain
175(14)
Types of Pain
175(2)
Pain Transmission
177(1)
Pain Assessment
178(2)
Pain Management
180(7)
Nursing Care Plan 16-1: The Client With Acute Pain
187(2)
Caring for Clients With Infectious Disorders
189(15)
Microorganisms and Infectious Disorders
190(8)
Nursing Process: The Client With a Potential or Actual Infection
198(2)
Needlestick Injuries
200(4)
Caring for Clients With Fluid, Electrolyte, and Acid-Base Imbalances
204(19)
Fluid and Electrolyte Regulation
205(1)
Fluid and Electrolyte Distribution
206(2)
Fluid Imbalances
208(2)
Nursing Care Plan 18-1: The Client With Hypovolemia
210(2)
Nursing Process: The Client With Hypervolemia
212(2)
Electrolyte Imbalances
214(4)
Acid-Base Balance
218(1)
Acid-Base Imbalances
219(4)
Caring for Clients Requiring Intravenous Therapy
223(15)
Types of Solutions
224(2)
Administering Intravenous Therapy
226(5)
Nursing Process: The Client Requiring IV Therapy
231(3)
Complications of Intravenous Therapy
234(1)
Discontinuing Intravenous Therapy
235(3)
Caring for Perioperative Clients
238(25)
Perioperative Care
238(7)
Nursing Process: Preoperative Care
245(4)
Nursing Process: Nursing Standards for Care of the Postsurgical Client
249(9)
Ambulatory Care
258(3)
Nursing Process: The Client Undergoing Conscious Sedation
261(2)
Caring for Clients With Cancer
263(28)
Cancer
263(17)
Nursing Care Plan 21-1: The Client With Cancer
280(11)
End of Unit Exercises
284(7)
UNIT 5 Caring for Clients With Medical-Surgical Crises
291(46)
Caring for Clients in Shock
293(12)
Shock
293(9)
Nursing Process: The Client in Shock
302(3)
Caring for Clients With Burns
305(15)
Burn Injuries
305(8)
Nursing Care Plan 23-1: The Client With Burns
313(7)
Caring for Clients in Disaster Situations
320(17)
The Disaster Cycle
321(1)
Biologic Disasters
321(3)
Chemical Disasters
324(3)
Radiologic Disasters
327(2)
Nursing Process: The Client in a Disaster Situation
329(8)
End of Unit Exercises
333(4)
UNIT 6 Caring for Clients With Respiratory Disorders
337(80)
Introduction to the Respiratory System
339(15)
Respiratory Anatomy
339(3)
Respiratory Physiology
342(3)
Assessment
345(5)
Nursing Care Plan 25-1: The Client Undergoing a Bronchoscopy
350(2)
Nursing Management
352(2)
Caring for Clients With Upper Respiratory Disorders
354(19)
Infectious and Inflammatory Disorders
354(3)
Nursing Process: Tonsillectomy and Adenoidectomy
357(2)
Structural Disorders
359(1)
Trauma and Obstruction of the Upper Airway
360(2)
Nursing Process: Trauma to the Upper Airway
362(2)
Laryngeal Cancer
364(1)
Nursing Process: The Client Undergoing Laryngeal Surgery
364(3)
Treatment Modalities for Airway Obstruction or Airway Maintenance
367(2)
Nursing Care Plan 26-1: The Client With a Tracheostomy
369(4)
Caring for Clients With Disorders of the Lower Respiratory Airway
373(44)
Infectious and Inflammatory Disorders
374(8)
Nursing Process: Pulmonary Tuberculosis
382(1)
Obstructive Pulmonary Disease
383(6)
Nursing Process: Obstructive Pulmonary Disease
389(5)
Occupational Lung Diseases
394(1)
Pulmonary Circulatory Disorders
394(3)
Respiratory Failure
397(2)
Malignant Disorders
399(2)
Trauma
401(2)
Thoracic Surgery
403(2)
Nursing Care Plan 27-1: The Client Recovering From Thoracic Surgery
405(12)
End of Unit Exercises
409(8)
UNIT 7 Caring for Clients With Cardiovascular Disorders
417(136)
Introduction to the Cardiovascular System
419(18)
Anatomy and Physiology
420(6)
Assessment
426(9)
Nursing Process: Diagnostic Procedures of the Cardiovascular System
435(2)
Caring for Clients With Infectious and Inflammatory Disorders of the Heart and Blood Vessels
437(18)
Infectious and Inflammatory Disorders of the Heart
438(9)
Nursing Process: The Client With Pericarditis
447(2)
Inflammatory Disorders of the Peripheral Blood Vessels
449(1)
Nursing Process: The Client With Thrombophlebitis
449(6)
Caring for Clients With Valvular Disorders of the Heart
455(13)
Disorders of the Aortic Valve
455(3)
Nursing Care Plan 30-1: The Client With a Valvular Disorder
458(4)
Disorders of the Mitral Valve
462(6)
Caring for Clients With Disorders of Coronary and Peripheral Blood Vessels
468(25)
Arteriosclerosis
469(1)
Atherosclerosis
469(1)
Occlusive Disorders of Coronary Blood Vessels
470(12)
Occlusive Disorders of Peripheral Blood Vessels
482(1)
Nursing Care Plan 31-1: The Client With Acute Myocardial Infarction
483(5)
Disorders of Blood Vessel Walls
488(5)
Caring for Clients With Cardiac Dysrhythmias
493(14)
Cardiac Dysrhythmias
494(10)
Nursing Process: The Client With a Dysrhythmia
504(3)
Caring for Clients With Hypertension
507(9)
Arterial Blood Pressure
507(1)
Hypertensive Disease
508(2)
Nursing Process: The Client With Hypertension
510(6)
Caring for Clients With Heart Failure
516(14)
Heart Failure
516(10)
Nursing Process: The Client With Congestive Heart Failure
526(1)
Pulmonary Edema
527(3)
Caring for Clients Undergoing Cardiovascular Surgery
530(23)
Cardiac Surgical Procedures
530(6)
Central or Peripheral Vascular Surgical Procedures
536(1)
Nursing Process: The Client Undergoing Cardiac or Vascular Surgery
537(16)
End of Unit Exercises
543(10)
UNIT 8 Caring for Clients With Hematopoietic and Lymphatic Disorders
553(46)
Introduction to the Hematopoietic and Lymphatic Systems
555(9)
Hematopoietic System
555(4)
Lymphatic System
559(1)
Assessment
560(1)
Nursing Management
561(3)
Caring for Clients With Disorders of the Hematopoietic System
564(19)
Anemia
564(1)
Nursing Process: The Client With Hypovolemic Anemia
565(5)
Nursing Process: The Client With Sickle Cell Anemia
570(3)
Erythrocytosis
573(1)
Leukocytosis
573(2)
Nursing Process: The Client With Leukemia
575(1)
Multiple Myeloma
576(3)
Agranulocytosis
579(1)
Pancytopenia
579(1)
Coagulopathies
580(3)
Caring for Clients With Disorders of the Lymphatic System
583(16)
Occlusive, Inflammatory, and Infectious Disorders
583(4)
Lymphomas
587(2)
Nursing Process: The Client With Hodgkin's Disease
589(10)
End of Unit Exercises
593(6)
UNIT 9 Caring for Clients With Immune Disorders
599(52)
Introduction to the Immune System
601(8)
Structures of the Immune System
601(5)
Types of Immunity
606(1)
Assessment
607(1)
Nursing Management
607(2)
Caring for Clients With Immune-Mediated Disorders
609(17)
Allergic Disorders
609(6)
Nursing Process: The Client With an Allergic Disorder
615(2)
Autoimmune Disorders
617(1)
Nursing Process: The Client With an Autoimmune Disorder
618(2)
Chronic Fatigue Syndrome
620(3)
Nursing Care Plan 40-1: The Client With Chronic Fatigue Syndrome
623(3)
Caring for Clients With AIDS
626(25)
Human Immunodeficiency Virus
627(2)
Acquired Immunodeficiency Syndrome
629(10)
Nursing Care Plan 41-1: The Client With AIDS
639(12)
End of Unit Exercises
645(6)
UNIT 10 Caring for Clients With Neurologic Disorders
651(106)
Introduction to the Nervous System
653(13)
Anatomy and Physiology
653(5)
Assessment
658(6)
Nursing Process: The Client Undergoing Neurologic Testing
664(2)
Caring for Clients With Central and Peripheral Nervous System Disorders
666(36)
Increased Intracranial Pressure
666(3)
Infectious and Inflammatory Disorders of the Nervous System
669(1)
Nursing Care Plan 43-1: The Client With Increased Intracranial Pressure
670(4)
Nursing Process: Care of the Client With a Neurologic Infectious or Inflammatory Disorder
674(4)
Neuromuscular Disorders
678(1)
Nursing Process: The Client With a Neuromuscular Disorder
679(4)
Cranial Nerve Disorders
683(1)
Nursing Process: The Client With Trigeminal Neuralgia
684(1)
Nursing Process: The Client With Bell's Palsy
685(1)
Extrapyramidal Disorders
686(4)
Nursing Care Plan 43-2: The Client With an Extrapyramidal Disorder
690(2)
Seizure Disorders
692(2)
Nursing Process: The Client With a Seizure Disorder
694(2)
Brain Tumors
696(3)
Nursing Process: The Client With a Brain Tumor
699(3)
Caring for Clients With Cerebrovascular Disorders
702(19)
Headache
702(5)
Nursing Process: The Client With a Headache
707(1)
Cerebrovascular Disorders
708(5)
Cerebral Aneurysms
713(1)
Nursing Care Plan 44-1: The Client With a Cerebrovascular Accident
714(4)
Nursing Process: The Client With an Aneurysm
718(3)
Caring for Clients With Head and Spinal Cord Trauma
721(18)
Head Injuries
721(5)
Nursing Care Plan 45-1: Care of the Client Undergoing Intracranial Surgery
726(5)
Spinal Cord Injuries
731(2)
Nursing Process: Care of the Client With Spinal Trauma
733(2)
Spinal Nerve Root Compression
735(4)
Caring for Clients With Neurologic Deficits
739(18)
Phases of a Neurologic Deficit
739(2)
Psychosocial Issues and Home Management
741(1)
Nursing Process: The Client With a Neurologic Deficit
742(15)
End of Unit Exercises
749(8)
UNIT 11 Caring for Clients With Sensory Disorders
757(50)
Introduction to the Sensory System
759(11)
Anatomy and Physiology of the Eye
759(2)
Assessment
761(4)
Nursing Management
765(1)
Anatomy and Physiology of the Ear
766(1)
Assessment
766(2)
Nursing Management
768(2)
Caring for Clients With Eye Disorders
770(19)
Impaired Vision
770(3)
Nursing Process: The Client Who Is Blind
773(2)
Nursing Process: The Client With Eye Trauma
775(2)
Infectious and Inflammatory Eye Disorders
777(2)
Macular Degeneration
779(1)
Glaucoma
780(3)
Cataracts
783(2)
Nursing Care Plan 48-1: Postoperative Management of the Client Undergoing Eye Surgery
785(1)
Retinal Detachment
786(2)
Enucleation
788(1)
Caring for Clients With Ear Disorders
789(18)
Hearing Impairment
789(4)
Disorders of the External Ear
793(1)
Disorders of the Middle Ear
794(1)
Nursing Process: The Client Recovering From Stapedectomy
795(1)
Disorders of the Inner Ear
796(11)
End of Unit Exercises
800(7)
UNIT 12 Caring for Clients With Gastrointestinal Disorders
807(128)
Introduction to the Gastrointestinal System and Accessory Structures
809(12)
Anatomy and Physiology
809(2)
Assessment
811(7)
Nursing Process: Diagnostic Testing for a Gastrointestinal Disorder
818(3)
Caring for Clients With Disorders of the Upper Gastrointestinal Tract
821(26)
Disorders That Affect Eating
821(2)
Nursing Process: The Client With Nausea and Vomiting
823(3)
Nursing Process: The Client Receiving Tube Feedings
826(5)
Disorders of the Esophagus
831(4)
Nursing Care Plan 51-1: The Client Undergoing Gastric Surgery
835(3)
Nursing Process: The Client With an Esophageal Disorder
838(2)
Gastric Disorders
840(2)
Nursing Process: The Client With a Gastric Disorder
842(5)
Caring for Clients With Disorders of the Lower Gastrointestinal Tract
847(29)
Altered Bowel Elimination
848(1)
Nursing Process: The Client With Constipation
849(2)
Nursing Process: The Client With Diarrhea
851(3)
Inflammatory Bowel Disease
854(7)
Acute Abdominal Inflammatory Disorders
861(2)
Intestinal Obstruction
863(2)
Diverticular Disorders
865(2)
Abdominal Hernia
867(1)
Cancer of the Colon and Rectum
868(2)
Anorectal Disorders
870(3)
Nursing Care Plan 52-1: The Client With an Anorectal Condition
873(3)
Caring for Clients With Disorders of the Liver, Gallbladder, or Pancreas
876(35)
Disorders of the Liver
876(7)
Nursing Care Plan 53-1: The Client With a Liver Disorder
883(13)
Nursing Process: The Client Having Surgery for a Liver Disorder
896(1)
Disorders of the Gallbladder
897(3)
Nursing Care Plan 53-2: The Client Having Gallbladder Surgery
900(3)
Disorders of the Pancreas
903(2)
Nursing Process: The Client With Pancreatitis
905(6)
Caring for Clients With Ostomies
911(24)
Ileostomy
911(2)
Nursing Process: Preoperative Ileostomy Care
913(1)
Nursing Process: The Client Recovering From Ileostomy Surgery
914(3)
Continent Ileostomy (Kock Pouch)
917(1)
Ileoanal Reservoir
918(1)
Colostomy
919(2)
Nursing Process: Care After Colostomy Surgery
921(14)
End of Unit Exercises
924(11)
UNIT 13 Caring for Clients With Endocrine Problems
935(68)
Introduction to the Endocrine System
937(10)
Anatomy and Physiology
938(6)
Assessment
944(1)
Nursing Management
945(2)
Caring for Clients With Disorders of the Endocrine System
947(28)
Disorders of the Pituitary Gland
947(4)
Disorders of the Thyroid Gland
951(4)
Nursing Care Plan 56-1: The Client Undergoing Thyroid Surgery
955(4)
Nursing Process: The Client With Hypothyroidism
959(3)
Disorders of the Parathyroid Glands
962(2)
Disorders of the Adrenal Glands
964(1)
Nursing Process: The Client With Addison's Disease
965(4)
Nursing Process: The Client With Cushing's Syndrome
969(3)
Nursing Process: The Client Undergoing an Adrenalectomy
972(1)
Disorders of the Ovaries and Testes
973(2)
Caring for Clients With Diabetes Mellitus
975(28)
Diabetes Mellitus
976(10)
Nursing Care Plan 57-1: The Client With Diabetes Mellitus
986(3)
Acute Complications of Diabetes Mellitus
989(3)
Chronic Complications of Diabetes Mellitus
992(11)
End of Unit Exercises
998(5)
UNIT 14 Caring for Clients With Breast and Reproductive Problems
1003(106)
Introduction to the Reproductive System
1005(16)
The Female Reproductive System
1006(7)
The Breasts
1013(3)
The Male Reproductive System
1016(5)
Caring for Female Clients With Disorders of the Pelvic Reproductive Structures
1021(25)
Disorders of Menstruation
1022(2)
Menopause
1024(2)
Infectious and Inflammatory Disorders of the Female Reproductive System
1026(3)
Nursing Process: The Client With Pelvic Inflammatory Disease
1029(2)
Structural Abnormalities
1031(1)
Nursing Process: The Client With a Vaginal Fistula
1032(3)
Tumors of the Female Reproductive System
1035(3)
Nursing Care Plan 59-1: The Client With a Total Abdominal Hysterectomy
1038(5)
Nursing Process: The Client With Cancer of the Vulva Undergoing Surgery
1043(3)
Caring for Clients With Breast Disorders
1046(19)
Infectious and Inflammatory Breast Disorders
1046(1)
Benign Breast Lesions
1047(3)
Malignant Breast Disorders
1050(6)
Nursing Care Plan 60-1: The Client Undergoing a Modified Radical Mastectomy
1056(6)
Cosmetic Breast Procedures
1062(3)
Caring for Clients With Disorders of the Male Reproductive System
1065(26)
Structural Abnormalities
1065(2)
Infectious and Inflammatory Conditions
1067(2)
Erection Disorders
1069(4)
Nursing Care Plan 61-1: Postoperative Management of the Client With a Penile Implant
1073(2)
Benign Prostatic Hyperplasia
1075(3)
Malignancies of the Male Reproductive System
1078(1)
Nursing Care Plan 61-2: The Client Undergoing a Prostatectomy
1079(6)
Nursing Process: The Client With Prostatic Cancer
1085(3)
Elective Sterilization
1088(3)
Caring for Clients With Sexually Transmitted Diseases
1091(18)
Epidemiology
1091(1)
Common Sexually Transmitted Diseases
1092(2)
Nursing Care Plan 62-1: The Client With an STD
1094(7)
Other Sexually Transmitted Diseases
1101(8)
End of Unit Exercises
1103(6)
UNIT 15 Caring for Clients With Urinary and Renal Disorders
1109(70)
Introduction to the Urinary Tract
1111(12)
Anatomy and Physiology
1111(2)
Assessment
1113(8)
Nursing Process: The Client Undergoing Diagnostic Testing for a Renal or Urologic Disorder
1121(2)
Caring for Clients With Disorders of the Kidneys and Ureters
1123(30)
Infectious and Inflammatory Disorders of the Kidney
1124(4)
Nursing Process: The Client With Chronic Glomerulonephritis
1128(1)
Congenital Kidney Disorders: Polycystic Disease
1129(1)
Obstructive Disorders
1130(5)
Nursing Process: The Client With Renal Calculi
1135(2)
Tumors of the Kidney
1137(1)
Nursing Process: The Client Recovering From a Nephrectomy
1138(1)
Renal Failure
1139(4)
Dialysis
1143(1)
Nursing Care Plan 64-1: The Client With Chronic Renal Failure
1144(9)
Caring for Clients With Disorders of the Bladder and Urethra
1153(26)
Voiding Dysfunction
1153(6)
Infectious and Inflammatory Disorders
1159(3)
Nursing Process: The Client With an Infection of the Bladder or Urethra
1162(1)
Obstructive Disorders
1163(2)
Malignant Tumors of the Bladder
1165(5)
Nursing Process: Psychosocial Care of the Client Undergoing Urinary Diversion
1170(1)
Trauma
1171(8)
End of Unit Exercises
1174(5)
UNIT 16 Caring for Clients With Musculoskeletal Disorders
1179(72)
Introduction to the Musculoskeletal System
1181(9)
Anatomy and Physiology
1181(2)
Assessment
1183(4)
Nursing Management
1187(1)
Nursing Process: The Client With a Musculoskeletal Injury
1187(3)
Caring for Clients Requiring Orthopedic Treatment
1190(19)
Casts
1190(2)
Splints and Braces
1192(1)
Reducing Fractures
1192(2)
Nursing Process: The Client With a Fracture Reduction
1194(6)
Orthopedic Surgery
1200(3)
Amputation
1203(3)
Nursing Process: Caring for the Client After a Limb Amputation
1206(3)
Caring for Clients With Traumatic Musculoskeletal Injuries
1209(12)
Strains, Contusions, and Sprains
1209(1)
Dislocations
1210(1)
Specific Injuries to Upper and Lower Extremities
1211(3)
Nursing Care Plan 68-1: The Client Undergoing Orthopedic Surgery
1214(7)
Caring for Clients With Orthopedic and Connective Tissue Disorders
1221(30)
Inflammatory and Infectious Disorders
1221(12)
Nursing Process: The Client With Systemic Lupus Erythematosus
1233(1)
Musculoskeletal Infectious Disorders
1234(2)
Structural Disorders
1236(4)
Bone Tumors
1240(11)
End of Unit Exercises
1243(8)
UNIT 17 Caring for Clients With Integumentary Disorders
1251(40)
Introduction to the Integumentary System
1253(11)
Anatomy and Physiology
1253(3)
Assessment
1256(5)
Medical and Surgical Treatment of Skin Disorders
1261(3)
Caring for Clients With Skin, Hair, and Nail Disorders
1264(27)
Body Ornamentation
1264(3)
Skin Disorders
1267(5)
Nursing Process: The Client With Psoriasis
1272(6)
Scalp and Hair Disorders
1278(3)
Nail Disorders
1281(10)
End of Unit Exercises
1284(7)
Appendix A: References and Suggested Readings 1291(30)
Appendix B: Nursing Resources 1321(14)
Appendix C: Commonly Used Abbreviations and Acronyms 1335(4)
Appendix D: Laboratory Values 1339(3)
Glossary 1342(31)
Index 1373


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