Medical-Surgical Nursing : Clinical Management for Continuity of Care

by Black, Joyce M.; Matassarin-Jacobs, Esther; Luckmann, Joan

• ISBN13: 9780721663999
• ISBN10: 0721663990
• Edition: 5th
• Format: Hardcover
• Copyright: 1997-03-01
• Publisher: Harcourt Health Sciences

Table of Contents

UNIT 1 Nursing and Healthcare	1	(158)
The Context of Medical-Surgical Nursing	3	(15)
Bonita Ann Pilon
Major Stakeholders in the U.S. Healthcare System	3	(3)
Variations in the Financing of Healthcare Services	6	(5)
The Richness and Diversity of Nursing Practice	11	(3)
Variations in Client Populations	14	(4)
Theories of Health and Illness	18	(21)
Joyce M. Black
Theories of Illness	20	(6)
The Role of the Brain in Illness	26	(2)
Mediators of the Stress Response	28	(1)
Multifactorial Aspects of Chronic Disease Today	29	(7)
The Concept of Health	36	(1)
The Experience of Illness	37	(2)
Ethics	39	(11)
Beverly Kopala
A Framework for the Study of Ethics	39	(1)
The Terminology of Ethics	40	(1)
Principles of Ethics	40	(1)
Guidelines for Ethical Nursing Practice	41	(1)
Theories to Guide Ethical Decision Making	42	(1)
Applying Ethical Models: The Murphy and Murphy Model	43	(2)
Research in Ethics	45	(1)
Ethical Concerns for Nurses	46	(1)
Ethical Concerns for Clients	47	(1)
Autonomy	47	(1)
Truth Telling	48	(1)
Resolving Ethical Problems in Nursing Practice	48	(2)
Psychosocial Dimensions of Medical-Surgical Nursing	50	(31)
Ken W. Edmission
Nursing and the Family	50	(9)
Cross-Cultural Nursing	59	(8)
Spirituality	67	(6)
Grief	73	(1)
Suffering	74	(1)
Sexuality	74	(7)
Aging	81	(24)
Beverley E. Holland
Cynthia McCurren
Nursing and the Study of Aging	81	(1)
The Older Population	82	(2)
Health Promotion in the Elderly	84	(2)
Functional Status of the Elderly	86	(4)
Mental Health Disorders in the Elderly	90	(2)
Medication Use in the Elderly	92	(1)
Government Support for the Elderly	93	(3)
Healthcare Resources and Services for the Elderly	96	(4)
Housing Options for the Elderly	100	(1)
Ethical and Legal Issues Affecting the Elderly	100	(5)
Chronic Conditions	105	(15)
Mary Jane Garrett
The Stages of a Chronic Condition	105	(1)
The Process of Adaptation	106	(6)
Management	112	(8)
Acute Care	120	(15)
Joyce M. Black
History of Hospital Nursing	120	(1)
Acute Care Hospitals	120	(1)
Subacute Care	121	(2)
Home Healthcare	123	(1)
Roles and Responsibilities of Nurses in Hospitals	123	(1)
Nursing Care Delivery Systems	124	(1)
Ensuring Quality Healthcare Delivery	125	(6)
The Future of Acute Care Hospital Nursing	131	(4)
Ambulatory Care	135	(11)
Leigh G. Anderson
Development of Ambulatory Care	135	(2)
Studies of Ambulatory Care Nursing	137	(1)
Settings for Ambulatory Care	137	(1)
Certification and Accreditation	138	(8)
Home Healthcare	146	(13)
Karen S. Martin
Trends	146	(1)
The Specialty in Perspective	147	(1)
Community-Focused Philosophy	148	(3)
Providing Care	151	(8)
UNIT 2 Health Promotion and Health Assessment	159	(100)
Health Promotion	161	(18)
Esther Matassarin-Jacobs
Definitions	161	(1)
Understanding Health Promotion	161	(4)
Levels of Prevention	165	(2)
Risk Factors	167	(1)
Healthy Life-Styles	167	(3)
Motivating Clients	170	(1)
Nutrition and Exercise in Health Promotion	170	(1)
Stress Management	171	(2)
Health Promotion and the Older Adult	173	(2)
Nursing Careers in Health Promotion	175	(4)
Health Assessment	179	(34)
Annabelle M. Keene
The Health History	179	(6)
Guidelines for the Health History Interview	185	(1)
Components of the Health History	186	(20)
Organizing the Health History Interview	206	(5)
Recording the Health History Interview	211	(1)
Applying the Nursing Process to Health Assessment	211	(2)
Physical Examination	213	(29)
Annabelle M. Keene
The Purpose of Physical Examination	213	(1)
Types of Physical Examination	213	(12)
The Accuracy of Physical Examination	225	(1)
Physical Examination and the Nursing Process	225	(1)
Techniques of Physical Examination	225	(6)
Guidelines for Physical Examination	231	(1)
Preparation of the Environment	231	(2)
The Adult General Screening Physical Examination	233	(4)
Processing the Data	237	(2)
Terminating the Health Assessment	239	(1)
Recording Physical Examination Findings	240	(1)
Health Assessment, Nursing Diagnosis, and Nursing Process	240	(2)
Diagnostic Testing	242	(17)
Cynthia Hromek
General Nursing Manegement of the Client Undergoing Diagnostic Testing	242	(1)
Specificity and Sensitivity of Diagnostic Tests	243	(1)
Measurement Used to Report Laboratory Test Results	243	(1)
Laboratory Diagnostic Testing	243	(1)
Microbiologic Studies	243	(2)
Blood Studies	245	(3)
Urine Studies	248	(1)
Diagnostic Imaging	248	(1)
X-Ray Studies	249	(2)
Computed Tomography	251	(1)
Magnetic Resonance Imaging	252	(1)
Positron Emission Tomography	253	(1)
Ultrasonography	253	(1)
Angiography	254	(1)
Radionuclide Scanning	254	(1)
Endoscopy	255	(1)
Arthroscopy	255	(1)
Bronchoscopy	256	(1)
Gastrointestinal Endoscopy	256	(1)
Cytologic Studies	257	(2)
UNIT 3 Foundations for Medical-Surgical Nursing Practice	259	(332)
The Cell	261	(12)
R.B. Boley
Arlene L. Polaski
Structure and Function of the Cell	261	(1)
Cell Replication	261	(1)
Cell Organelles	262	(4)
Tissues and Organs	266	(1)
Alterations in Structure and Function of the Cell	266	(7)
Fluid and Electrolyte Disorders	273	(55)
Bernadette White
Fluids	273	(1)
Fluid Balance	273	(4)
Fluid Imbalances	277	(1)
Extracellular Fluid Volume Deficit	277	(7)
Extracellular Fluid Volume Excess	284	(5)
Extracellular Fluid Volume Shift: Third-Spacing	289	(2)
Intracellular Fluid Volume Excess: Water Intoxication	291	(2)
Intracellular Fluid Deficit	293	(1)
Electrolytes	293	(1)
Action Potentials	293	(1)
Measuring Electrolytes	294	(1)
Using Collaborative Problems	295	(1)
Electrolyte Imbalances	295	(1)
Sodium Imbalances	295	(1)
Hyponatremia	296	(4)
Hypernatremia	300	(4)
Potassium Imbalances	304	(1)
Hypokalemia	305	(5)
Hyperkalemia	310	(4)
Calcium and Phosphorus Imbalances	314	(1)
Hypocalcemia and Hypophosphatemia	315	(5)
Hypercalcemia	320	(2)
Hyperphosphatemia	322	(1)
Magnesium Imbalances	322	(1)
Hypomagnesemia	323	(1)
Hypermagnesemia	324	(4)
Acid-Base Disorders	328	(14)
Margie J. Hansen
Regulation of Acid-Base Balance	328	(5)
Disorders of Acid-Base Balance	333	(9)
Pain	342	(55)
Esther Matassarin-Jacobs
Definition of Pain	342	(1)
The Process of Pain	342	(8)
Therapeutic Implications of the Pain Process	350	(1)
Theories of Pain	350	(1)
Types of Pain	351	(3)
Pathologic Pain Syndromes	354	(6)
Assessment	360	(5)
Nursing Intervention	365	(32)
Sleep and Sensory Disorders	397	(16)
Marlene Reimer
Sleep and Sleep Pattern Disturbances	397	(1)
Chronobiology	397	(1)
Physiology of Sleep and Arousal	398	(2)
Sleep Disorders	400	(1)
Dyssomnias	400	(1)
Intrinsic Sleep Disorders	400	(2)
Extrinsic Sleep Disorders	402	(1)
Circadian Rhythm Sleep Disorders	403	(1)
Parasomnias	403	(1)
Arousal Disorders	403	(1)
Sleep-Wake Transition Disorders	403	(1)
Parasomnias Associated with REM Sleep	403	(1)
Other Parasomnias	403	(1)
Sleep Disorders Associated with Medical and Psychological Disorders	404	(1)
Neurotransmitter Imbalances	404	(1)
Head Injury	404	(1)
Hormonal Imbalances	404	(1)
Respiratory Disorders	405	(1)
Cardiovascular Disorders	405	(1)
Gastrointestinal Disorders	405	(1)
Other Disorders	405	(1)
Hospital-Acquired Sleep Disturbances	406	(1)
Sleep Onset Difficulty	406	(1)
Sleep Maintenance Disturbance	406	(1)
Early-Morning Wakening	406	(1)
Sleep Deprivation	406	(1)
Diagnostic Assessment	407	(1)
Nursing Management	407	(2)
Sensory Disturbances	409	(1)
Classification	409	(1)
Sensory Overload	409	(1)
Sensory Deprivation	409	(1)
Prevention	410	(3)
Infectious Disorders	413	(13)
Carol Sharkey
The Process of Infection	413	(1)
Agent	413	(1)
Environment	414	(1)
Host	415	(2)
The Risks of Hospitalization	417	(1)
Urinary Tract Infections	418	(1)
Surgical Wound Infections	418	(1)
Pneumonia	418	(1)
Device-Associated Infections and Bacteremias	419	(1)
Other Nosocomial Infections	419	(1)
Preventing and Controlling Infection	419	(1)
Immunization Programs	420	(2)
Infection Control Programs in Hospitals	422	(4)
Wound Healing	426	(23)
Joyce M. Black
The Body's Defense Mechanisms	426	(1)
Normal Wound Healing	427	(1)
Phases of Wound Healing	427	(5)
Wound Healing Intention	432	(1)
Nutrition and Wound Healing	433	(1)
Management of the Client with Inflammation	434	(3)
Management of the Client with Chronic Inflammation	437	(1)
Management of the Client with Incisions	437	(1)
Management of the Client with Open Wounds	437	(6)
Disorders of Wound Healing	443	(1)
Delayed Wound Healing	443	(2)
Wound Infection	445	(1)
Wound Disruption	446	(1)
Altered Collagen Synthesis	446	(3)
Perioperative Nursing	449	(48)
Ruth Plotkin Shumaker
The Philosophy and Practice of Perioperative Nursing	449	(1)
Basic Concepts of Perioperative Nursing	450	(2)
Preoperative Nursing	452	(14)
Intraoperative Nursing	466	(14)
Postoperative Nursing	480	(17)
Shock	497	(36)
Louise Nelson LaFramboise
Etiology and Risk Factors	497	(1)
Hypovolemic Shock	498	(1)
Cardiogenic Shock	499	(1)
Distributive Shock	500	(2)
Stages of Shock	502	(1)
Systemic Effects of Shock	503	(7)
Clinical Manifestations and Diagnostic Findings	510	(1)
General Clinical Manifestations of Shock	510	(2)
Clinical Manifestations of Specific Types of Shock	512	(2)
Emergency Care	514	(14)
Community and Self-Care	528	(1)
Multiple Organ System Failure/Systemic Inflammatory Response Syndrome	528	(5)
Basic Concepts of Neoplastic Disorders	533	(29)
Joann Petty
Overview	533	(1)
The Terminology of Cancer	533	(1)
The Challenge of Cancer Nursing	533	(1)
Epidemiology	534	(1)
Incidence	534	(1)
Mortality	535	(1)
Survival	535	(1)
Trends	535	(2)
Pathogenesis	537	(2)
Etiology	539	(1)
Predisposing Factors	540	(1)
Impact	541	(3)
Research	544	(1)
Prevention and Assessment	544	(1)
Characteristics of Normal Cells	544	(1)
Growth of Cancer Cells	545	(1)
Neoplastic Cell Division and Differentiation	546	(1)
Growth of Malignant Tumors	546	(2)
Classification of Neoplasms	548	(3)
Prevention	551	(1)
Diagnosis	552	(10)
Treatment Modalities for Neoplastic Disorders	562	(29)
Joann Petty
Psychosocial Aspects of Cancer	562	(1)
Phases of the Cancer Continuum	562	(1)
Diagnosis and Treatment	562	(2)
Survivorship	564	(2)
Recurrent Disease and Palliation	566	(1)
Terminal Illness	566	(2)
Treatment and Nursing Care of Clients with Cancer	568	(1)
Goals of Intervention	568	(1)
Surgery	568	(1)
Diagnostic Surgery	569	(1)
Staging Exploratory Surgery	569	(1)
Curative Surgery	569	(1)
Palliative Surgery	569	(1)
Reconstructive Surgery	569	(1)
Preventive Surgery	570	(1)
Radiation Therapy	570	(1)
How Radiation Therapy Works	570	(1)
Types of Radiation Therapy	571	(1)
Side Effects of Radiation Therapy	572	(1)
The Role of Radiation in Cancer Research	572	(1)
Radiation Safety	572	(1)
Chemotherapy	573	(1)
Drug Development and Clinical Trials	573	(2)
Objective of Chemotherapy	575	(1)
How Chemotherapy Works	575	(1)
Classification of Chemotherapy	576	(1)
Administration of Chemotherapy	576	(4)
Toxic Effects of Chemotherapy	580	(4)
Nursing management of the Client Undergoing Chemotherapy	584	(1)
Bone Marrow Transplantation	584	(1)
Biologic Response Modifiers	585	(2)
Second Malignancies	587	(1)
Ethical Issues	588	(3)
UNIT 4 Immunologic Disorders	591	(92)
Structure and Function of the Immune System	593	(14)
R. B. Boley
Arlene L. Polaski
Resistance	593	(1)
Surface Defenses	593	(1)
Inflammation	594	(1)
The Acute Phase Response	594	(1)
The Natural Killer Cell System	594	(1)
Immunity	595	(1)
Categories of Acquired Immunity	595	(1)
Anatomy of the Immune System	595	(3)
The Primary Immune Response and the Immune Cascade	598	(1)
The Secondary Immune Response	599	(1)
Immunoglobulins	599	(2)
Monoclonal Antibodies	601	(1)
Complement and Amplification of Antibody Function	601	(1)
T Lymphocytes and Cell-Mediated Immunity	602	(1)
The Role of Cytokines	603	(1)
Factors Affecting Immunity	604	(3)
Assessment of Clients with Immune Disorders	607	(7)
Esther Matassarin-Jacobs
History	607	(1)
Biographical and Demographic Data	607	(1)
Current Symptoms	607	(1)
Past Health History	608	(1)
Family Health History	608	(1)
Psychosocial History	608	(1)
Review of Systems	609	(1)
Physical Examination	609	(1)
Inspection	609	(1)
Palpation	610	(1)
Diagnostic Tests	611	(1)
Acquired Immunodeficiency Syndrome (AIDS) Tests	611	(1)
Tests of Immunologic Status	611	(1)
Tests of Bone Marrow and Lymphatics	611	(1)
Lymphangeography	611	(1)
Tests for Allergies and Autoimmune Disorders	612	(2)
Nursing Care of Clients with Altered Immune Systems	614	(39)
Peter J. Ungvarski
Esther Matassarin-Jacobs
Human Immunodeficiency Virus Infection	614	(22)
Hypersensitivity Disorders	636	(5)
Organ Transplantation	641	(12)
Nursing Care of Clients with Connective Tissue Disorders	653	(30)
Cleda L. Meyer
Autoimmunity	653	(2)
Rheumatoid Arthritis	655	(19)
Systemic Lupus Erythematosus	674	(3)
Progressive Systemic Sclerosis	677	(1)
Ankylosing Spondylitis	678	(1)
Sjogren's Syndrome	678	(1)
Fibromyalgia Syndrome	679	(1)
Polymyositis and Dermatomyositis	679	(1)
Vasculitis	680	(1)
Reiter's Syndrome	680	(1)
Polymyalgia Rheumatica and Cranial Arteritis	680	(1)
Mixed Connective Tissue Disease	681	(1)
Lyme Disease	681	(1)
Secondary Arthritis	681	(1)
Whipple's Disease	681	(1)
Other Disorders Causing Arthritis	681	(2)
UNIT 5 Neurologic Disorders	683	(250)
Bernadette White
Structure and Function of the Nervous System	685	(24)
Bernadette White
Cells of the Nervous System	685	(1)
Structure	685	(1)
Neurons	685	(2)
Neuroglia	687	(1)
Function and Impulse Conduction	687	(1)
Resting Potential	687	(1)
Nerve Impulse	688	(1)
Refractory Period	688	(1)
Myelin	689	(1)
Saltatory Conduction	690	(1)
Receptors	690	(1)
Structural Divisions of the Nervous System	690	(1)
Central Nervous System	690	(11)
Peripheral Nervous System	701	(4)
Effects of Injury and Aging on the Nervous System	705	(1)
Regeneration	705	(1)
Changes Related to Aging	705	(4)
Assessment of Clients with Neurologic Disorders	709	(34)
Mary Vorder Bruegge
History	709	(1)
Biographical and Demographic Data	709	(5)
Past Health History	714	(1)
Family Health History	714	(1)
Psychosocial History	714	(1)
Review of Systems	715	(1)
Physical Examination	715	(1)
Vital Signs	715	(1)
Mental Status	715	(3)
Head, Neck, and Back	718	(1)
Cranial Nerves	718	(3)
Motor System	721	(2)
Sensory Function	723	(1)
Reflex Activity	724	(4)
Autonomic Nervous System	728	(1)
Functional Assessment	729	(1)
Clinical Applications	729	(1)
Diagnostic Tests	730	(1)
Noninvasive Tests of Structure	730	(3)
Invasive Tests of Structure	733	(5)
Noninvasive Tests of Function	738	(2)
Invasive Tests of Function	740	(3)
Nursing Care of Comatose or Confused Clients	743	(28)
Sally Strong Schnell
Disorders of Consciousness	743	(10)
Organ Donation	753	(10)
Confusional States	763	(8)
Nursing Care of Clients with Cerebrovascular Disorders	771	(63)
Sally Strong Schnell
Increased Intracranial Pressure	771	(13)
Cerebrovascular Accident	784	(24)
Transient Ischemic Attacks	808	(4)
Intracranial Hemorrhage	812	(4)
Other Cerebrovascular Disorders	816	(1)
Arteriovenous Malformations	816	(1)
Lesions of Cerebral Veins and Sinuses	816	(1)
Headaches	817	(1)
Migraine Headaches	818	(1)
Classic or Typical Migraines	819	(1)
Atypical, or Common Migraines	819	(1)
Cluster Headaches	819	(1)
Tension Headaches (Muscle Contraction Headaches)	820	(1)
Head Pain Related to Other Structures	820	(1)
Traumatic Brain Injury	820	(10)
Secondary Brain Injuries	830	(1)
Epidural Hematoma	830	(1)
Subdural Hematoma	830	(1)
Acute and Subacute Subdural Hematoma	831	(1)
Chronic Subdural Hematoma	831	(1)
Intracerebral Hematoma	831	(3)
Nursing Care of Clients with Cerebral Disorders	834	(29)
Sally Strong Schnell
Seizure Disorders	834	(1)
Epilepsy	834	(8)
Seizures	842	(1)
Status Epilepticus	843	(1)
Intracranial Tumors	843	(13)
Neurologic Infections	856	(1)
Bacterial and Pyogenic Infections	856	(1)
Bacterial Meningitis	856	(1)
Bacterial Toxins	857	(1)
Brain Abscess	857	(1)
Viral Infections	858	(1)
Viral Meningitis	859	(1)
Viral Encephalitis	859	(1)
Acute Anterior Poliomyelitis	860	(1)
Fungal Infections	860	(1)
Bulbar Disorders	861	(2)
Nursing Care of Clients with Degenerative Neurologic Disorders	863	(27)
Judith Ozuna
Alzheimer's Disease	863	(9)
Creutzfeldt-Jakob Disease	872	(1)
Multiple Sclerosis	873	(4)
Guillain-Barre Syndrome	877	(1)
Parkinson's Disease	878	(5)
Huntington's Disease	883	(1)
Myasthenia Gravis	883	(3)
Eaton-Lambert Syndrome	886	(1)
Amyotrophic Lateral Sclerosis	886	(4)
Nursing Care of Clients with Disorders of the Spinal Cord, Peripheral Nerves, and Cranial Nerves	890	(43)
Paula Carson
Disorders of the Spinal Cord	890	(36)
Disorders of the Peripheral Nerves	926	(3)
Disorders of the Cranial Nerves	929	(4)
UNIT 6 Eye and Ear Disorders	933	(86)
Eye Disorders	935	(45)
Linda A. Vader
Structure and Function of the Eye	935	(1)
Structure of the Eye	935	(1)
Structure of the Ocular Adnexa	935	(1)
Structure of the Internal Eye	936	(3)
Function of the Eye	939	(1)
Effects of Aging on the Eye	939	(1)
Assessment of Clients with Eye Disorders	940	(1)
History	941	(1)
Biographical and Demographic Data	941	(1)
Current Symptoms	941	(1)
Past Health History	942	(1)
Family Health History	942	(1)
Psychosocial History	942	(1)
Review of Systems	943	(1)
Physical Examination	943	(1)
External Eye Examination	943	(4)
Internal Eye Examination	947	(3)
Diagnostic Tests	950	(2)
Nursing Care of Clients with Eye Disorders	952	(1)
Glaucoma	952	(6)
Cataracts	958	(3)
Retinal Disorders	961	(1)
Retinal Detachment	961	(3)
Diabetic Retinopathy	964	(1)
Retinis Pigmentosa	965	(1)
Age-Related Macular Degeneration	965	(1)
Retinal Artery Occlusion	966	(1)
Corneal Disorders	966	(1)
Corneal Dystrophies	966	(2)
Keratoconus	968	(2)
Sympathetic Opthalmia	970	(1)
Tumors of the Eye	970	(1)
Malignant Ocular Tumors	970	(1)
Benign Lid Tumors	971	(1)
Eyelid, Lacrimal, and Conjunctival Disorders	972	(1)
Dacryocystitis	972	(1)
Hordeolum	972	(1)
Chalazion	972	(1)
Blepharitis	973	(1)
Conjunctivitis	973	(1)
Episcleritis	973	(1)
Entropion	974	(1)
Ectropion	974	(1)
Ptosis	974	(1)
Lagophthalmos	974	(1)
Blinking Disorders	974	(1)
Dry Eye Syndrome	974	(1)
Refractive Disorders	975	(1)
Myopia	975	(1)
Hyperopia	976	(1)
Astigmatism	976	(1)
Surgical Management of Refractive Disorders	976	(1)
Ocular Manifestations of Systemic Disorders	976	(1)
Endocrine Disorders	976	(1)
Rheumatoid and Connective Tissue Disorders	977	(1)
Neurologic Disorders	977	(1)
Circulatory Disorders	977	(1)
Immunologic Disorders	977	(1)
Lyme Disease	978	(2)
Ear Disorders	980	(39)
Joyce M. Black
Structure and Function of the Ear	980	(1)
Structure of the Temporal Bone	980	(1)
Structure of the External Ear	980	(1)
External Auditory Canal or Ear Canal	981	(1)
Tympanic Membrane	981	(1)
Function of the Temporal Bone and External Ear	981	(1)
Sound Wave Conduction	981	(1)
Wax Production	982	(1)
Structure of the Middle Ear	982	(1)
Ossicles	982	(1)
Windows	982	(1)
Eustachian Tubes	982	(1)
Mastoid Bone	983	(1)
Function of the Middle Ear	983	(1)
Structure of the Inner Ear (Labyrinth)	983	(1)
Function of the Inner Ear	984	(1)
Hearing	984	(1)
Balance	984	(1)
Assessment of the Ear	985	(1)
History	985	(1)
Current Symptoms	985	(1)
Past Health History	985	(1)
Family Health History	986	(1)
Psychosocial History	986	(1)
Review of Systems	987	(1)
Physical Examination	987	(1)
Inspection and Palpation	987	(1)
Tests for Auditory Acuity	988	(1)
Tests for Vestibular Acuity	989	(1)
Diagnostic Tests	989	(1)
Tests for Structure	989	(2)
Tests for Function	991	(1)
Laboratory Tests	992	(1)
Disorders of the Ear	993	(8)
Hearing Impairment	1001	(1)
Otosclerosis	1002	(1)
Acoustic Neuroma	1003	(1)
Tinnitus (Head Noises)	1003	(1)
Otalgia	1003	(1)
Ear Infections	1003	(1)
Otitis Externa	1003	(2)
Tympanic Membrane Infection	1005	(1)
Otitis Media	1005	(1)
Mastoiditis	1006	(1)
Ear Obstructions	1006	(1)
Cerumen Impaction	1006	(1)
Foreign Bodies	1007	(1)
Ear Trauma	1007	(1)
External Ear Trauma	1007	(1)
Tympanic Membrane Trauma	1007	(2)
Eustachian Tube Disorders	1009	(1)
Ear Masses	1009	(1)
Cholesteatoma	1009	(1)
Other Masses	1009	(1)
Balance Disorders	1010	(9)
UNIT 7 Respiratory Disorders	1019	(170)
Structure and Function of the Respiratory System	1021	(14)
Joyce M. Black
The Airways	1021	(1)
Upper Airways	1022	(1)
Structure	1022	(1)
Function	1023	(1)
Lower Airway	1024	(1)
Structure	1024	(1)
Function	1025	(1)
Thorax, Diaphragm, and Pleura	1026	(1)
Structure	1026	(1)
Function	1027	(1)
The Lungs and Alveoli	1027	(1)
Structure	1027	(2)
Function	1029	(5)
Effects of Aging	1034	(1)
Assessment of Clients with Respiratory Disorders	1035	(32)
Amy Verst
General Respiratory Assessment	1035	(1)
History	1035	(1)
Biographical and Demographic Data	1035	(1)
Current Symptoms	1035	(3)
Past Health History	1038	(1)
Family Health History	1039	(1)
Psychosocial History	1039	(1)
Review of Systems	1040	(1)
Physical Examination	1040	(1)
Inspection	1040	(3)
Palpation	1043	(1)
Percussion	1044	(1)
Auscultation	1045	(2)
Assessment of Nose, Pharynx, and Sinuses	1047	(1)
History	1047	(1)
Current Symptoms	1047	(1)
Past Health History	1048	(1)
Physical Examination	1048	(1)
Nose	1049	(1)
Nasopharynx	1050	(1)
Paranasal Sinuses	1050	(1)
Smell	1050	(1)
Diagnostic Tests	1050	(1)
Tests to Evaluate Respiratory Function	1051	(7)
Tests to Evaluate Anatomic Structures	1058	(4)
Specimen Recovery and Analysis	1062	(5)
Nursing Care of Clients with Upper Airway Disorders	1067	(38)
Barbara Sigler
Tracheostomy	1067	(9)
Hemorrhagic, Infectious, and Inflammatory Disorders	1076	(1)
Epistaxis	1076	(1)
Sinusitis	1077	(2)
Pharyngitis	1079	(1)
Tonsillitis	1079	(1)
Chronic Tonsillitis	1080	(1)
Peritonsillar Abscess	1080	(1)
Rhinitis	1080	(1)
Laryngitis	1081	(1)
Diphtheria	1081	(1)
Neoplastic Disorders	1082	(1)
Benign Tumors of the Larynx	1082	(1)
Cancer of the Larynx	1082	(18)
Obstructions of the Upper Airway	1100	(1)
Acute Airway Obstruction	1100	(1)
Chronic Airway Obstruction	1101	(4)
Nursing Care of Clients with Disorders of the Lower Airways and Pulmonary Vessels	1105	(28)
Sherill Nones Cronin
Disorders of the Lower Airways	1105	(1)
Asthma	1105	(6)
Chronic Obstructive Pulmonary Disease	1111	(13)
Tracheobronchitis	1124	(1)
Bronchiectasis	1125	(1)
Disorders of the Pulmonary Vasculature	1126	(1)
Pulmonary Embolism	1126	(3)
Pulmonary Hypertension	1129	(4)
Nursing Care of Clients with Disorders of the Lung Parenchyma and Pleura	1133	(56)
Sherill Nones Cronin
Atelectasis	1133	(1)
Infectious Disorders	1133	(1)
Influenza	1133	(1)
Pneumonia	1134	(4)
Lung Abscess	1138	(1)
Pulmonary Tuberculosis	1139	(5)
Extrapulmonary Tuberculosis	1144	(1)
Nontuberculous Mycobacteria Infection	1145	(1)
Fungal Pulmonary Infections	1146	(1)
Restrictive Lung Disorders	1147	(1)
Cystic Fibrosis	1148	(1)
Interstitial Lung Disease	1149	(1)
Sarcoidosis	1149	(1)
Occupational Lung Disease	1150	(1)
Neoplastic Lung Disorders	1151	(1)
Malignant Lung Tumors	1151	(15)
Benign Lung Tumors	1166	(1)
Disorders of the Pleura and Pleural Space	1166	(1)
Pleural Pain	1166	(1)
Pleural Effusion	1166	(1)
Primary Pleural Effusion	1167	(1)
Recurrent Pleural Effusion	1167	(1)
Bronchopleural Fistula	1167	(1)
Metastatic Pleural Tumors	1167	(1)
Disorders of the Diaphragm	1168	(1)
Subdiaphragmatic Abscess	1168	(1)
Diaphragmatic Paralysis	1168	(1)
Acute Pulmonary Disorders	1169	(1)
Noncardiogenic Pulmonary Edema	1169	(1)
Acute Respiratory Failure	1169	(1)
Adult Respiratory Distress Syndrome	1170	(19)
UNIT 8 Cardiac Disorders	1189	(178)
Structure and Function of the Heart	1191	(14)
Barbara B. Ott
The Layers of the Heart	1191	(1)
The Chambers of the Heart	1191	(2)
The Pericardium	1193	(1)
The Cardiac Valves	1193	(1)
The Cardiac Blood Supply	1194	(1)
Electrophysiologic Properties of the Heart	1195	(2)
The Cardiac Conduction System	1197	(1)
The Cardiac Cycle	1198	(1)
Mechanical Properties of the Heart	1199	(3)
Regulation of Cardiac Function and Blood Pressure	1202	(2)
Effects of Aging	1204	(1)
Assessment of Clients with Cardiac Disorders	1205	(33)
Pamela Shumate
History	1205	(1)
Chief Complaint	1205	(1)
Chest Pain	1205	(1)
Shortness of Breath	1206	(1)
Fatigue	1206	(1)
Palpitations	1207	(1)
Syncope	1207	(1)
Weight Gain	1207	(1)
Past Health History	1207	(1)
Childhood and Infectious Diseases	1207	(1)
Major Illnesses and Hospitalizations	1207	(1)
Medications	1207	(3)
Psychosocial History	1210	(1)
Review of Systems	1210	(1)
Physical Examination	1211	(1)
General Appearance	1211	(1)
Level of Consciousness	1211	(1)
Blood Pressure	1211	(1)
Postural Blood Pressure	1211	(1)
Paradoxical Blood Pressure (Pulsus Paradoxus)	1211	(1)
Pulse	1212	(1)
Edema	1212	(1)
Respirations	1212	(1)
Head and Neck	1212	(1)
Examination of Neck Veins	1212	(1)
Examination of Carotid Arteries	1213	(1)
Chest	1213	(1)
Inspection and Palpation of the Precordium	1213	(1)
Auscultation of Heart Sounds	1214	(3)
Examination of the Lungs	1217	(1)
Abdomen	1217	(1)
Inspection and Palpation	1217	(1)
Auscultation	1217	(1)
Diagnostic Tests	1217	(2)
Laboratory Tests	1219	(1)
Complete Blood Cell Count	1219	(1)
Cardiac Enzymes	1219	(1)
Blood Coagulation Tests	1219	(1)
Serum Lipids	1220	(1)
Serum Electrolytes	1220	(1)
Blood Urea Nitrogen	1220	(1)
Blood Glucose	1220	(1)
Electrocardiogram	1220	(1)
Continuous Electrocardiogram Monitoring	1221	(1)
Electrocardiogram Tracings	1222	(1)
Electrocardiogram Variations	1223	(1)
The 12-Lead Electrocardiogram	1223	(1)
Signal-Averaged Electrocardiogram	1224	(1)
Holter Monitoring	1224	(1)
Exercise Electrocardiogram (Stress Testing)	1225	(2)
Electrophysiologic Studies	1227	(1)
Chest X-Ray Studies	1227	(1)
Magnetic Resonance Imaging	1227	(1)
Positron Emission Tomography	1228	(1)
Echocardiography	1228	(1)
Transesophageal Echocardiography	1228	(1)
Phonocardiography	1229	(1)
Myocardial Scintigraphy	1229	(1)
Thallium 201 Scintigraphy	1229	(1)
Dipyridamole Thallium 201 Test	1230	(1)
Technetium 99m Ventriculography (Multiple Gated Acquisition Scanning)	1230	(1)
First-Pass Cardiac Study	1230	(1)
Cardiac Catheterization	1230	(1)
Right-Sided Catheterization	1231	(1)
Left-Sided Catheterization	1231	(1)
Complications	1231	(1)
Angiography	1232	(1)
Hemodynamic Studies	1233	(1)
Central Venous Pressure	1233	(1)
Pulmonary Artery Pressure	1234	(2)
Cardiac Output Measurement	1236	(1)
Intra-Arterial Pressure Monitoring	1236	(2)
Nursing Care of Clients with Disorders of Cardiac Function	1238	(57)
Peggy Gerard
Kathleen A. Ringel
Coronary Artery Disease	1238	(13)
Angina Pectoris	1251	(7)
Acute Myocardial Infarction	1258	(18)
Heart Failure	1276	(19)
Nursing Care of Clients with Disorders of Cardiac Rhythm	1295	(32)
Kathleen A. Ringel
Peggy Gerard
Dysrhythmias	1295	(2)
Atrial Dysrhythmias	1297	(1)
Sinus Tachycardia	1297	(1)
Sinus Bradycardia	1298	(1)
Sinus Dysrhythmia	1299	(1)
Disturbances in Conduction: Sinoatrial Node Conduction Defects	1299	(1)
Disturbances in Impulse Generation	1300	(1)
Premature Atrial Contractions	1300	(1)
Paroxysmal Atrial Tachycardia	1301	(1)
Atrial Flutter	1301	(1)
Atrial Fibrillation	1301	(1)
Atrioventricular Junctional Dysrhythmias	1302	(1)
Disturbances in Automaticity	1302	(1)
Premature Junctional Contractions	1302	(1)
Paroxysmal Junctional Tachycardia	1302	(1)
Disturbances in Conduction	1303	(1)
First-Degree Atrioventricular Block	1303	(1)
Second-Degree Atrioventricular Block	1304	(1)
Third-Degree Atrioventricular Block	1304	(1)
Ventricular Dysrhythmias	1304	(1)
Disturbances in Automaticity	1305	(1)
Premature Ventricular Contractions	1305	(1)
Ventricular Tachycardia	1305	(1)
Ventricular Fibrillation	1305	(4)
Torsades de Pointes	1309	(1)
Preexcitation Syndromes	1309	(1)
Disturbances in Conduction	1310	(1)
Bundle Branch Block	1310	(1)
Ventricular Asystole	1310	(1)
Pulseless Electrical Activity	1310	(1)
Management of Life-Threatening Dysrhythmias	1310	(17)
Nursing Care of Clients with Disorders of Cardiac Structure	1327	(40)
Barbara B. Ott
Infectious Disorders	1327	(1)
Rheumatic Fever	1327	(4)
Infective Endocarditis	1331	(3)
Myocarditis	1334	(1)
Pericarditis	1335	(1)
Acute Pericarditis	1335	(1)
Acute Pericarditis with Effusion	1336	(1)
Chronic Constrictive Pericarditis	1337	(1)
Cardiac Tamponade	1337	(1)
Cardiomyopathy and Valvular Disease	1338	(1)
Cardiomyopathy	1338	(1)
Dilated Cardiomyopathy	1339	(1)
Hypertrophic Cardiomyopathy	1340	(1)
Restrictive Cardiomyopathy	1340	(2)
Valvular Heart Disease	1342	(1)
Mitral Valve Disease	1342	(5)
Aortic Valve Disease	1347	(2)
Tricuspid and Pulmonic Valve Disease	1349	(1)
Nursing Management of the Client with Valvular Heart Disease	1349	(1)
Congenital Disorders	1350	(1)
Cardiac Surgery	1350	(17)
UNIT 9 Peripheral Vascular Disorders	1367	(78)
Structure and Function of the Peripheral Vascular System	1369	(8)
Joyce M. Black
Components of the Vascular System	1369	(1)
Structure of the Blood Vessels	1369	(3)
Function of the Blood Vessels	1372	(1)
Blood Flow Through the Large Arteries	1372	(2)
Blood Flow Through the Tissues	1374	(2)
The Role of the Lymphatic System	1376	(1)
The Effects of Aging on the Vascular System	1376	(1)
Effects of Aging on the Lymphatic System	1376	(1)
Introduction to Disorders of the Vascular System	1376	(1)
Assessment of Clients with Peripheral Vascular Disorders	1377	(10)
Barbara Harrison
History	1377	(1)
Biographical and Demographic Data	1377	(1)
Current Symptoms	1377	(1)
Past Health History	1378	(1)
Family Health History	1379	(1)
Psychosocial History	1379	(1)
Physical Examination	1379	(1)
Inspection	1379	(2)
Palpation	1381	(1)
Auscultation	1382	(1)
Diagnostic Tests	1383	(1)
Noninvasive Techniques	1383	(1)
Invasive Techniques	1384	(3)
Nursing Care of Clients with Peripheral Vascular Disorders	1387	(58)
Barbara Harrison
Hypertension	1387	(17)
Syncope	1404	(1)
Arterial Disorders	1405	(1)
Chronic Arterial Occlusion	1405	(19)
Acute Arterial Occlusion	1424	(1)
Arterial Ulcers	1424	(1)
Aneurysms	1425	(1)
Classification of Aneurysms	1425	(1)
Abdominal Aortic Aneurysms	1425	(3)
Aortic Dissection	1428	(1)
Thoracic Aortic Aneurysms	1429	(1)
Peripheral Aneurysms	1430	(1)
Subclavian Steal Syndrome	1430	(1)
Thoracic Outlet Syndromes	1430	(1)
Vasculitis	1430	(1)
Thromboangiitis Obliterans (Buerger's Disease)	1430	(1)
Raynaud's Syndrome	1431	(1)
Venous Disorders	1432	(1)
Acute Venous Disorders	1432	(4)
Chronic Venous Insufficiency	1436	(1)
Venous Stasis Ulceration	1436	(2)
Varicose Veins	1438	(1)
Lymphatic Disorders	1439	(1)
Lymphedema	1439	(2)
Lymphadenitis	1441	(1)
Acute Lymphadenitis	1441	(1)
Chronic Lymphadenitis	1441	(4)
UNIT 10 Hematologic Disorders	1445	(88)
Structure and Function of the Hematologic System	1447	(22)
R. B. Boley
Arlene L. Polaski
Characteristics of Blood	1447	(1)
Hematopoiesis: Formation of Blood Cells	1447	(8)
Blood Groups and Blood Typing	1455	(1)
Hemostasis	1456	(2)
Abnormalities of the Hematologic System	1458	(1)
Effects of Aging	1459	(10)
Assessment of Clients with Hematologic Disorders	1469	(1)
Esther Matassarin-Jacobs
History	1461	(1)
Biographical and Demographic Data	1461	(1)
Chief Complaint	1461	(1)
Past Health History	1461	(1)
Family Health History	1462	(1)
Psychosocial History	1462	(1)
Review of Systems	1462	(1)
Physical Examination	1463	(1)
Diagnostic Tests	1463	(6)
Nursing Care of Clients with Hematologic Disorders	1469	(64)
Esther Matassarin-Jacobs
Disorders Affecting Red Blood Cells	1469	(1)
The Anemias	1469	(2)
Acquired Anemias	1471	(10)
Congenital Anemias	1481	(4)
Polycythemias	1485	(1)
Disorders Affecting White Blood Cells	1486	(1)
The Leukemias	1487	(10)
Agranulocytosis	1497	(1)
Multiple Myeloma	1498	(2)
Disorders of the Lymphoid System	1500	(1)
Hodgkin's Disease	1500	(3)
Non-Hodgkin's Lymphoma	1503	(1)
Infectious Mononucleosis	1503	(1)
Splenic Rupture and Hypersplenism	1504	(2)
Disorders of Platelets and Clotting Factors	1506	(1)
Hemorrhagic Disorders	1506	(1)
Purpura	1506	(3)
Coagulation Disorders	1509	(3)
Congenital Disorders	1512	(1)
Sickle Cell Anemia and Sickle Cell Trait	1512	(3)
The Hemophillias	1515	(3)
Blood Transfusions	1518	(1)
Preparing for Transfusion	1518	(7)
Begining the Transfusion	1525	(2)
Monitoring During the Transfusion	1527	(1)
Delayed Transfusion Complications	1527	(6)
UNIT 11 Urinary Disorders	1533	(150)
Structure and Function of the Urinary System	1535	(12)
Esther Matassarin-Jacobs
Structure	1535	(1)
Kidneys	1535	(2)
Ureters	1537	(1)
Bladder	1538	(1)
Urethra and Meatus	1539	(1)
Function	1539	(1)
Kidneys	1540	(4)
Ureters	1544	(1)
Bladder	1544	(1)
Urethra and Meatus	1545	(1)
Effects of Aging	1545	(2)
Assessment of Clients with Urinary Disorders	1547	(24)
Esther Matassarin-Jacobs
History	1547	(1)
Biographical and Demographic Data	1547	(1)
Current Manifestations	1547	(2)
Past Health History	1549	(1)
Family Health History	1550	(2)
Review of Systems	1552	(1)
Physical Examination	1552	(1)
Urinary Tract Organs	1552	(1)
Related Body Systems	1553	(2)
Diagnostic Tests	1555	(1)
Laboratory Tests	1555	(7)
Radiologic Studies	1562	(3)
Urodynamic Studies	1565	(2)
Direct Visualization	1567	(4)
Nursing Care of Clients with Disorders of the Ureters, Bladder, and Urethra	1571	(54)
Esther Matassarin-Jacobs
Infectious and Inflammatory Disorders	1571	(1)
Urinary Tract Infection (Cystitis)	1571	(8)
Interstitial Cystitis	1579	(2)
Urosepsis	1581	(1)
Urethritis	1581	(1)
Ureteritis	1581	(1)
Genitourinary Tuberculosis	1581	(1)
Obstructive Disorders	1582	(1)
Bladder Neoplasms	1582	(13)
Ureteral Tumors	1595	(1)
Urinary Calculi	1595	(4)
Urinary Reflux	1599	(1)
Voiding Disorders	1600	(1)
Urinary Retention	1600	(4)
Urinary Incontinence	1604	(8)
Neurogenic Bladder Dysfunction	1612	(7)
Traumatic Disorders	1619	(1)
Bladder Trauma	1619	(1)
Urethral Trauma	1620	(1)
Ureteral Trauma	1620	(1)
Congenital Anomalies	1620	(1)
Congenital Anomalies of the Bladder	1620	(1)
Congenital Anomalies of the Urethra	1620	(1)
Congenital Anomalies of the Ureters	1620	(1)
Ectopic Ureter	1620	(1)
Duplicate Ureters	1621	(1)
Abnormal Dilation of the Ureter (Megaureter)	1621	(1)
Congenital Ureteropelvic Obstruction	1621	(4)
Nursing Care of Clients with Renal Disorders	1625	(58)
Esther Matassarin-Jacobs
Renal Disorders Associated with Extrarenal Conditions and Nephrotoxins	1625	(1)
Extrarenal Conditions	1625	(1)
Diabetes Mellitus	1625	(1)
Hypertension	1626	(1)
Hypotension	1626	(1)
Cardiovascular Disease	1626	(1)
Peripheral Vascular Disease	1626	(1)
Sepsis	1626	(1)
Pregnancy	1626	(1)
Nephrotoxins	1627	(1)
Acquired Disorders	1628	(1)
Pyelonephritis	1628	(2)
Acute Glomerulonephritis	1630	(2)
Chronic Glomerulonephritis	1632	(1)
Tubulointerstitial Disease	1633	(1)
Membranoproliferative Glomerulonephritis	1633	(1)
Rapidly Progressive Glomerulonephritis	1634	(1)
Idiopathic Membranous Glomerulonephritis	1634	(1)
IgA Nephropathy	1634	(1)
Lipoid Nephrosis	1634	(1)
Focal Glomerular Sclerosis	1634	(1)
Nephrotic Syndrome	1634	(2)
Hydronephrosis	1636	(1)
Uremic Syndrome	1636	(1)
Acute Renal Failure	1636	(24)
Renal Transplantation	1660	(5)
Renal Calculi	1665	(6)
Renal Cancer	1671	(2)
Renal Candidiasis	1673	(1)
Renal Abscess	1674	(1)
Perinephric Abscess	1674	(1)
Renal Trauma	1674	(1)
Renal Tuberculosis	1675	(1)
Renal Vascular Abnormalities	1676	(1)
Renal Artery Disease	1676	(1)
Renal Vein Disease	1677	(1)
Congenital Disorders	1677	(1)
Anomalies Involving Kidney Form and Size	1677	(1)
Anomalies Involving Cystic Disease	1678	(1)
Polycystic Kidneys	1678	(1)
Adult-Onset Medullary Cystic Disease	1679	(1)
Medullary Sponge Kidney	1679	(1)
Other Hereditary Renal Disorders	1679	(4)
UNIT 12 Gastrointestinal Disorders	1683	(150)
Betty Blake
Structure and Function of the Gastrointestinal System	1685	(13)
Esther Matassarin-Jacobs
The Gastrointestinal Tract	1685	(1)
The Mouth	1685	(1)
Structure	1685	(1)
Chewing and Its Functions	1685	(1)
Saliva and Its Functions	1686	(1)
Swallowing (Deglutition)	1687	(1)
The Esophagus	1687	(1)
Structure	1687	(1)
Function	1687	(2)
The Stomach	1689	(1)
Structure	1689	(1)
Function	1689	(1)
The Small Intestine	1690	(1)
Structure	1690	(2)
Function	1692	(2)
The Large Intestine	1694	(1)
Structure	1694	(1)
Function	1695	(1)
Effects of Aging	1696	(2)
Assessment of Clients with Gastrointestinal Disorders	1698	(21)
Jane Hokanson Hawks
History	1698	(1)
Biographical and Demographic Data	1698	(1)
Chief Complaint	1698	(1)
Past Health History	1699	(6)
Family Health History	1705	(1)
Psychosocial History	1705	(1)
Review of Systems	1706	(1)
Physical Examination	1706	(1)
Assessing the Oral Cavity	1706	(1)
Assessing the Abdomen	1707	(2)
Assessing the Anus and Rectum	1709	(1)
Diagnostic Tests	1710	(1)
Laboratory Tests	1710	(1)
Fecal Analysis	1711	(2)
Ultrasonography	1713	(1)
Magnetic Resonance Imaging	1713	(1)
Radiographic Tests	1713	(1)
Endoscopy	1714	(2)
Exfoliative Cytologic Analysis	1716	(1)
Gastric Analysis	1717	(1)
Acid Perfusion Test (Bernstein Test)	1717	(2)
Nursing Care of Clients with Ingestive Disorders	1719	(29)
Jane Hokanson Hawks
Dental Disorders	1719	(1)
Dental Plaque	1719	(1)
Dental Caries	1719	(1)
Periodontal Disease	1720	(2)
Dental Emergencies	1722	(1)
Oral Disorders	1723	(1)
Stomatitis	1723	(1)
Aphthous Stomatitis (Canker Sores)	1723	(1)
Herpes Simplex	1724	(1)
Vincent's Angina (Necrotizing Ulcerative Gingivitis, Trench Mouth)	1724	(1)
Candidiasis (Moniliasis)	1725	(1)
Tumors of the Oral Cavity	1726	(1)
Benign Tumors of the Oral Cavity	1726	(1)
Premalignant Tumors of the Oral Cavity	1726	(1)
Malignant Tumors of the Oral Cavity	1727	(5)
Disorders of the Salivary Glands	1732	(1)
Inflammation	1732	(1)
Calculi	1732	(1)
Tumors	1732	(1)
Disorders of the Esophagus	1732	(1)
Dysphagia	1732	(1)
Dysphagia Caused by Mechanical Obstructions	1732	(1)
Dysphagia Caused by Cardiovascular Abnormalities	1732	(1)
Dysphagia Caused by Neurologic Diseases	1732	(1)
Dysphagia from Other Causes	1732	(1)
Regurgitation	1733	(1)
Pain	1733	(1)
Heartburn	1733	(1)
Achalasia	1733	(4)
Diffuse Esophagel Spasm	1737	(1)
Gastroesophageal Reflux Disease	1737	(3)
Hiatal Hernia	1740	(1)
Diverticula	1741	(2)
Esophageal Neoplasms	1743	(3)
Vascular Disorders	1746	(1)
Trauma	1746	(2)
Nursing care of Clients with Gastric Disorders	1748	(39)
Jane Hokanson Hawks
General Clinical Manifestations of Gastrointestinal Disorders	1748	(1)
Pain	1748	(1)
Anorexia	1748	(1)
Nausea	1748	(1)
Diarrhea	1749	(1)
Belching and Flatulence	1749	(1)
Dyspepsia	1749	(1)
Gastrointestinal Intubation	1749	(1)
Types of Tubes	1749	(1)
Inserting Gastrointestinal Tubes	1750	(2)
Nutritional Support	1752	(1)
Enteral Nutrition	1752	(2)
Parenteral Nutrition (Total Parenteral Nutrition or Hyperalimentation)	1754	(2)
Eating Disorders	1756	(1)
Anorexia Nervosa	1756	(3)
Bulimia Nervosa	1759	(2)
Inflammatory and Neoplastic Disorders	1761	(3)
Peptic Ulcer Disease	1764	(17)
Gastric Cancer	1781	(3)
Congenital Disorders: Esophageal Atresia with Trachesophageal Fistula	1784	(3)
Nursing Care of Clients with Intestinal Disorders	1787	(46)
Jane Hokanson Hawks
General Clinical Manifestations	1787	(1)
Disorders of the Large and Small Bowel	1788	(1)
Inflammatory Disorders	1788	(1)
Infections and Infestations	1788	(3)
Appendicitis	1791	(2)
Peritonitis	1793	(1)
Inflammatory Bowel Disease	1794	(14)
Neoplastic Disorders	1808	(1)
Benign Tumors of the Bowel	1808	(1)
Neoplastic Disorders of the Bowel	1808	(1)
Cancer of the Small Bowel	1808	(1)
Colon Cancer	1808	(8)
Other Disorders of the Large and Small Bowel	1816	(1)
Herniations	1816	(2)
Diverticular Disease	1818	(1)
Meckel's Diverticulum	1819	(1)
Obstruction	1820	(3)
Irritable Bowel Syndrome	1823	(2)
Disorders of the Anorectal Area	1825	(1)
Hemorrhoids	1825	(3)
Pilonidal Cyst	1828	(1)
Anal Fissure	1828	(1)
Anal Fistula	1828	(1)
Anorectal Abscess	1828	(1)
Tumors	1828	(1)
Blunt or Penetrating Trauma	1829	(1)
Congenital Disorders	1830	(1)
Hirschprung's Disease	1830	(3)
UNIT 13 Liver, Biliary Tract, and Exocrine Pancreatic Disorders	1833	(100)
Betty Blake
Structure and Function of the Liver, Billiary Tract, and Exocrine Pancreas	1835	(8)
Esther Matassarin-Jacobs
Structure	1835	(1)
Liver	1835	(1)
Biliary Tract	1835	(1)
Pancreas	1836	(1)
Function	1837	(1)
Liver	1837	(3)
Biliary Tract	1840	(1)
Pancreas	1840	(1)
Effects of Aging	1841	(2)
Assessment of Clients with Liver, Biliary Tract, and Exocrine Pancreatic Disorders	1843	(15)
Dianne Smolen
History	1843	(1)
Chief Complaint	1843	(1)
Past Health History	1844	(1)
Family Health History	1844	(1)
Psychosocial History	1844	(1)
Review of Systems	1845	(1)
Physical Examination	1845	(1)
General Health Status	1845	(1)
Nutritional Status	1845	(1)
Abdominal Assessment	1845	(3)
Diagnostic Tests	1848	(1)
Laboratory Studies	1849	(1)
Ultrasonography	1849	(1)
Radiologic Studies	1849	(4)
Radionuclide Scanning	1853	(1)
Paracentesis	1854	(1)
Peritoneoscopy	1854	(1)
Biopsy	1854	(2)
Portal Pressure Measurements	1856	(1)
Analysis of Duodenal or Biliary Drainage	1856	(2)
Nursing Care of Clints with Liver Disorders	1858	(49)
Dianne Smolen
Jaundice	1858	(3)
Hepatitis	1861	(1)
Viral Hepatitis	1861	(10)
Toxic Hepatitis	1871	(1)
Chronic Hepatitis	1871	(1)
Alcoholic Hepatitis	1872	(1)
Cirrhosis	1872	(11)
Complications of Cirrhosis	1883	(1)
Portal Hypertension	1884	(5)
Ascites	1889	(2)
Hepatic Encephalopathy	1891	(4)
Fatty Liver	1895	(1)
Liver Neoplasms	1895	(3)
Liver Transplanation	1898	(4)
Liver Abscess	1902	(1)
Hemochromatosis	1902	(1)
Amyloidosis	1902	(1)
Congenital Conditions	1903	(1)
Wilson's Disease	1903	(1)
Caroli's Syndrome	1903	(1)
Congenital Hepatic Fibrosis	1903	(1)
Liver Trauma	1903	(4)
Nursing Care of Clients with Biliary Tract and Exocrine Pancreatic Disorders	1907	(26)
Dianne Smolen
Biliary Tract Disorders	1907	(1)
Cholelithiasis	1907	(8)
Acute Cholecystitis	1915	(3)
Acute Acalculous Cholecystitis	1918	(1)
Chronic Colecystitis	1918	(1)
Choledocholithiasis and Cholangitis	1918	(2)
Sclerosing Cholangitis	1920	(1)
Carcinoma of the Gallbladder	1920	(1)
Disorders of the Exocrine Pancreas	1921	(1)
Acute Pancreatitis	1921	(8)
Chronic Pancreatitis	1929	(1)
Pancreatic Pseudocysts	1929	(1)
Pancreatic Cancer	1930	(1)
Pancreatic Transplantation	1931	(1)
Pancreatic Trauma	1931	(1)
Cystic Fibrosis	1932	(1)
UNIT 14 Metabolic Disorders	1933	(138)
Structure and Function of the Endocrine System	1935	(13)
Esther Matassarin-Jacobs
The Endocrine System	1935	(1)
Structure	1935	(1)
Hormones and Their Functions	1935	(6)
The Endocrine Glands	1941	(1)
Pituitary Structure and Function	1941	(2)
Thyroid and Parathyroid Structure and Function	1943	(1)
Adrenal Structure and Function	1944	(1)
Pancreatic Structure and Function	1945	(1)
Hormonal Factors Regulating Carbohydrate Metabolism	1945	(1)
Insulin and Glucagon	1945	(1)
Other Hormonal Factors	1946	(1)
Ovaries and Testes	1946	(1)
Effects of Aging	1946	(2)
Assessment of Clients with Endocrine Disorders	1948	(7)
Carol Birch
Kerry H. Greear
History	1948	(1)
Biograp[hical and Demographic Data	1948	(1)
Chief Complaint	1948	(1)
Past Health History	1949	(1)
Family Health History	1949	(1)
Psychosocial History	1950	(1)
Review of Systems	1950	(1)
Physical Examination	1950	(1)
General Appearance	1950	(1)
Vital Signs	1950	(1)
Integument	1950	(1)
Head	1950	(1)
Eyes	1950	(1)
Nose	1950	(1)
Mouth	1950	(1)
Neck	1950	(1)
Extremities	1951	(1)
Thorax	1952	(1)
Abdomen	1952	(1)
Genitalia	1952	(1)
Diagnostic Tests	1952	(1)
Tests of Pancreatic Function	1952	(1)
Tests of Thyroid Function	1952	(1)
Tests of Adrenal Function	1953	(1)
Tests of Pituitary Function	1954	(1)
Nursing Care of Clients with Endocrine Disorders of the Pancreas	1955	(50)
Carol Birch
Kerry H. Greear
Diabetes Mellitus	1955	(26)
Acute Complications of Diabetes Mellitus	1981	(1)
Hyperglycemia and Diabetic Ketoacidosis	1981	(6)
Hyperglycemic, Hyperosmolar, Nonketotic Coma	1987	(1)
Hypoglycemia (Insulin Reaction)	1988	(2)
Other Hypoglycemic Disorders	1990	(1)
Hypoglycemic Unawareness	1990	(1)
Hypoglycemia with Rebound Hyperglycemia (Somogyi Effect)	1990	(2)
Dawn Phenomenon	1992	(1)
Chronic Complications of Diabetes Mellitus	1992	(1)
Macrovascular Complications	1993	(1)
Coronary Artery Disease	1993	(1)
Cerebrovascular Disease	1993	(1)
Hypertension	1994	(1)
Peripheral Vascular Disease	1994	(1)
Infections	1995	(1)
Microvascular Complications	1996	(1)
Diabetic Retinopathy	1996	(1)
Other Ocular Disorders	1996	(1)
Nephropathy	1996	(3)
Neuropathy	1999	(1)
Special Situations in the Care of Clients with Diabetes	2000	(5)
Nursing Care of Clients with Thyroid and Parathyroid Disorders	2005	(36)
Carol Birch
Thyroid Disorders	2005	(1)
Hypothyroidism	2005	(11)
Hyperthyroidism	2016	(9)
Thyroiditis	2025	(2)
Thyroid Cancer	2027	(3)
Parathyroid Disorders	2030	(1)
Hyperparathyroidism	2030	(6)
Hypoparathyroidism	2036	(5)
Nursing Care of Clients with Adrenal, Pituitary, and Gonadal Disorders	2041	(30)
Carol Birch
Adrenocortical Disorders	2041	(1)
Adrenal Insufficiency	2041	(1)
Chronic Primary Adrenal Insufficiency	2041	(6)
Secondary Adrenal Insufficiency	2047	(2)
Adrenocortical Hyperfunction	2049	(1)
Hypercortisolism	2049	(7)
Adrenomedullary Disorders	2056
Pheochromocytoma	2036	(24)
Anterior Pituitary Disorders	2060	(2)
Hyperpituitarism and Hyperprolactinemia	2062	(3)
Sexual Disturbances	2065	(1)
Hypopituitarism	2065	(1)
Posterior Lobe (Neurohypophyseal) Disorders	2066	(1)
Gonadal Disorders	2066	(5)
UNIT 15 Musculoskeletal Disorders	2071	(100)
Structure and Function of the Musculoskeletal System	2073	(10)
Joyce M. Black
Structure of the Skeletal System	2073	(2)
Function of the Skeletal System	2075	(1)
Structure and Function of the Articular System	2075	(2)
Structure and Function of the Muscular System	2077	(2)
Cartilage	2079	(1)
The Role of the Musculoskeletal System in the Homeostasis	2079	(1)
Effects of Aging on the Musculoskeletal System	2080	(1)
Disorders of the Musculoskeletal System	2081	(2)
Assessment of Clients with Musculoskeletal Disorders	2083	(15)
Peggy Doheny
Carol Sedlak
History	2083	(1)
Biographical and Demographic Data	2083	(1)
Current Symptoms	2083	(2)
Family Health History	2085	(1)
Psychosocial History	2085	(1)
Review of Systems	2086	(1)
Physical Examination	2086	(1)
General Musculoskeletal Examination	2086	(2)
Neurovascular Assessment	2088	(4)
Diagnostic Tests	2092	(1)
Noninvasive Tests of Structure	2092	(2)
Invasive Tests of Structure	2094	(2)
Laboratory Tests	2096	(2)
Nursing Care of Clients with Musculoskeletal Disorders	2098	(31)
Joan Lappe
Cleda L. Meyer
Metabolic Bone Disorders	2098	(1)
Osteoporosis	2098	(6)
Paget's Disease	2104	(2)
Osteomalacia	2106	(1)
Gout and Gouty Arthritis	2107	(1)
Connective Tissue Disorders	2108	(1)
Osteoarthritis	2108	(12)
Scoliosis	2120	(1)
Osteomyelitis	2121	(1)
Bone Tumors	2122	(1)
Primary Bone Tumors	2122	(1)
Metastatic Bone Tumors	2122	(2)
Disorders of the Hand	2124	(1)
Dupuytren's Contracture	2124	(1)
Ganglion	2124	(1)
Disorders of the Foot	2124	(1)
Hallux Valgus	2124	(1)
Hammer Toe	2124	(1)
Morton's Neuroma (Plantar Neuroma)	2125	(1)
Muscular Disorders: Muscular Dystrophy	2125	(4)
Nursing Care of Clients with Musculoskeletal Trauma or Overuse	2129	(42)
Joyce M. Black
Fractures	2129	(24)
Intertrochanteric Hip Fractures	2153	(6)
Intracapsular Hip Fractures	2159	(1)
Femoral Neck Fractures	2159	(1)
Subtrochanteric Femoral Fractures	2159	(1)
Femoral Shaft Fractures	2160	(1)
Condyle Fractures	2160	(1)
Pelvic Fractures	2160	(1)
Patellar Fractures	2160	(1)
Tibial and Fibular Fractures	2161	(1)
Foot Fractures	2161	(1)
Upper Extremity Fractures	2161	(1)
Sports Injuries	2161	(1)
Overuse Syndromes	2161	(2)
Strains	2163	(1)
Sprains	2163	(1)
Dislocations and Subluxations	2164	(1)
Rotator Cuff Tears	2164	(2)
Anterior Cruciate Ligaments Injuries	2166	(1)
Meniscal Injuries	2166	(1)
Repetitive Motion Injuries	2167	(1)
Remobilization After Traumatic Injury	2167	(4)
UNIT 16 Integumentary Disorders	2171	(120)
Structure and Function of the Integumentary System	2173	(7)
Noreen Heer Nicol
Joyce M. Black
Structure of the Skin	2173	(1)
Epidermis	2173	(1)
Epidermal Appendages	2173	(3)
Dermis	2176	(1)
Subcutaneous Fat	2176	(1)
Function of the Skin	2176	(1)
Protection	2177	(1)
Homeostasis	2177	(1)
Thermoregulation	2177	(1)
Sensory Reception	2177	(1)
Vitamin D Production	2177	(1)
Processing of Antigenic Substances	2177	(1)
Cosmetic Adornment	2177	(1)
Effects of Aging	2177	(1)
Adolescence	2177	(1)
Adulthood	2178	(1)
Older Adulthood	2178	(2)
Assessment of Clients with Integumentary Disorders	2180	(17)
Noreen Heer Nicol
History	2180	(1)
Current Symptoms	2180	(1)
Past Health History	2180	(1)
Family Health History	2181	(1)
Psychosocial History	2181	(1)
Review of Systems	2182	(1)
Physical Examination	2182	(1)
Terminology	2182	(1)
Types of Lesions	2182	(2)
Examination Environment	2184	(1)
Depth of Examination	2185	(1)
Inspection and Palpation	2185	(9)
Skin Self-Examination	2194	(1)
Diagnostic Tests	2194	(3)
Nursing Care of Clients with Integumentary Disorders	2197	(36)
Noreen Heer Nicol
General Principles of Dermatologic Nursing	2197	(1)
Topical Medications	2197	(1)
Topical Therapy	2197	(1)
Topical Vehicles	2197	(4)
Topical Corticosteroids	2201	(1)
Wound Dressings	2201	(1)
Soaks and Wet Wraps	2202	(1)
Skin Lubricants	2202	(1)
Ultraviolet Light Therapy	2203	(1)
Ultraviolet B Therapy	2203	(1)
Photochemotherapy	2203	(1)
Combination Therapies	2203	(1)
Psychosocial Aspects of Skin Disorders	2204	(1)
Common Skin Disorders	2204	(1)
Pruritus	2204	(1)
Eczematous Disorders	2205	(1)
Atopic Dermatitis	2206	(1)
Xerotic Eczema	2207	(1)
Stasis Dermatitis	2207	(2)
Contact Dermatitis	2209	(1)
Intertrigo	2210	(2)
Psoriasis Vulgaris	2212	(1)
Acne Vulgaris	2212	(1)
Acne Rosacea	2213	(1)
Pressure Ulcers	2213	(7)
Bullous Disorders: Pemphigus	2220	(2)
Infectious Disorders	2222	(1)
Erysipelas and Cellulitis	2222	(1)
Herpes Zoster	2223	(1)
Nail Disorders	2223	(1)
Cancer of the Skin	2224	(1)
Precursors to Cancer	2224	(1)
Sunburn	2224	(1)
Actinic Keratosis	2225	(1)
Skin Cancer	2225	(5)
Cutaneous T-Cell Lymphoma (Mycosis Fungoides)	2230	(1)
Kaposi's Sarcoma	2230	(3)
Nursing Care of Clients with Burns	2233	(34)
Gretchen J. Carrougher
Etiology	2233	(1)
Risk Factors	2234	(1)
Pathophysiologic Response	2234	(2)
Psychological Response	2236	(1)
Inhalation Injury	2236	(1)
Classification of Burn Severity	2237	(4)
Management	2241	(26)
Nursing Care of Client Undergoing Plastic Surgery	2267	(24)
Joyce M. Black
Basic Principles of Plastic Surgery	2267	(1)
Achieving Minimal Scarring	2267	(1)
Selecting Clients	2268	(1)
Understanding Motivations for Surgery	2269	(1)
Determining Realistic Expectations	2269	(1)
Documentation Through Photography	2270	(1)
Rhytidectomy	2271	(1)
Blepharoplasty	2272	(1)
Chemical Facial Peeling	2273	(1)
Collagen Injection	2274	(1)
Dermabrasion	2274	(1)
Rhinoplasty	2274	(1)
Body-Contouring Surgery (LIpectomy)	2275	(1)
Suction-Assisted Lipectomy	2275	(1)
Abdominoplasty	2276	(1)
Panniculectomy	2276	(1)
Reconstructive Plastic Surgery	2276	(1)
Reconstructive Modalities	2277	(6)
Breast Surgery	2283	(1)
Breast Augmentation	2283	(1)
Postmastectomy Breast Reconstruction	2284	(1)
Reduction Mammaplasty	2285	(1)
Mastopexy	2286	(1)
Subcutaneous Mastectomy	2286	(1)
Repair of Traumatic Injuries	2286	(1)
Facial Injuries	2286	(2)
Traumatic Amputations	2288	(1)
Modifications for Elderly Clients	2288	(3)
UNIT 17 Reproductive Disorders	2291	(186)
Structure and Function of the Reproductive System	2293	(14)
Esther Matassarin-Jacobs
Gonadal Development	2293	(1)
Structure and Function of the Female Reproductive System	2293	(1)
Female Reproductive Structure	2293	(1)
External Female Genital Structures	2293	(1)
Internal Female Genital Structures	2294	(2)
Pelvic Blood Supply, Innervation, and Lymphatic Drainage	2296	(1)
Breast Structure and Function	2296	(2)
Female Reproductive Function	2298	(1)
Female Sexual Differentiation	2298	(1)
Female Hormones	2298	(1)
Menarche	2298	(1)
Menstrual Cycle	2299	(2)
Menopause	2301	(1)
Structure and Function of the Male Reproductive System	2302	(1)
Male Reproductive Structure	2302	(1)
Penis and Related Structures	2302	(1)
Scrotum and Testes	2302	(2)
Prostate and Related Structures	2304	(1)
Sperm	2304	(1)
Male Reproductive Function	2304	(1)
Male Sexual Development	2304	(1)
Spermatogenesis	2304	(1)
Prostatic Fluid	2305	(1)
Semen	2305	(2)
Assessment of Clients with Reproductive Disorders	2307	(43)
Elizabeth Carlson
Esther Matassarin-Jacobs
Lynne C. Carpenter
Assessment of Clients with Gynecologic Disorders	2307	(1)
Approach to Gynecologic Care	2307	(1)
History	2307	(1)
Gynecologic History	2308	(4)
Physical Examination	2312	(8)
Diagnostic Tests	2320	(7)
Diagnostic Tests for the Breast	2327	(2)
Assessment of Men with Reproductive and Urinary Tract Disorders	2329	(1)
History	2330	(2)
Physical Examination	2332	(4)
Diagnostic Tests	2336	(4)
Prevention of Male Reproductive Problems	2340	(10)
Nursing Care of Men with Reproductive Disorders	2350	(36)
Esther Matassarin-Jacobs
Psychosocial Disorders Affecting Male Reproduction	2343	(1)
Physical Factors Affecting Male Reproduction	2343	(1)
Environmental and Occupational Agents	2344	(1)
Pharmacologic Agents	2344	(1)
Systemic Conditions	2345	(1)
Infertility	2346	(4)
Prostate Disorders	2350	(1)
Benign Prostatic Hyperplasia	2350	(20)
Testicular Disorders and Procedures	2370	(3)
Testicular Cancer	2373	(4)
Testicular Torsion	2377	(1)
Orchitis	2377	(1)
Hydrocele, Hematocele, and Spermatocele	2377	(1)
Varicocele	2377	(1)
Vasectomy	2378	(1)
Undescended Tests	2378	(1)
Eunuchoidism	2378	(1)
Other Testicular Problems	2378	(1)
Penile Disorders	2378	(1)
Urethritis	2378	(1)
Urethral Stricture	2379	(1)
Phimosis	2379	(1)
Paraphimosis	2379	(1)
Priapism	2379	(1)
Penile Cancer	2380	(1)
Peyronie's Disease	2380	(1)
Posthitis and Balanitis	2380	(1)
Urinary Extravasation	2380	(1)
Penile Injury	2380	(1)
Epispadias	2380	(1)
Hypospadias	2380	(1)
Scrotal Disorders	2381	(1)
Infections	2381	(1)
Injuries	2381	(1)
Edema	2381	(1)
Disorders of the Reproductive Ducts	2381	(1)
Disorders of the Seminal Vesicles	2382	(4)
Nursing Care of Women with Gynecologic Disorders	2386	(45)
Elizabeth Carlson
Menstrual Disorders	2386	(1)
Dysmenorrhea	2386	(2)
Premenstrual Syndrome	2388	(1)
Abnormal Uterine Bleeding	2389	(1)
Amenorrhea	2389	(2)
Menorrhagia	2391	(1)
Metrorrhagia	2392	(1)
Menopause	2392	(1)
Surgical Menopause	2392	(1)
Menopausal Difficulties	2392	(3)
Postmenopausal Bleeding	2395	(1)
Pelvic Inflammatory Disease	2395	(9)
Endometrial (Uterine) Cancer	2404	(2)
Cervical Cancer	2406	(3)
Uterine Prolapse	2409	(2)
Polyps	2411	(1)
Ovarian Disorders	2412	(1)
Benign Ovarian Tumors	2412	(1)
Ovarian Cancer	2412	(1)
Vaginal Disorders	2413	(1)
Vaginal Disorders	2413	(1)
Vaginal Discharge and Pruritis	2413	(1)
Vaginitis	2414	(1)
Atrophic Vaginitis	2414	(1)
Vaginal Fistulas	2414	(2)
Vaginal Cancer	2416	(2)
Vulvar Disorders	2418	(1)
Vulvitis	2418	(1)
Vulvar Cancer	2418	(4)
Bartholinitis	2422	(1)
Other Vulvar Disorders	2422	(1)
Other Gynecologic Disorders	2422	(1)
Fallopian (Ovarian) Tube Cancer	2422	(1)
Genital Tract Sarcomas	2422	(1)
Gestational Trophoblasic Disease	2423	(1)
Hydatidiform Mole	2423	(1)
Invasive Mole and Choriocarcinoma	2423	(8)
Nursing Care of Clients with Breast Disorders	2431	(28)
Lynne C. Carpenter
Public Attitudes and Knowledge About Breast Lesions	2431	(1)
Breast Cancer	2431	(19)
Metastatic Breast Cancer	2450	(1)
Breast Cancer in Men	2451	(1)
Benign Breast Disease	2451	(1)
Fibrocystic Breasts	2451	(1)
Hyperplasia and Atypical Hyperplasia	2452	(1)
Fibroadenoma	2452	(1)
Papilloma	2452	(1)
Duct Ectasia	2452	(1)
Fissure of the Nipple	2452	(1)
Lactation Mastitis	2452	(1)
Breast Abscess	2453	(1)
Mastodynia and Mastalgia	2453	(1)
Gynecomastia	2453	(1)
Mammaplasty	2453	(6)
Nursing Care of Clients with Sexually Transmitted Diseases	2459	(18)
Patricia E. Downing
Sexually Transmitted Diseases: An Overview	2459	(6)
Gonorrhea	2465	(4)
Chlamydial Infections	2469	(1)
Syphilis	2470	(2)
Genital Herpes	2472	(1)
Genital Warts (Condylomata Acuminata)	2473	(1)
Acquired Immunodeficiency Syndrome	2473	(1)
Trichomoniasis	2473	(1)
Bacterial Vaginosis	2474	(1)
Vulvovaginal Candidiasis	2475	(1)
Lymphogranuloma Venereum	2475	(1)
Granuloma Inguinale	2475	(1)
Hepatitis B	2475	(1)
Pediculosis Pubis and Scabies	2475	(1)
Sexually Transmitted Enteric Infections	2475	(2)
Unit 18 Multisystem Disorders	2477	(67)
Substance Abuse	2479	(22)
Linda Carman Copel
Frameworks for Explaining Addictive Behaviors	2479	(1)
Biological Framework	2480	(1)
Psychological Framework	2480	(1)
Sociocultural Framework	2480	(1)
Definitions and Terminology of Substance Abuse	2480	(1)
General Assessment for Substance Use	2480	(5)
Assessment and Management of substance-Abusing Clients	2485	(1)
Alcohol	2486	(2)
Amphetamines	2488	(2)
Caffeine	2490	(1)
Cannabis	2490	(1)
Cocaine	2491	(1)
Hallucinogens	2491	(1)
Inhalants	2491	(1)
Nicotine	2492	(1)
Opioids	2492	(1)
Phencyclidine (PCP)	2492	(1)
Sedatives, Hypnotics, and Anxiolytics	2492	(2)
Nursing Care of Substance-Abusing Clients	2494	(1)
Drug and Alcohol Intervention	2494	(1)
Confrontation on Drug Abuse	2495	(1)
Treatment Options	2495	(1)
Prevention of Relapse	2495	(2)
Surgery and Substance Abuse	2497	(1)
The Impaired Healthcare Professional	2497	(4)
Basic Concepts of Emergency Care	2501	(16)
Linda Lorraine Armstrong Lazure
Jean Elizabeth DeMartinis
Ethical and Legal Considerations	2501	(1)
Consent to Treatment	2501	(1)
Right to Privacy and Confidentiality	2502	(1)
Mandatory Reporting	2502	(1)
Physical Evidence and Chain of Custody	2502	(1)
Bullets	2502	(1)
Specimens	2503	(1)
Laws Governing Client Transfer	2503	(1)
Emergency Nursing Care	2503	(1)
Initial Nursing Assessment	2503	(1)
Establishing Priorities: Triage	2504	(1)
Documentation	2504	(1)
Priority Nursing Interventions	2504	(1)
Airway Patency	2505	(1)
Supplemental Oxygen	2506	(1)
Spinal Precautions and Immobilization	2507	(1)
Cardiopulmonary Resuscitation	2507	(1)
Brief Neurologic Examination	2507	(1)
Secondary Nursing Assessment	2507	(1)
Discharge Teaching	2507	(1)
Psychosocial Needs in Emergencies	2508	(2)
Death and Dying in Emergency Settings	2510	(1)
Organ Donation	2511	(2)
Medical Examiner's/Coroner's Jurisdiction	2513	(4)
Nursing Care of Clients with Medical-Surgical Emergencies	2517	(27)
Linda Lorraine Armstrong Lazure
Jean Elizabeth DeMartinis
Altered Level of Consciousness	2517	(1)
Multiple Trauma	2518	(1)
Penetrating Injuries	2518	(1)
Blunt Injuries	2519	(3)
Respiratory Emergencies: Near Drowning	2522	(1)
Chest Trauma	2522	(6)
Chest Pain	2528	(1)
Neurologic and Neurosurgical Emergencies	2528	(1)
Head Trauma	2528	(1)
Concussions	2528	(1)
Skull Fractures	2529	(1)
Spinal Injuries	2529	(1)
Abdominal Emergencies	2529	(1)
Acute Abdominal Pain	2529	(1)
Gastrointestinal Bleeding	2530	(1)
Abdominal Injuries	2531	(1)
Alleged Sexual Assault	2532	(1)
Ocular Emergencies	2533	(1)
Chemical Eye Burns	2533	(1)
Ocular Foreign Bodies	2533	(1)
Ocular Avulsions	2533	(1)
Musculoskeletal Emergencies	2533	(1)
Traumatic Amputations	2533	(1)
Soft Tissue Emergencies	2534	(1)
Heat Emergencies	2534	(1)
Cold Emergencies	2535	(1)
Hypothermia	2535	(1)
Frostbite	2536	(1)
Bites	2536	(1)
Snake Bites	2536	(1)
Animal Bites	2536	(1)
Human Bites	2536	(1)
Insect Bites and Stings	2537	(1)
Poisoning and Overdose	2537	(2)
Domestic Violence	2539	(5)
Appendix A Religious Beliefs and Practices Affecting Healthcare	2544	(8)
Appendix B A Health History Format that Integrates the Assessment of Functional Health Patterns	2552	(3)
Appendix C Laboratory Values of Clinical Importance in Medical-Surgical Nursing	2555	(11)
Appendix D Clinical Pathways	2566
CVA/TIA	2567
Lumbar Laminectomy	2570
COPD	2572
Pneumonia	2575
CAG/PTCA	2578
CABG	2581
Pacemaker	2584
GI Hemorrhage	2586
Diabetic Ketoacidosis	2588
Total Hip Replacement	2590
Total Knee Replacment	2593
TURP	2596
Orchiectomy	2600
Mastectomy	2603
Discussion of ``Thinking Critically'' Exercises	TC--1
Index	I--1