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Fundamental Concepts and Skills for Nursing - E-Book

Fundamental Concepts and Skills for Nursing - E-Book

Susan C. deWit | Patricia A. Williams

(2013)

Additional Information

Book Details

Abstract

Part of the popular LPN Threads series, this market-leading text features an easy-to-follow writing style and organization to teach you the concepts and skills you need to know to practice nursing in a variety of care settings. This new edition offers in-depth discussion of QSEN competencies, rationales for the NCLEX-PN review questions, and new icons to point out the most current evidence-based information.

  • Standard LPN Threads features include helpful characteristics such as full-color design, key terms, numbered objectives, key points, critical thinking questions, critical thinking activities, glossary, and references.
  • Easy-to-follow reading level and text organization presents information from simple to most complex.
  • Think Critically boxes help you synthesize information and apply concepts beyond the scope of the chapter.
  • Cultural Considerations related to biocultural variations as well as health promotion for specific ethnic groups demonstrate how to provide culturally competent care.
  • Elder Care Points highlight changes that occur with aging and how they affect nursing care.
  • Home Care boxes highlight the necessary adaptations of nursing skills and techniques for the patient in the home care setting.
  • NEW! Rationales for NCLEX review questions at the end of each chapter help you understand why your choices were correct or incorrect.
  • NEW! Full text reviews by experts in the field offer consistency and ease understanding as you progress through the book.
  • NEW! Evolve margin icons denote supplemental material for students on Evolve.
  • NEW! Evidence Based Practice margin icons point out the most current and evidence based information.
  • NEW! In depth discussion of the Quality and Safety Education for Nurses (QSEN) within the text provides the knowledge, skills and attitudes necessary to continuously improve the quality and safety of the healthcare systems.

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
IFC\r IFC
LPN Advisory Board\r i
Evolve\r ii
Fundamental\rConcepts and\rSkills for Nursing iii
Copyright iv
Dedication v
Contributors and Reviewers\r vii
To the Instructor\r viii
To the Student\r xi
Acknowledgments xiii
Contents xiv
Unit I Introduction to Nursing and the Health Care System\r 1
Chapter\r1 - Nursing and the Health Care System 1
Objectives 1
Key Terms 1
HISTORICAL OVERVIEW 1
THE ART AND SCIENCE OF NURSING 3
NURSING EDUCATION PATHWAYS 6
DELIVERY OF NURSING CARE 7
PRACTICE SETTINGS 8
TODAY’S HEALTH CARE SYSTEM 8
Get Ready for the NCLEX® Examination! 10
THE 2010 HEALTH CARE BILL 10
Additional Learning Resources 11
Critical Thinking Activities 11
Chapter\r2 - Concepts of Health, Illness, Stress, and Health Promotion 12
Objectives 12
Key Terms 12
HEALTH AND ILLNESS 12
TRADITIONAL VIEWS OF HEALTH AND ILLNESS 13
CURRENT VIEWS OF HEALTH AND ILLNESS 14
THE CONSUMER CONCEPT OF HEALTH AND ILLNESS 15
THE HOLISTIC APPROACH 17
HOMEOSTASIS 20
HEALTH PROMOTION AND ILLNESS PREVENTION 24
Get Ready for the NCLEX® Examination! 26
Critical Thinking Activities 27
Chapter\r3 - Legal and Ethical Aspects of Nursing 28
Objectives 28
Key Terms 28
SOURCE OF LAW 29
CIVIL AND CRIMINAL LAW 30
LAWS RELATED TO NURSING PRACTICE AND LICENSURE 30
LAWS AND GUIDELINES AFFECTING NURSING PRACTICE 31
LEGAL DOCUMENTS 33
VIOLATIONS OF LAW 37
ETHICS IN NURSING 40
Get Ready for the NCLEX® Examination! 43
Additional Learning Resources 44
Critical Thinking Activities 45
Unit II The Nursing Process\r 46
Chapter\r4 - The Nursing Process and Critical Thinking 46
Key Terms 46
THE NURSING PROCESS 46
CRITICAL THINKING 47
CRITICAL THINKING IN NURSING 49
PRIORITY SETTING AND WORK ORGANIZATION 50
APPLICATION OF PROBLEM SOLVING AND CLINICAL REASONING 51
Get Ready for the NCLEX® Examination! 52
Critical Thinking Activities 53
Chapter 5 - Assessment, Nursing Diagnosis, and Planning\r 54
Key Terms 54
ASSESSMENT (DATA COLLECTION) 54
NURSING DIAGNOSIS 61
PLANNING 63
Get Ready for the NCLEX® Examination! 67
Additional Learning Resources 68
Critical Thinking Activities 69
Chapter\r6 - Implementation and Evaluation 70
Key Terms 70
IMPLEMENTATION 70
EVALUATION 74
QUALITY IMPROVEMENT 74
CONSTRUCTING A NURSING CARE PLAN 75
Get Ready for the NCLEX® Examination! 79
Critical Thinking Activities 80
Unit III Communication in Nursing\r 81
Chapter\r7 - Documentation of Nursing Care 81
Objectives 81
Key Terms 81
PURPOSES OF DOCUMENTATION 81
DOCUMENTATION AND THE NURSING PROCESS 83
THE MEDICAL RECORD 83
METHODS OF DOCUMENTATION (CHARTING) 83
THE DOCUMENTATION PROCESS 92
THE KARDEX 93
Get Ready for the NCLEX® Examination! 97
Additional Learning Resources 97
Critical Thinking Activities 98
Chapter\r8 - Communication and the Nurse-Patient Relationship 99
Objectives 99
Key Terms 99
THE COMMUNICATION PROCESS 99
THERAPEUTIC COMMUNICATION TECHNIQUES 102
BLOCKS TO EFFECTIVE COMMUNICATION 104
INTERVIEWING SKILLS 106
THE NURSE-PATIENT RELATIONSHIP 106
NURSE-PATIENT COMMUNICATION 107
COMMUNICATION WITHIN THE HEALTH CARE TEAM 109
COMMUNICATION IN THE HOME AND COMMUNITY 111
Get Ready for the NCLEX® Examination! 112
Critical Thinking Activities 114
Chapter\r9 - Patient Teaching and Health Promotion 115
Objectives 115
Key Terms 115
PURPOSES OF PATIENT TEACHING 115
MODES OF LEARNING 116
ASSESSMENT OF LEARNING NEEDS 116
THE TEACHING PLAN 119
COORDINATION WITH DISCHARGE PLANNING 121
Critical Thinking Activities 122
Chapter\r10 - Delegation, Leadership, and Management 123
Objectives 123
Key Terms 123
THE CHAIN OF COMMAND 123
LEADERSHIP STYLES 124
KEYS TO EFFECTIVE LEADERSHIP 124
LEADERSHIP ROLES 127
MANAGEMENT SKILLS FOR THE LPN/LVN 128
RISK MANAGEMENT 131
Critical Thinking Activities 132
Unit IV Developmental, Psychosocial, and Cultural Considerations\r 133
Chapter\r11 - Growth and Development: Infancy Through Adolescence 133
Objectives 133
Key Terms 133
OVERVIEW OF STRUCTURE AND FUNCTION 134
AGE-GROUPS 135
THEORIES OF DEVELOPMENT 135
PRINCIPLES OF GROWTH AND DEVELOPMENT 137
PRENATAL DEVELOPMENT 137
INFANTS 138
YOUNG CHILDREN 141
MIDDLE AND OLDER CHILDREN 144
ADOLESCENTS 146
Get Ready for the NCLEX® Examination! 150
Critical Thinking Activities 151
Chapter\r12 - Adulthood and the Family 152
Key Terms 152
ADULTHOOD AS CONTINUING CHANGE 152
THEORIES OF DEVELOPMENT 152
FAMILIES 153
YOUNG ADULTS 154
MIDDLE ADULTHOOD 158
Get Ready for the NCLEX® Examination! 161
Additional Learning Resources 162
Critical Thinking Activities 163
Chapter\r13 - Promoting Healthy Adaptation to Aging 164
Key Terms 164
OVERVIEW OF AGING 164
PHYSICAL CHANGES 166
COGNITIVE ASPECTS OF AGING 168
PSYCHOSOCIAL ASPECTS OF AGING 170
WHEN A PARENT NEEDS HELP 171
Get Ready for the NCLEX® Examination! 172
Critical Thinking Activities 173
Chapter\r14 - Cultural and Spiritual Aspects of Patient Care 174
Key Terms 174
CULTURE, RELIGION, AND SPIRITUALITY 174
MAJOR RELIGIONS IN THE UNITED STATES AND CANADA 175
CULTURAL GROUP CHARACTERISTICS 179
TRANSCULTURAL NURSING 179
DEVELOPING CULTURAL COMPETENCE 179
CULTURAL AND ETHNIC DIFFERENCES 181
?APPLICATION OF THE NURSING PROCESS 185
Get Ready for the NCLEX® Examination! 186
Additional Learning Resources 187
Critical Thinking Activities 188
Chapter\r15 - Loss, Grief, and the Dying Patient 189
Objectives 189
Key Terms 189
CHANGE, LOSS, AND GRIEF 190
DEATH AND DYING 191
NURSING AND THE DYING PROCESS 195
?APPLICATION OF THE NURSING PROCESS 195
SIGNS OF IMPENDING DEATH 199
LEGAL AND ETHICAL ASPECTS OF LIFE AND DEATH ISSUES 199
POSTMORTEM (AFTER DEATH) CARE 201
Get Ready for the NCLEX® Examination! 204
Critical Thinking Activities 206
Unit V Basic Nursing Skills\r 207
Chapter\r16 - Infection Prevention and Control: Protective Mechanisms and Asepsis 207
Objectives 207
Key Terms 207
INFECTIOUS AGENTS 208
PROCESS OF INFECTION 210
BODY DEFENSES AGAINST INFECTION 213
?ASEPSIS AND CONTROL OF MICROORGANISMS 218
SEPSIS IN THE HOME ENVIRONMENT 230
INFECTION CONTROL SURVEILLANCE 230
Get Ready for the NCLEX® Examination! 232
Critical Thinking Activities 233
Chapter\r17 - Infection Prevention and Control in the Hospital and Home 234
Key Terms 234
INFECTION 234
INFECTION PREVENTION AND CONTROL 235
?APPLICATION OF THE NURSING PROCESS 237
Get Ready for the NCLEX® Examination! 255
Critical Thinking Activities 257
Chapter\r18 - Lifting, Moving, and Positioning Patients 258
Key Terms 258
OVERVIEW OF STRUCTURE AND FUNCTION OF THE MUSCULOSKELETAL SYSTEM 259
PRINCIPLES OF BODY MOVEMENT FOR NURSES 259
PRINCIPLES OF BODY MOVEMENT FOR PATIENTS 261
?APPLICATION OF THE NURSING PROCESS 262
Get Ready for the NCLEX® Examination! 285
Additional Learning Resources 285
Critical Thinking Activities 286
Chapter\r19 - Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers 287
Objectives 287
OVERVIEW OF STRUCTURE AND FUNCTION OF THE INTEGUMENTARY SYSTEM 287
Key Terms 287
?APPLICATION OF THE NURSING PROCESS 288
Get Ready for the NCLEX® Examination! 311
Critical Thinking Activities 312
Chapter\r20 - Patient Environment and Safety 313
Objectives 313
Key Terms 313
FACTORS AFFECTING THE ENVIRONMENT 313
PATIENT UNIT 315
SAFETY 321
PROTECTIVE DEVICES 326
Get Ready for the NCLEX® Examination! 332
Critical Thinking Activities 333
Chapter\r21 - Measuring Vital Signs 334
Key Terms 334
OVERVIEW OF STRUCTURE AND FUNCTION RELATED TO THE REGULATION OF VITAL SIGNS 335
MEASURING BODY TEMPERATURE 338
?APPLICATION OF THE NURSING PROCESS 344
MEASURING THE PULSE 348
?APPLICATION OF THE NURSING PROCESS 352
?MEASURING RESPIRATIONS 352
MEASURING THE BLOOD PRESSURE 356
?APPLICATION OF THE NURSING PROCESS 362
PAIN, THE FIFTH VITAL SIGN 362
AUTOMATED VITAL SIGN MONITORS 362
CHARTING VITAL SIGNS 363
Get Ready for the NCLEX® Examination! 364
Additional Learning Resources 365
Critical Thinking Activities 366
Chapter\r22 - Assessing Health Status 367
Objectives 367
DATA COLLECTION AND ASSESSMENT 367
Key Terms 367
?APPLICATION OF THE NURSING PROCESS 368
Get Ready for the NCLEX® Examination! 389
Critical Thinking Activities 390
Chapter\r23 - Admitting, Transferring, and Discharging Patients 391
Objectives 391
Key Terms 391
TYPES OF ADMISSIONS 391
THE ADMISSION PROCESS 392
PATIENT TRANSFER TO ANOTHER HOSPITAL UNIT 394
DISCHARGING THE PATIENT 395
DEATH OF A PATIENT 396
Get Ready for the NCLEX® Examination! 397
Additional Learning Resources 398
Critical Thinking Activities 399
Chapter\r24 - Diagnostic Tests and Specimen Collection 400
Key Terms 400
DIAGNOSTIC TESTS AND PROCEDURES 401
?APPLICATION OF THE NURSING PROCESS 401
Get Ready for the NCLEX® Examination! 428
Critical Thinking Activities 429
Unit VI Meeting Basic Physiologic Needs\r 430
Chapter\r25 - Fluid, Electrolyte, and Acid-Base Balance 430
Key Terms 430
COMPOSITION OF BODY FLUIDS 431
DISTRIBUTION OF BODY FLUIDS 432
?FLUID AND ELECTROLYTE IMBALANCES 434
ACID-BASE BALANCE 440
ACID-BASE IMBALANCES 441
?APPLICATION OF THE NURSING PROCESS 443
Get Ready for the NCLEX® Examination! 450
Critical Thinking Activities 451
Chapter\r26 - Concepts of Basic Nutrition and Cultural Considerations 452
Key Terms 452
OVERVIEW OF STRUCTURE AND FUNCTION OF THE GASTROINTESTINAL SYSTEM 453
DIETARY GUIDELINES 454
PROTEIN 455
VEGETARIAN DIETS 456
CARBOHYDRATES 457
FATS (LIPIDS) 457
VITAMINS 460
MINERALS 460
WATER 460
FACTORS THAT INFLUENCE NUTRITION 460
CULTURAL INFLUENCES ON NUTRITION 465
NUTRITIONAL NEEDS THROUGHOUT THE LIFE SPAN 466
?APPLICATION OF THE NURSING PROCESS 469
Get Ready for the NCLEX® Examination! 474
Additional Learning Resources 475
Critical Thinking Activities 476
Chapter\r27 - Diet Therapy and Assisted Feeding 477
Objectives 477
Key Terms 477
THE GOALS OF DIET THERAPY 478
THE POSTOPERATIVE PATIENT 478
HEALTH ISSUES RELATED TO NUTRITION 481
DISEASE PROCESSES THAT BENEFIT FROM DIET THERAPY 483
ASSISTED FEEDING 486
?APPLICATION OF THE NURSING PROCESS 497
Get Ready for the NCLEX® Examination! 499
Critical Thinking Activities 500
Chapter\r28 - Assisting with Respiration and Oxygen Delivery 501
Objectives 501
Key Terms 501
OVERVIEW OF STRUCTURE AND FUNCTION OF THE RESPIRATORY SYSTEM 501
HYPOXEMIA 503
?AIRWAY OBSTRUCTION AND RESPIRATORY ARREST 504
CLEARING RESPIRATORY SECRETIONS 506
?OXYGEN ADMINISTRATION 512
ARTIFICIAL AIRWAYS 516
CHEST DRAINAGE TUBES 520
?APPLICATION OF THE NURSING PROCESS 521
Get Ready for the NCLEX® Examination! 532
Additional Learning Resources 533
Critical Thinking Activities 534
Chapter\r29 - Promoting Urinary Elimination 535
Objectives 535
Key Terms 535
OVERVIEW OF STRUCTURE AND ­FUNCTION OF THE URINARY SYSTEM 536
NORMAL URINARY ELIMINATION 537
ALTERATIONS IN URINARY ELIMINATION 538
?APPLICATION OF THE NURSING PROCESS 538
Get Ready for the NCLEX® Examination! 564
Critical Thinking Activities 566
Chapter\r30 - Promoting Bowel Elimination 567
Objectives 567
Key Terms 567
OVERVIEW OF STRUCTURE AND FUNCTION OF THE INTESTINAL SYSTEM 568
CHARACTERISTICS OF STOOL 568
HYPOACTIVE BOWEL AND CONSTIPATION 569
HYPERACTIVE BOWEL AND DIARRHEA 571
FECAL INCONTINENCE 571
?APPLICATION OF THE NURSING PROCESS 572
RECTAL SUPPOSITORIES 575
ENEMAS 575
RECTAL TUBE 576
FECAL IMPACTION 576
BOWEL TRAINING FOR INCONTINENCE 579
BOWEL OSTOMY 580
Get Ready for the NCLEX® Examination! 586
Critical Thinking Activities 588
Chapter\r31 - Pain, Comfort, and Sleep 589
Objectives 589
Key Terms 589
PAIN AND DISCOMFORT 589
?APPLICATION OF THE NURSING PROCESS 593
SLEEP 603
?APPLICATION OF THE NURSING PROCESS 607
Get Ready for the NCLEX® Examination! 608
Critical Thinking Activities 609
Chapter\r32 - Complementary and Alternative Therapies 610
Key Terms 610
COMPLEMENTARY AND ALTERNATIVE MEDICINE 610
ALTERNATIVE MEDICAL SYSTEMS 611
MIND-BODY INTERVENTIONS 612
BIOLOGIC-BASED THERAPIES 613
MANIPULATIVE AND BODY-BASED THERAPIES 616
ENERGY THERAPIES 616
THE NURSE’S ROLE IN COMPLEMENTARY AND ALTERNATIVE THERAPIES 617
Critical Thinking Activities 618
Unit VII Medication Administration\r 619
Chapter\r33 - Pharmacology and Preparation for Drug Administration 619
Objectives 619
Key Terms 619
PHARMACOLOGY 619
MEDICATION ADMINISTRATION AND SAFETY 626
?APPLICATION OF THE NURSING PROCESS 631
Get Ready for the NCLEX® Examination! 639
Critical Thinking Activities 640
Chapter\r34 - Administering Oral, Topical, and Inhalant Medications 641
Objectives 641
NURSING RESPONSIBILITIES IN MEDICATION ADMINISTRATION 641
Key Terms 641
MEDICATION ORDERS 642
MEDICATION ADMINISTRATION SYSTEMS 646
TOPICAL DRUGS 648
?APPLICATION OF THE NURSING PROCESS 649
MEDICATION ERRORS 666
Get Ready for the NCLEX® Examination! 667
Critical Thinking Activities 669
Chapter\r35 - Administering Intradermal, Subcutaneous, and Intramuscular Injections 670
Key Terms 670
PRINCIPLES OF PARENTERAL INJECTIONS 671
ROUTES FOR PARENTERAL MEDICATION 672
INJECTION EQUIPMENT 673
PARENTERAL SOLUTIONS 676
?APPLICATION OF THE NURSING PROCESS 679
Get Ready for the NCLEX® Examination! 695
Additional Learning Resources 696
Critical Thinking Activities 697
Chapter\r36 - Administering Intravenous Solutions and Medications 698
Key Terms 698
INTRAVENOUS THERAPY 699
LPN/LVN’S ROLE IN INTRAVENOUS THERAPY 699
TYPES OF INTRAVENOUS SOLUTION 699
EQUIPMENT FOR INTRAVENOUS ADMINISTRATION 701
COMPLICATIONS OF INTRAVENOUS THERAPY 707
?APPLICATION OF THE NURSING PROCESS 709
Get Ready for the NCLEX® Examination! 731
Additional Learning Resources 731
Critical Thinking Activities 732
Unit VIII Care of the Surgical and Immobile Patient\r 733
Chapter\r37 - Care of the Surgical Patient 733
Objectives 733
Key Terms 733
REASONS FOR SURGERY 733
PATIENTS AT HIGHER RISK FOR SURGICAL COMPLICATIONS 734
PERIOPERATIVE NURSING 734
ENHANCEMENTS TO SURGICAL TECHNIQUE 735
ANESTHESIA 736
PREOPERATIVE PROCEDURES 736
?APPLICATION OF THE NURSING PROCESS 737
Get Ready for the NCLEX® Examination! 755
Additional Learning Resources 756
Critical Thinking Activities 757
Chapter\r38 - Providing Wound Care and Treating Pressure Ulcers 758
Key Terms 758
TYPES OF WOUNDS AND THE HEALING PROCESS 759
PHASES OF WOUND HEALING 760
FACTORS AFFECTING WOUND HEALING 762
COMPLICATIONS OF WOUND HEALING 764
TREATMENT OF WOUNDS 765
TREATMENT OF PRESSURE OR VASCULAR ULCERS 770
?APPLICATION OF THE NURSING PROCESS 771
Get Ready for the NCLEX® Examination! 786
Additional Learning Resources 787
Critical Thinking Activities 788
Chapter\r39 - Promoting Musculoskeletal Function 789
Objectives 789
Key Terms 789
SYSTEMIC EFFECT OF IMMOBILIZATION 790
PSYCHOSOCIAL EFFECTS OF IMMOBILIZATION 791
TYPES OF IMMOBILIZATION 792
DEVICES USED TO PREVENT PROBLEMS OF IMMOBILITY 795
THERAPEUTIC EXERCISE 797
?APPLICATION OF THE NURSING PROCESS 797
Get Ready for the NCLEX® Examination! 812
Additional Learning Resources 813
Critical Thinking Activities 814
Unit IX Caring for the Elderly\r 815
Chapter\r40 - Common Physical Care Problems of the Elderly 815
Objectives 815
Key Terms 815
GETTING OLDER 815
IMMOBILITY 815
ALTERATION IN ELIMINATION 819
ALTERATION IN NUTRITION 820
SENSORY DEFICITS 821
SEXUALITY 823
POLYPHARMACY 823
Get Ready for the NCLEX® Examination! 827
Additional Learning Resources 828
Critical Thinking Activity 828
Chapter\r41 - Common Psychosocial Care Problems of the Elderly 829
Objectives 829
Key Terms 829
CHANGES IN COGNITIVE FUNCTIONING IN THE ELDERLY 829
ASSESSMENT OF COGNITIVE CHANGES IN THE ELDERLY 830
COMMON COGNITIVE DISORDERS IN THE ELDERLY 830
SAFETY FOR THE COGNITIVELY IMPAIRED 834
DEPRESSION, ALCOHOLISM, AND SUICIDE 836
CRIMES AGAINST THE ELDERLY 838
FUTURE ISSUES OF CONCERN TO THE ELDERLY 839
Get Ready for the NCLEX® Examination! 840
Critical Thinking Activity 841
APPENDIX A - AMERICAN NURSES ASSOCIATION STANDARDS OF PRACTICE 842
APPENDIX B -\rAmerican Nurses AssociationCode of Ethics for Nurses 844
APPENDIX C - NFLPN NURSING PRACTICE STANDARDS FOR THE LICENSED PRACTICAL/VOCATIONAL NURSE 845
APPENDIX D -\rStandard Steps for All Nursing Procedures 848
APPENDIX E - STANDARD PRECAUTIONS 850
APPENDIX F -\rMost Common Laboratory Test Values 854
APPENDIX G -\rTherapeutic Diets 857
APPENDIX H - MEDICAL TERMINOLOGY 862
APPENDIX I - \rAnswers to NCLEX-PN® Examination-StyleReview Questions 867
Index 896
NANDA-I Nursing Diagnoses, 2012–2014 IBC1