Learn the concepts and skills and develop the clinical judgment you need to provide excellent nursing care! Fundamentals of Nursing, Twelfth Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, clinical judgment, nursing theory, evidence-based practice, and person-centered care in all settings. With illustrated, step-by-step guidelines, this book makes it easy to learn important skills and procedures. Care plans are presented within a nursing process framework that is coordinated with clinical judgement, and case studies show how to apply concepts to nursing practice. From an expert author team led by Patricia Potter and Anne Perry, this bestselling nursing textbook helps you develop the understanding and clinical judgment you need to succeed in the classroom and in your career.
1. Fundamentals of Nursing - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Disclaimer - p. ii 5. Table of Contents - p. iii 6. Copyright - p. iv 7. Contributors and Reviewers - p. v 8. Dedication - p. vii 9. Preface to the instructor - p. viii 10. Acknowledgments - p. x 11. List of Illustrations - p. xi 12. List of Tables - p. xii 13. UNIT 1. Nursing and the Health Care Environment - p. xii 14. 1. Nursing today - p. 1 15. 2. The health care delivery system - p. 14 16. Traditional levels of health care - p. 15 17. Integrated health care delivery - p. 15 18. Issues in health care delivery for nurses - p. 24 19. The future of health care - p. 29 20. Reflective learning - p. 29 21. Review questions - p. 30 22. References - p. 30 23. Research references - p. 32 24. 3. Population health - p. 33 25. 4. Theoretical foundations of nursing practice - p. 44 26. 5. Evidence-based practice - p. 55 27. UNIT 2. Caring Throughout the Life Span - p. 72 28. 6. Health and wellness - p. 73 29. 7. Caring in nursing practice - p. 88 30. 8. Caring for patients with chronic illness - p. 99 31. The prevalence and costs of chronic disease - p. 99 32. Multifactorial nature of chronic disease - p. 100 33. Family caregivers - p. 104 34. The chronic care model - p. 105 35. Implications for nursing - p. 106 36. Health promotion and disease prevention - p. 108 37. Reflective learning - p. 111 38. Review questions - p. 111 39. References - p. 111 40. Research references - p. 113 41. 9. Cultural care - p. 115 42. Culture and health - p. 116 43. Cultural identity and cultural competence - p. 119 44. Cultural awareness and knowledge - p. 121 45. Cultural skill - p. 123 46. Reflective learning - p. 128 47. Review questions - p. 128 48. References - p. 128 49. Research references - p. 129 50. 10. Family dynamics - p. 131 51. 11. Developmental theories - p. 145 52. 12. Conception through adolescence - p. 153 53. Stages of growth and development - p. 153 54. Selecting a developmental framework for nursing - p. 153 55. Intrauterine life - p. 153 56. Transition from intrauterine to extrauterine life - p. 154 57. Newborn - p. 154 58. Infant - p. 156 59. Toddler - p. 159 60. Preschooler - p. 161 61. School-age child and adolescent - p. 162 62. School-age child - p. 162 63. Adolescent - p. 164 64. Reflective learning - p. 168 65. Review questions - p. 169 66. References - p. 169 67. Research references - p. 170 68. 13. Young and middle adults - p. 171 69. Young adults - p. 171 70. Middle adults - p. 179 71. Reflective learning - p. 184 72. Review questions - p. 184 73. References - p. 185 74. Research references - p. 186 75. 14. Older adults - p. 187 76. Variability among older adults - p. 187 77. Myths and stereotypes - p. 188 78. Nurses’ attitudes toward older adults - p. 188 79. Developmental tasks for older adults - p. 188 80. Community-based and institutional health care services - p. 189 81. Assessing the needs of older adults - p. 189 82. Addressing the health concerns of older adults - p. 198 83. Care of older adults - p. 205 84. Reflective learning - p. 206 85. Review questions - p. 207 86. References - p. 207 87. Research references - p. 208 88. UNIT 3. Clinical Judgment in Nursing Practice - p. 209 89. 15. Critical thinking and clinical judgment - p. 210 90. 16. Nursing assessment - p. 226 91. 17. Analysis and nursing diagnosis - p. 244 92. 18. Planning and outcomes identification in nursing care - p. 258 93. 19. Implementing nursing care - p. 276 94. 20. Evaluation - p. 293 95. 21. Managing patient care - p. 305 96. UNIT 4. Professional Standards in Nursing Practice - p. 318 97. 22. Ethics and values - p. 319 98. 23. Legal implications in nursing practice - p. 330 99. Legal limits of nursing - p. 330 100. Federal statutes affecting nursing practice - p. 331 101. State statutes affecting nursing practice - p. 336 102. Nursing workforce guidelines - p. 338 103. Legal implications and reducing your legal risks - p. 340 104. Reflective learning - p. 344 105. Review questions - p. 344 106. References - p. 345 107. Research references - p. 346 108. 24. Communication - p. 347 109. Communication and nursing practice - p. 347 110. Elements of the communication process - p. 350 111. Forms of communication - p. 351 112. Professional nursing relationships - p. 353 113. Elements of professional communication - p. 356 114. Nursing process - p. 357 115. Reflective learning - p. 366 116. Review questions - p. 366 117. References - p. 366 118. Research references - p. 367 119. 25. Patient education - p. 368 120. Purposes of patient education - p. 368 121. Teaching and learning - p. 369 122. Domains of learning - p. 371 123. Basic learning principles - p. 372 124. Clinical judgment in patient education - p. 377 125. Nursing process - p. 377 126. Reflective learning - p. 388 127. Review questions - p. 388 128. References - p. 389 129. Research references - p. 390 130. 26. Informatics and documentation - p. 391 131. UNIT 5. Foundations for Nursing Practice - p. 408 132. 27. Patient safety and quality - p. 409 133. Scientific knowledge base - p. 410 134. Nursing knowledge base - p. 413 135. Critical thinking - p. 419 136. Nursing process - p. 420 137. Safety guidelines for nursing skills - p. 439 138. SKILL 27.1 Fall prevention in health care settings - p. 439 139. SKILL 27.2 Applying physical restraints - p. 445 140. Reflective learning - p. 451 141. Review questions - p. 451 142. References - p. 451 143. Research references - p. 453 144. 28. Infection prevention and control - p. 455 145. Scientific knowledge base - p. 456 146. Nursing knowledge base - p. 461 147. Nursing process - p. 462 148. Safety guidelines for nursing skills - p. 486 149. SKILL 28.1 Hand hygiene - p. 486 150. SKILL 28.2 Preparation of a sterile field - p. 488 151. SKILL 28.3 Surgical hand antisepsis - p. 493 152. SKILL 28.4 Sterile gloving - p. 495 153. Reflective learning - p. 499 154. Review questions - p. 499 155. References - p. 499 156. Research references - p. 501 157. 29. Vital signs - p. 502 158. Guidelines for measuring vital signs - p. 503 159. Body temperature - p. 503 160. Nursing process - p. 507 161. Pulse - p. 512 162. Nursing process - p. 513 163. Respiration - p. 516 164. Nursing process - p. 516 165. Blood pressure - p. 519 166. Nursing process - p. 522 167. Safety guidelines for nursing skills - p. 528 168. SKILL 29.1 Measuring body temperature - p. 529 169. SKILL 29.2 Assessing apical and radial pulse - p. 534 170. SKILL 29.3 Assessing respirations - p. 538 171. SKILL 29.4 Measuring oxygen saturation (pulse oximetry) - p. 541 172. SKILL 29.5 Assessing arterial blood prSKILL 29.5 essure - p. 543 173. Reflective learning - p. 549 174. Review questions - p. 549 175. References - p. 550 176. Research references - p. 550 177. 30. Health assessment and physical examination - p. 551 178. Purposes of the physical examination - p. 553 179. Preparation for examination - p. 553 180. Organization of the examination - p. 556 181. Techniques of physical assessment - p. 558 182. General survey - p. 560 183. Skin, hair, and nails - p. 564 184. Head and neck - p. 571 185. Thorax and lungs - p. 586 186. Heart - p. 591 187. Breasts - p. 599 188. Abdomen - p. 604 189. Female genitalia and reproductive tract - p. 607 190. Male genitalia - p. 609 191. Rectum and anus - p. 612 192. Musculoskeletal system - p. 613 193. Neurological system - p. 617 194. After the examination - p. 623 195. Reflective learning - p. 624 196. Review questions - p. 624 197. References - p. 624 198. Research references - p. 625 199. 31. Medication administration - p. 626 200. Scientific knowledge base - p. 626 201. Nursing knowledge base - p. 635 202. Critical thinking - p. 643 203. Nursing process - p. 646 204. Medication administration - p. 652 205. Safety guidelines for nursing skills - p. 675 206. SKILL 31.1 Administering oral medications - p. 676 207. SKILL 31.2 Administering ophthalmic medications - p. 680 208. SKILL 31.3 Using metered-dose inhalers (MDIs), dry powder inhalers (DPIs), or soft mist inhalers (SMIs) - p. 684 209. SKILL 31.4 Preparing injections: Ampules and vials - p. 689 210. SKILL 31.5 Administering injections - p. 694 211. Needle length and injection sites for immunizations (based on CDC [2023a] guidelines) - p. 694 212. SKILL 31.6 Administering medications by intravenous push - p. 699 213. SKILL 31.7 Administering intravenous medications by piggyback and syringe pumps - p. 703 214. Reflective learning - p. 708 215. Review questions - p. 708 216. References - p. 709 217. Research references - p. 710 218. 32. Complementary, alternative, and integrative therapies - p. 711 219. UNIT 6. Psychosocial Basis for Nursing Practice - p. 725 220. 33. Self-concept - p. 726 221. 34. Sexuality - p. 745 222. Scientific knowledge base - p. 746 223. Nursing knowledge base - p. 749 224. Critical thinking - p. 754 225. Nursing process - p. 754 226. Reflective learning - p. 763 227. Review questions - p. 763 228. References - p. 764 229. Research references - p. 765 230. 35. Spiritual health - p. 766 231. 36. Loss and grief - p. 785 232. Scientific knowledge base - p. 786 233. Nursing knowledge base - p. 788 234. Critical thinking - p. 790 235. Nursing process - p. 790 236. Reflective learning - p. 806 237. Review questions - p. 806 238. References - p. 807 239. Research references - p. 808 240. 37. Stress and coping - p. 809 241. Scientific knowledge base - p. 810 242. Nursing knowledge base - p. 812 243. Critical thinking - p. 815 244. Nursing process - p. 816 245. Reflective learning - p. 825 246. Review questions - p. 825 247. References - p. 826 248. Research references - p. 826 249. UNIT 7. Physiological Basis for Nursing Practice - p. 827 250. 38. Activity and exercise - p. 828 251. Scientific knowledge base - p. 830 252. Nursing knowledge base - p. 835 253. Critical thinking - p. 838 254. Nursing process - p. 840 255. Safety guidelines for nursing skills - p. 862 256. SKILL 38.1 Using safe and effective transfer techniques - p. 862 257. Reflective learning - p. 874 258. Review questions - p. 874 259. References - p. 875 260. Research references - p. 877 261. 39. Immobility - p. 878 262. Scientific knowledge base - p. 878 263. Nursing knowledge base - p. 881 264. Critical thinking - p. 885 265. Nursing process - p. 886 266. Safety guidelines for nursing skills - p. 910 267. SKILL 39.1 Moving and positioning patients in bed - p. 910 268. Reflective learning - p. 919 269. Review questions - p. 919 270. References - p. 920 271. Research references - p. 921 272. 40. Hygiene - p. 922 273. Scientific knowledge base - p. 922 274. Nursing knowledge base - p. 924 275. Critical thinking - p. 926 276. Nursing process - p. 927 277. Safety guidelines for nursing skills - p. 959 278. SKILL 40.1 Bathing and perineal care - p. 959 279. SKILL 40.2 Performing nail and foot care - p. 969 280. SKILL 40.3 Performing mouth care for a patient who is unconscious or debilitated - p. 973 281. Reflective learning - p. 976 282. Review questions - p. 976 283. References - p. 977 284. Research references - p. 977 285. 41. Oxygenation - p. 979 286. Scientific knowledge base - p. 979 287. Nursing knowledge base - p. 986 288. Critical thinking - p. 988 289. Nursing process - p. 988 290. Safety guidelines for nursing skills - p. 1017 291. SKILL 41.1 Suctioning - p. 1018 292. SKILL 41.2 Care of an artificial airway - p. 1028 293. SKILL 41.3 Care of patients with chest tubes - p. 1038 294. SKILL 41.4 Using home oxygen equipment - p. 1044 295. Reflective learning - p. 1048 296. Review questions - p. 1048 297. References - p. 1048 298. Research references - p. 1050 299. 42. Fluid, electrolyte, and acid-base balance - p. 1052 300. Scientific knowledge base - p. 1053 301. Nursing knowledge base - p. 1064 302. Critical thinking - p. 1064 303. Nursing process - p. 1064 304. Safety guidelines for nursing skills - p. 1088 305. SKILL 42.1 Insertion of a short peripheral intravenous device - p. 1088 306. SKILL 42.2 Regulating intravenous flow rates - p. 1099 307. SKILL 42.3 Maintenance of an intravenous system - p. 1103 308. SKILL 42.4 Changing a short peripheral intravenous dressing - p. 1108 309. Reflective learning - p. 1113 310. Review questions - p. 1113 311. References - p. 1113 312. Research references - p. 1114 313. 43. Sleep - p. 1115 314. Scientific knowledge base - p. 1116 315. Nursing knowledge base - p. 1120 316. Critical thinking - p. 1123 317. Nursing process - p. 1123 318. Reflective learning - p. 1137 319. Review questions - p. 1138 320. References - p. 1138 321. Research references - p. 1139 322. 44. Pain management - p. 1141 323. Scientific knowledge base - p. 1142 324. Nursing knowledge base - p. 1145 325. Critical thinking - p. 1150 326. Nursing process - p. 1151 327. Safety guidelines for nursing skills - p. 1176 328. SKILL 44.1 Patient-controlled analgesia - p. 1176 329. Reflective learning - p. 1181 330. Review questions - p. 1181 331. References - p. 1181 332. Research references - p. 1182 333. 45. Nutrition - p. 1185 334. Scientific knowledge base - p. 1186 335. Nursing knowledge base - p. 1191 336. Critical thinking - p. 1196 337. Nursing process - p. 1197 338. Safety guidelines for nursing skills - p. 1218 339. SKILL 45.1 Aspiration precautions - p. 1218 340. SKILL 45.2 Insertion and removal of a small-bore feeding tube - p. 1221 341. SKILL 45.3 Administering enteral nutrition: Nasogastric, nasointestinal, gastrostomy, or jejunostomy tube - p. 1227 342. SKILL 45.4 Blood glucose monitoring - p. 1232 343. Reflective learning - p. 1236 344. Review questions - p. 1237 345. References - p. 1237 346. Research references - p. 1238 347. 46. Urinary elimination - p. 1240 348. Scientific knowledge base - p. 1240 349. Nursing knowledge base - p. 1245 350. Critical thinking - p. 1246 351. Nursing process - p. 1247 352. Safety guidelines for nursing skills - p. 1269 353. SKILL 46.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter - p. 1269 354. SKILL 46.2 Insertion of a straight (intermittent) or indwelling urinary catheter - p. 1273 355. SKILL 46.3 Care and removal of an indwelling catheter - p. 1281 356. SKILL 46.4 Closed catheter irrigation - p. 1284 357. Reflective learning - p. 1287 358. Review questions - p. 1288 359. References - p. 1288 360. Research references - p. 1289 361. 47. Bowel elimination - p. 1290 362. Scientific knowledge base - p. 1290 363. Nursing knowledge base - p. 1292 364. Critical thinking - p. 1295 365. Nursing process - p. 1295 366. Safety guidelines for nursing skills - p. 1314 367. SKILL 47.1 Administering an enema - p. 1315 368. SKILL 47.2 Insertion, maintenance, and removal of a nasogastric tube for gastric decompression - p. 1318 369. SKILL 47.3 Pouching a colostomy or SKILL 47.3 an ileostomy - p. 1326 370. Reflective learning - p. 1329 371. Review questions - p. 1330 372. References - p. 1330 373. Research references - p. 1331 374. 48. Skin integrity and wound care - p. 1332 375. Scientific knowledge base - p. 1332 376. Nursing knowledge base - p. 1341 377. Critical thinking - p. 1344 378. Nursing process - p. 1345 379. Safety guidelines for nursing skills - p. 1375 380. SKILL 48.1 Risk assessment, skin assessment, and prevention strategies for pressure injury - p. 1375 381. SKILL 48.2 Treating pressure injuries and wounds - p. 1380 382. SKILL 48.3 Applying dry and moist dressings - p. 1384 383. SKILL 48.4 Implementation of negative-pressure wound therapy (NPWT) - p. 1391 384. SKILL 48.5 Performing wound irrigation - p. 1395 385. SKILL 48.6 Applying roller gauze or elastic bandage - p. 1398 386. Reflective learning - p. 1402 387. Review questions - p. 1402 388. References - p. 1403 389. Research references - p. 1404 390. 49. Sensory alterations - p. 1406 391. Scientific knowledge base - p. 1407 392. Nursing knowledge base - p. 1409 393. Critical thinking - p. 1410 394. Nursing process - p. 1411 395. Reflective learning - p. 1427 396. Review questions - p. 1427 397. References - p. 1428 398. Research references - p. 1429 399. 50. Perioperative nursing care - p. 1430 400. Scientific knowledge base - p. 1431 401. Nursing knowledge base - p. 1436 402. Perioperative phases - p. 1436 403. Critical thinking - p. 1437 404. Preoperative surgical phase - p. 1437 405. Transport to the operating room - p. 1455 406. Intraoperative surgical phase - p. 1455 407. Postoperative surgical phase - p. 1458 408. Recovery of inpatients: Postoperative recovery and convalescence - p. 1461 409. Nursing process - p. 1461 410. Safety guidelines for nursing skills - p. 1472 411. SKILL 50.1 Perioperative teaching - p. 1472 412. Reflective learning - p. 1478 413. Review questions - p. 1478 414. References - p. 1479 415. Research references - p. 1480 416. Index - p. 1482 417. Special features - p. ES6
Learn the concepts and skills and develop the clinical judgment you need to provide excellent nursing care! Fundamentals of Nursing, Twelfth Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, clinical judgment, nursing theory, evidence-based practice, and person-centered care in all settings. With illustrated, step-by-step guidelines, this book makes it easy to learn important skills and procedures. Care plans are presented within a nursing process framework that is coordinated with clinical judgement, and case studies show how to apply concepts to nursing practice. From an expert author team led by Patricia Potter and Anne Perry, this bestselling nursing textbook helps you develop the understanding and clinical judgment you need to succeed in the classroom and in your career.
1. Fundamentals of Nursing - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Disclaimer - p. ii 5. Table of Contents - p. iii 6. Copyright - p. iv 7. Contributors and Reviewers - p. v 8. Dedication - p. vii 9. Preface to the instructor - p. viii 10. Acknowledgments - p. x 11. List of Illustrations - p. xi 12. List of Tables - p. xii 13. UNIT 1. Nursing and the Health Care Environment - p. xii 14. 1. Nursing today - p. 1 15. 2. The health care delivery system - p. 14 16. Traditional levels of health care - p. 15 17. Integrated health care delivery - p. 15 18. Issues in health care delivery for nurses - p. 24 19. The future of health care - p. 29 20. Reflective learning - p. 29 21. Review questions - p. 30 22. References - p. 30 23. Research references - p. 32 24. 3. Population health - p. 33 25. 4. Theoretical foundations of nursing practice - p. 44 26. 5. Evidence-based practice - p. 55 27. UNIT 2. Caring Throughout the Life Span - p. 72 28. 6. Health and wellness - p. 73 29. 7. Caring in nursing practice - p. 88 30. 8. Caring for patients with chronic illness - p. 99 31. The prevalence and costs of chronic disease - p. 99 32. Multifactorial nature of chronic disease - p. 100 33. Family caregivers - p. 104 34. The chronic care model - p. 105 35. Implications for nursing - p. 106 36. Health promotion and disease prevention - p. 108 37. Reflective learning - p. 111 38. Review questions - p. 111 39. References - p. 111 40. Research references - p. 113 41. 9. Cultural care - p. 115 42. Culture and health - p. 116 43. Cultural identity and cultural competence - p. 119 44. Cultural awareness and knowledge - p. 121 45. Cultural skill - p. 123 46. Reflective learning - p. 128 47. Review questions - p. 128 48. References - p. 128 49. Research references - p. 129 50. 10. Family dynamics - p. 131 51. 11. Developmental theories - p. 145 52. 12. Conception through adolescence - p. 153 53. Stages of growth and development - p. 153 54. Selecting a developmental framework for nursing - p. 153 55. Intrauterine life - p. 153 56. Transition from intrauterine to extrauterine life - p. 154 57. Newborn - p. 154 58. Infant - p. 156 59. Toddler - p. 159 60. Preschooler - p. 161 61. School-age child and adolescent - p. 162 62. School-age child - p. 162 63. Adolescent - p. 164 64. Reflective learning - p. 168 65. Review questions - p. 169 66. References - p. 169 67. Research references - p. 170 68. 13. Young and middle adults - p. 171 69. Young adults - p. 171 70. Middle adults - p. 179 71. Reflective learning - p. 184 72. Review questions - p. 184 73. References - p. 185 74. Research references - p. 186 75. 14. Older adults - p. 187 76. Variability among older adults - p. 187 77. Myths and stereotypes - p. 188 78. Nurses’ attitudes toward older adults - p. 188 79. Developmental tasks for older adults - p. 188 80. Community-based and institutional health care services - p. 189 81. Assessing the needs of older adults - p. 189 82. Addressing the health concerns of older adults - p. 198 83. Care of older adults - p. 205 84. Reflective learning - p. 206 85. Review questions - p. 207 86. References - p. 207 87. Research references - p. 208 88. UNIT 3. Clinical Judgment in Nursing Practice - p. 209 89. 15. Critical thinking and clinical judgment - p. 210 90. 16. Nursing assessment - p. 226 91. 17. Analysis and nursing diagnosis - p. 244 92. 18. Planning and outcomes identification in nursing care - p. 258 93. 19. Implementing nursing care - p. 276 94. 20. Evaluation - p. 293 95. 21. Managing patient care - p. 305 96. UNIT 4. Professional Standards in Nursing Practice - p. 318 97. 22. Ethics and values - p. 319 98. 23. Legal implications in nursing practice - p. 330 99. Legal limits of nursing - p. 330 100. Federal statutes affecting nursing practice - p. 331 101. State statutes affecting nursing practice - p. 336 102. Nursing workforce guidelines - p. 338 103. Legal implications and reducing your legal risks - p. 340 104. Reflective learning - p. 344 105. Review questions - p. 344 106. References - p. 345 107. Research references - p. 346 108. 24. Communication - p. 347 109. Communication and nursing practice - p. 347 110. Elements of the communication process - p. 350 111. Forms of communication - p. 351 112. Professional nursing relationships - p. 353 113. Elements of professional communication - p. 356 114. Nursing process - p. 357 115. Reflective learning - p. 366 116. Review questions - p. 366 117. References - p. 366 118. Research references - p. 367 119. 25. Patient education - p. 368 120. Purposes of patient education - p. 368 121. Teaching and learning - p. 369 122. Domains of learning - p. 371 123. Basic learning principles - p. 372 124. Clinical judgment in patient education - p. 377 125. Nursing process - p. 377 126. Reflective learning - p. 388 127. Review questions - p. 388 128. References - p. 389 129. Research references - p. 390 130. 26. Informatics and documentation - p. 391 131. UNIT 5. Foundations for Nursing Practice - p. 408 132. 27. Patient safety and quality - p. 409 133. Scientific knowledge base - p. 410 134. Nursing knowledge base - p. 413 135. Critical thinking - p. 419 136. Nursing process - p. 420 137. Safety guidelines for nursing skills - p. 439 138. SKILL 27.1 Fall prevention in health care settings - p. 439 139. SKILL 27.2 Applying physical restraints - p. 445 140. Reflective learning - p. 451 141. Review questions - p. 451 142. References - p. 451 143. Research references - p. 453 144. 28. Infection prevention and control - p. 455 145. Scientific knowledge base - p. 456 146. Nursing knowledge base - p. 461 147. Nursing process - p. 462 148. Safety guidelines for nursing skills - p. 486 149. SKILL 28.1 Hand hygiene - p. 486 150. SKILL 28.2 Preparation of a sterile field - p. 488 151. SKILL 28.3 Surgical hand antisepsis - p. 493 152. SKILL 28.4 Sterile gloving - p. 495 153. Reflective learning - p. 499 154. Review questions - p. 499 155. References - p. 499 156. Research references - p. 501 157. 29. Vital signs - p. 502 158. Guidelines for measuring vital signs - p. 503 159. Body temperature - p. 503 160. Nursing process - p. 507 161. Pulse - p. 512 162. Nursing process - p. 513 163. Respiration - p. 516 164. Nursing process - p. 516 165. Blood pressure - p. 519 166. Nursing process - p. 522 167. Safety guidelines for nursing skills - p. 528 168. SKILL 29.1 Measuring body temperature - p. 529 169. SKILL 29.2 Assessing apical and radial pulse - p. 534 170. SKILL 29.3 Assessing respirations - p. 538 171. SKILL 29.4 Measuring oxygen saturation (pulse oximetry) - p. 541 172. SKILL 29.5 Assessing arterial blood prSKILL 29.5 essure - p. 543 173. Reflective learning - p. 549 174. Review questions - p. 549 175. References - p. 550 176. Research references - p. 550 177. 30. Health assessment and physical examination - p. 551 178. Purposes of the physical examination - p. 553 179. Preparation for examination - p. 553 180. Organization of the examination - p. 556 181. Techniques of physical assessment - p. 558 182. General survey - p. 560 183. Skin, hair, and nails - p. 564 184. Head and neck - p. 571 185. Thorax and lungs - p. 586 186. Heart - p. 591 187. Breasts - p. 599 188. Abdomen - p. 604 189. Female genitalia and reproductive tract - p. 607 190. Male genitalia - p. 609 191. Rectum and anus - p. 612 192. Musculoskeletal system - p. 613 193. Neurological system - p. 617 194. After the examination - p. 623 195. Reflective learning - p. 624 196. Review questions - p. 624 197. References - p. 624 198. Research references - p. 625 199. 31. Medication administration - p. 626 200. Scientific knowledge base - p. 626 201. Nursing knowledge base - p. 635 202. Critical thinking - p. 643 203. Nursing process - p. 646 204. Medication administration - p. 652 205. Safety guidelines for nursing skills - p. 675 206. SKILL 31.1 Administering oral medications - p. 676 207. SKILL 31.2 Administering ophthalmic medications - p. 680 208. SKILL 31.3 Using metered-dose inhalers (MDIs), dry powder inhalers (DPIs), or soft mist inhalers (SMIs) - p. 684 209. SKILL 31.4 Preparing injections: Ampules and vials - p. 689 210. SKILL 31.5 Administering injections - p. 694 211. Needle length and injection sites for immunizations (based on CDC [2023a] guidelines) - p. 694 212. SKILL 31.6 Administering medications by intravenous push - p. 699 213. SKILL 31.7 Administering intravenous medications by piggyback and syringe pumps - p. 703 214. Reflective learning - p. 708 215. Review questions - p. 708 216. References - p. 709 217. Research references - p. 710 218. 32. Complementary, alternative, and integrative therapies - p. 711 219. UNIT 6. Psychosocial Basis for Nursing Practice - p. 725 220. 33. Self-concept - p. 726 221. 34. Sexuality - p. 745 222. Scientific knowledge base - p. 746 223. Nursing knowledge base - p. 749 224. Critical thinking - p. 754 225. Nursing process - p. 754 226. Reflective learning - p. 763 227. Review questions - p. 763 228. References - p. 764 229. Research references - p. 765 230. 35. Spiritual health - p. 766 231. 36. Loss and grief - p. 785 232. Scientific knowledge base - p. 786 233. Nursing knowledge base - p. 788 234. Critical thinking - p. 790 235. Nursing process - p. 790 236. Reflective learning - p. 806 237. Review questions - p. 806 238. References - p. 807 239. Research references - p. 808 240. 37. Stress and coping - p. 809 241. Scientific knowledge base - p. 810 242. Nursing knowledge base - p. 812 243. Critical thinking - p. 815 244. Nursing process - p. 816 245. Reflective learning - p. 825 246. Review questions - p. 825 247. References - p. 826 248. Research references - p. 826 249. UNIT 7. Physiological Basis for Nursing Practice - p. 827 250. 38. Activity and exercise - p. 828 251. Scientific knowledge base - p. 830 252. Nursing knowledge base - p. 835 253. Critical thinking - p. 838 254. Nursing process - p. 840 255. Safety guidelines for nursing skills - p. 862 256. SKILL 38.1 Using safe and effective transfer techniques - p. 862 257. Reflective learning - p. 874 258. Review questions - p. 874 259. References - p. 875 260. Research references - p. 877 261. 39. Immobility - p. 878 262. Scientific knowledge base - p. 878 263. Nursing knowledge base - p. 881 264. Critical thinking - p. 885 265. Nursing process - p. 886 266. Safety guidelines for nursing skills - p. 910 267. SKILL 39.1 Moving and positioning patients in bed - p. 910 268. Reflective learning - p. 919 269. Review questions - p. 919 270. References - p. 920 271. Research references - p. 921 272. 40. Hygiene - p. 922 273. Scientific knowledge base - p. 922 274. Nursing knowledge base - p. 924 275. Critical thinking - p. 926 276. Nursing process - p. 927 277. Safety guidelines for nursing skills - p. 959 278. SKILL 40.1 Bathing and perineal care - p. 959 279. SKILL 40.2 Performing nail and foot care - p. 969 280. SKILL 40.3 Performing mouth care for a patient who is unconscious or debilitated - p. 973 281. Reflective learning - p. 976 282. Review questions - p. 976 283. References - p. 977 284. Research references - p. 977 285. 41. Oxygenation - p. 979 286. Scientific knowledge base - p. 979 287. Nursing knowledge base - p. 986 288. Critical thinking - p. 988 289. Nursing process - p. 988 290. Safety guidelines for nursing skills - p. 1017 291. SKILL 41.1 Suctioning - p. 1018 292. SKILL 41.2 Care of an artificial airway - p. 1028 293. SKILL 41.3 Care of patients with chest tubes - p. 1038 294. SKILL 41.4 Using home oxygen equipment - p. 1044 295. Reflective learning - p. 1048 296. Review questions - p. 1048 297. References - p. 1048 298. Research references - p. 1050 299. 42. Fluid, electrolyte, and acid-base balance - p. 1052 300. Scientific knowledge base - p. 1053 301. Nursing knowledge base - p. 1064 302. Critical thinking - p. 1064 303. Nursing process - p. 1064 304. Safety guidelines for nursing skills - p. 1088 305. SKILL 42.1 Insertion of a short peripheral intravenous device - p. 1088 306. SKILL 42.2 Regulating intravenous flow rates - p. 1099 307. SKILL 42.3 Maintenance of an intravenous system - p. 1103 308. SKILL 42.4 Changing a short peripheral intravenous dressing - p. 1108 309. Reflective learning - p. 1113 310. Review questions - p. 1113 311. References - p. 1113 312. Research references - p. 1114 313. 43. Sleep - p. 1115 314. Scientific knowledge base - p. 1116 315. Nursing knowledge base - p. 1120 316. Critical thinking - p. 1123 317. Nursing process - p. 1123 318. Reflective learning - p. 1137 319. Review questions - p. 1138 320. References - p. 1138 321. Research references - p. 1139 322. 44. Pain management - p. 1141 323. Scientific knowledge base - p. 1142 324. Nursing knowledge base - p. 1145 325. Critical thinking - p. 1150 326. Nursing process - p. 1151 327. Safety guidelines for nursing skills - p. 1176 328. SKILL 44.1 Patient-controlled analgesia - p. 1176 329. Reflective learning - p. 1181 330. Review questions - p. 1181 331. References - p. 1181 332. Research references - p. 1182 333. 45. Nutrition - p. 1185 334. Scientific knowledge base - p. 1186 335. Nursing knowledge base - p. 1191 336. Critical thinking - p. 1196 337. Nursing process - p. 1197 338. Safety guidelines for nursing skills - p. 1218 339. SKILL 45.1 Aspiration precautions - p. 1218 340. SKILL 45.2 Insertion and removal of a small-bore feeding tube - p. 1221 341. SKILL 45.3 Administering enteral nutrition: Nasogastric, nasointestinal, gastrostomy, or jejunostomy tube - p. 1227 342. SKILL 45.4 Blood glucose monitoring - p. 1232 343. Reflective learning - p. 1236 344. Review questions - p. 1237 345. References - p. 1237 346. Research references - p. 1238 347. 46. Urinary elimination - p. 1240 348. Scientific knowledge base - p. 1240 349. Nursing knowledge base - p. 1245 350. Critical thinking - p. 1246 351. Nursing process - p. 1247 352. Safety guidelines for nursing skills - p. 1269 353. SKILL 46.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter - p. 1269 354. SKILL 46.2 Insertion of a straight (intermittent) or indwelling urinary catheter - p. 1273 355. SKILL 46.3 Care and removal of an indwelling catheter - p. 1281 356. SKILL 46.4 Closed catheter irrigation - p. 1284 357. Reflective learning - p. 1287 358. Review questions - p. 1288 359. References - p. 1288 360. Research references - p. 1289 361. 47. Bowel elimination - p. 1290 362. Scientific knowledge base - p. 1290 363. Nursing knowledge base - p. 1292 364. Critical thinking - p. 1295 365. Nursing process - p. 1295 366. Safety guidelines for nursing skills - p. 1314 367. SKILL 47.1 Administering an enema - p. 1315 368. SKILL 47.2 Insertion, maintenance, and removal of a nasogastric tube for gastric decompression - p. 1318 369. SKILL 47.3 Pouching a colostomy or SKILL 47.3 an ileostomy - p. 1326 370. Reflective learning - p. 1329 371. Review questions - p. 1330 372. References - p. 1330 373. Research references - p. 1331 374. 48. Skin integrity and wound care - p. 1332 375. Scientific knowledge base - p. 1332 376. Nursing knowledge base - p. 1341 377. Critical thinking - p. 1344 378. Nursing process - p. 1345 379. Safety guidelines for nursing skills - p. 1375 380. SKILL 48.1 Risk assessment, skin assessment, and prevention strategies for pressure injury - p. 1375 381. SKILL 48.2 Treating pressure injuries and wounds - p. 1380 382. SKILL 48.3 Applying dry and moist dressings - p. 1384 383. SKILL 48.4 Implementation of negative-pressure wound therapy (NPWT) - p. 1391 384. SKILL 48.5 Performing wound irrigation - p. 1395 385. SKILL 48.6 Applying roller gauze or elastic bandage - p. 1398 386. Reflective learning - p. 1402 387. Review questions - p. 1402 388. References - p. 1403 389. Research references - p. 1404 390. 49. Sensory alterations - p. 1406 391. Scientific knowledge base - p. 1407 392. Nursing knowledge base - p. 1409 393. Critical thinking - p. 1410 394. Nursing process - p. 1411 395. Reflective learning - p. 1427 396. Review questions - p. 1427 397. References - p. 1428 398. Research references - p. 1429 399. 50. Perioperative nursing care - p. 1430 400. Scientific knowledge base - p. 1431 401. Nursing knowledge base - p. 1436 402. Perioperative phases - p. 1436 403. Critical thinking - p. 1437 404. Preoperative surgical phase - p. 1437 405. Transport to the operating room - p. 1455 406. Intraoperative surgical phase - p. 1455 407. Postoperative surgical phase - p. 1458 408. Recovery of inpatients: Postoperative recovery and convalescence - p. 1461 409. Nursing process - p. 1461 410. Safety guidelines for nursing skills - p. 1472 411. SKILL 50.1 Perioperative teaching - p. 1472 412. Reflective learning - p. 1478 413. Review questions - p. 1478 414. References - p. 1479 415. Research references - p. 1480 416. Index - p. 1482 417. Special features - p. ES6
