Medical-Surgical Nursing Care,9780131714724

Medical-Surgical Nursing Care

by Burke, Karen M.; LeMone, Priscilla; Mohn-Brown, Elaine

Edition: 2nd

ISBN13: 9780131714724

ISBN10: 0131714724

Format: Hardcover

Pub. Date: 2007-01-01

Publisher(s): Prentice Hall

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Summary

The nature of nursing is hellip; Medical Surgical Nursing Care, 2e Karen M. Burke, RN, MS Priscilla LeMone, RN, DSN, FAAN Elaine L. Mohn-Brown, EdD, RN The nature of nursing embodies the ever-changing rewards and challenges for todayrs"s practical and vocational nursing students. Streamlined yet thorough content provides easy access to need-to-know information and the essential skills needed to deliver safe and effective medical surgical nursing care. Extensive unit wrap-ups, critical thinking care maps, comprehensive reviews and much more, all ensure your success as a nursing student and as a nurse! Features that promote success include: Critical thinking care maps and NCLEX-PN reg; exam preparation Documentation samples, pharmacology tables, a variety of special boxes related to client teaching and special populations Nursing care features such as priorities in nursing care, nursing care checklists and procedure checklists, clinical alerts, and nursing process care plans Additional resources include: Student CD-ROM inside with an audio glossary, animations and videos, and NCLEX-PN reg; style review questions. Companion Website at www.prenhall.com/burke with chapter-specific online resources, case studies, and additional NCLEX- PN reg; -style questions. Student workbook with chapter review activities and critical thinking case studies. The nature of nursing - grow with it!

Table of Contents

Introduction to Medical-Surgical Nursing	p. 1
The Medical-Surgical Nurse	p. 3
Roles of the LPN/LVN in Medical-Surgical Nursing Care	p. 4
Framework for Practice: The Nursing Process	p. 5
Critical Thinking	p. 9
Guidelines for Nursing Practice	p. 11
Legal and Ethical Dilemmas in Nursing	p. 11
The Adult Client in Health and Illness	p. 15
Developmental Tasks of the Young and Middle Adult	p. 16
The Family of the Adult Client	p. 19
Health in the Adult Client	p. 20
Illness in the Adult Client	p. 22
Critical Thinking Care Map: Caring for a Client with Early-Onset Diabetes	p. 26
Cultural Care Strategies: Recognizing Biological Variations Among Cultures	p. 28
The Older Adult Client in Health and Illness	p. 30
What Is Old?	p. 31
Why Do People Age?	p. 32
Ageism and Common Stereotypes about Older Adults	p. 33
Developmental Aspects of Aging	p. 34
Experiencing and Adapting to Change	p. 34
Health of the Older Adult	p. 37
Nursing Care to Promote Health	p. 39
Settings of Care	p. 43
Community-Based Nursing Care	p. 44
Types of Community-Based Health Care Services	p. 44
Home Health Care	p. 45
Rehabilitation	p. 52
Critical Thinking Care Map: Caring for a Client with a Handicap	p. 55
Guidelines for Client Assessment	p. 57
Purposes of a Client Assessment	p. 58
Types of Assessment	p. 58
Sources and Accuracy of Assessment Data	p. 58
Obtaining a Health History	p. 59
Methods of Physical Examination	p. 60
Preparation for a Physical Examination	p. 61
The Physical Examination	p. 62
Documentation	p. 70
Critical Thinking Care Map: Caring for a Client with Risk for Excess Fluid Volume	p. 72
Cultural Care Strategies: Appreciating Variations in Facial Expression when Relating to the Client from Another Culture	p. 74
Essential Nursing Pharmacology	p. 75
Drug Sources and Names	p. 76
Drug Legislation and Resources	p. 76
Pharmacokinetics	p. 77
Pharmacodynamics	p. 79
Foundations of Medical-Surgical Nursing	p. 89
Caring for Clients with Altered Fluid, Electrolyte, or Acid-Base Balance	p. 91
Fluid and Electrolyte Balance	p. 92
Structure and Function	p. 92
Fluid Volume Deficit	p. 96
Fluid Volume Excess	p. 105
Nursing Process Care Plan: Client with Excess Fluid Volume	p. 108
Sodium Imbalance	p. 109
Potassium Imbalance	p. 111
Nursing Process Care Plan: Client with Hypokalemia	p. 115
Calcium Imbalance	p. 115
Magnesium Imbalance	p. 120
Phosphorus Imbalance	p. 121
Acid-Base Disorders	p. 123
Acid-Base Regulation	p. 123
Types of Acid-Base Imbalances	p. 124
Metabolic Acidosis	p. 126
Metabolic Alkalosis	p. 129
Respiratory Acidosis	p. 130
Respiratory Alkalosis	p. 132
Critical Thinking Care Map: Caring for a Client with Acute Respiratory Acidosis	p. 135
Caring for Clients in Pain	p. 137
Physiology of Pain	p. 138
Types of Pain	p. 140
Factors Affecting Client Response to Pain	p. 142
Interdisciplinary Care	p. 143
Nursing Process Care Plan: Client with Pain	p. 155
Critical Thinking Care Map: Caring for a Client with Pain	p. 158
Cultural Care Strategies: Responding to Pain as a Cross-Cultural Variable	p. 160
Caring for Clients Having Surgery	p. 161
Types and Settings for Surgery	p. 162
Informed Consent	p. 162
Phases of the Surgical Experience	p. 163
Preoperative Care	p. 163
Nursing Process Care Plan: Preoperative Care for Client Having Inpatient Surgery	p. 172
Intraoperative Phase	p. 173
Postoperative Phase	p. 179
Ambulatory Surgery	p. 186
Critical Thinking Care Map: Caring for a Client after Surgery	p. 190
Caring for Clients with Inflammation and Infection	p. 192
Inflammation	p. 193
Infection	p. 199
Nursing Process Care Plan: Client with MRSA Infection	p. 214
Critical Thinking Care Map: Caring for a Client Exposed to Staphylococcus aureus	p. 217
Cultural Care Strategies: Considering Cultural Variations Related to Environmental Control	p. 219
Caring for Clients with Altered Immunity	p. 220
Overview of the Immune System	p. 221
Natural and Acquired Immunity	p. 226
Altered Immune Responses	p. 228
Autoimmune Disorders	p. 231
Organ/Tissue Transplant	p. 232
Impaired Immune Responses and the Client with HIV	p. 236
Nursing Process Care Plan: Client with HIV Infection	p. 247
Critical Thinking Care Map: Caring for a Client with Pneumocystis carinii Pneumonia	p. 250
Caring for Clients with Cancer	p. 252
Cancer, the Nurse, and the Health Care Team	p. 253
Cancer Incidence and Trends	p. 253
Effects and Manifestations of Cancer	p. 258
Nursing Process Care Plan: Client with Cancer	p. 275
Nursing Interventions for Oncologic Emergencies	p. 277
Critical Thinking Care Map: Caring for a Client Undergoing Chemotherapy for Cancer	p. 281
Cultural Care Strategies: Responding to Beliefs Related to Death, Dying, and Grief from a Cultural Perspective	p. 283
Caring for Clients Experiencing Shock, Trauma, or Critical Illness	p. 284
The Client in Shock	p. 285
Nursing Process Care Plan: Client with Septic Shock	p. 294
The Client Experiencing Trauma	p. 295
The Client Experiencing a Critical Illness	p. 301
Critical Thinking Care Map: Caring for a Client at an Accident Scene	p. 304
Loss, Grief, and End-of-Life Care	p. 306
Loss, Grief, and Death	p. 307
End-of-Life Care	p. 310
Settings and Services for End-of-Life Care	p. 311
Nursing Process Care Plan: Client Experiencing Loss	p. 317
Critical Thinking Care Map: Caring for a Client Experiencing a Loss	p. 319
Disrupted Endocrine Function	p. 323
The Endocrine System and Assessment	p. 325
Structure and Function of the Endocrine System	p. 326
Assessment	p. 328
Caring for Clients with Endocrine Disorders	p. 335
Disorders of the Pituitary Gland	p. 336
Disorders of the Anterior Pituitary Gland	p. 336
Disorders of the Posterior Pituitary Gland	p. 336
Disorders of the Thyroid Gland	p. 338
Hyperthyroidism	p. 338
Nursing Process Care Plan: Client with Graves' Disease	p. 342
Hypothyroidism	p. 343
Cancer of the Thyroid	p. 346
Disorders of the Parathyroid Glands	p. 346
Hyperparathyroidism	p. 346
Hypoparathyroidism	p. 347
Disorders of the Adrenal Gland	p. 348
Cushing's Syndrome	p. 348
Addison's Disease	p. 351
Disorders of the Adrenal Medulla	p. 353
Critical Thinking Care Map: Caring for a Client with Hypothyroidism	p. 355
Caring for Clients with Diabetes Mellitus	p. 357
Overview of Diabetes Mellitus	p. 358
Complications of Diabetes Mellitus	p. 366
Nursing Process Care Plan: Client with Type I Diabetes	p. 377
Critical Thinking Care Map: Caring for a Client with Diabetes Mellitus	p. 380
Disrupted Gastrointestinal Function	p. 383
The Gastrointestinal System and Assessment	p. 385
The Gastrointestinal Tract	p. 386
Accessory Organs of Digestion	p. 388
Assessment	p. 389
Caring for Clients with Nutritional and Upper Gastrointestinal Disorders	p. 398
Nutritional Disorders	p. 399
Obesity	p. 399
Malnutrition	p. 403
Eating Disorders	p. 408
Upper GI Disorders	p. 409
Stomatitis	p. 409
Oral Cancer	p. 410
Gastroesophageal Reflux Disease	p. 411
Hiatal Hernia	p. 412
Esophageal Cancer	p. 412
Gastroenteritis	p. 413
Gastritis	p. 416
Peptic Ulcer Disease	p. 420
Nursing Process Care Plan: Client with Peptic Ulcer Disease	p. 424
Cancer of the Stomach	p. 425
Critical Thinking Care Map: Caring for a Client with Altered Nutrition	p. 429
Cultural Care Strategies: Integrating Cultural Diversity in Client Education	p. 431
Caring for Clients with Bowel Disorders	p. 432
Disorders of Intestinal Motility and Absorption	p. 433
Diarrhea	p. 433
Constipation	p. 436
Irritable Bowel Syndrome	p. 440
Fecal Incontinence	p. 441
Malabsorption	p. 442
Inflammatory Disorders	p. 443
Appendicitis	p. 443
Peritonitis	p. 445
Inflammatory Bowel Disease	p. 448
Nursing Process Care Plan: Client with Ulcerative Colitis	p. 454
Structural and Obstructive Disorders	p. 455
Colorectal Cancer	p. 455
Bowel Obstruction	p. 460
Hernia	p. 462
Diverticular Disease	p. 464
Anorectal Disorders	p. 465
Hemorrhoids	p. 465
Anorectal Lesions	p. 466
Critical Thinking Care Map: Caring for a Client with Colorectal Cancer	p. 468
Caring for Clients with Gallbladder, Liver, and Pancreatic Disorders	p. 470
Gallbladder Disorders	p. 471
Cholelithiasis and Cholecystitis	p. 471
Nursing Process Care Plan: Client with Cholelithiasis	p. 475
Cancer of the Gallbladder	p. 476
Liver Disorders	p. 476
Hepatitis	p. 476
Cirrhosis	p. 480
Nursing Process Care Plan: Client with Alcoholic Cirrhosis	p. 488
Cancer of the Liver	p. 489
Liver Trauma	p. 489
Exocrine Pancreatic Disorders	p. 489
Pancreatitis	p. 489
Cancer of the Pancreas	p. 493
Critical Thinking Care Map: Caring for a Client with Pancreatitis	p. 495
Disrupted Respiratory Function	p. 499
The Respiratory System and Assessment	p. 501
Structure and Function of the Upper Respiratory System	p. 502
Structure and Function of the Lower Respiratory System	p. 502
Assessment	p. 504
Caring for Clients with Upper Respiratory Disorders	p. 513
Upper Respiratory Infections and Inflammations	p. 514
Nursing Process Care Plan: Client with Upper Respiratory Infection	p. 520
Pertussis	p. 521
Upper Respiratory Trauma or Obstruction	p. 522
Epistaxis	p. 522
Nasal Trauma or Deviated Septum	p. 523
Laryngeal Obstruction or Trauma	p. 525
Sleep Apnea	p. 526
Upper Respiratory Tumors	p. 527
Benign Laryngeal Tumors	p. 527
Laryngeal Cancer	p. 527
Critical Thinking Care Map: Caring for a Client with Total Laryngectomy	p. 535
Caring for Clients with Lower Respiratory Disorders	p. 537
Infectious and Inflammatory Disorders	p. 538
Acute Bronchitis	p. 538
Pneumonia	p. 538
Tuberculosis	p. 544
Lung Abscess and Empyema	p. 550
Emerging Respiratory Infections	p. 550
Obstructive and Restrictive Lung Disorders	p. 550
Asthma	p. 551
Chronic Obstructive Pulmonary Disease	p. 556
Nursing Process Care Plan: Client with COPD	p. 560
Cystic Fibrosis	p. 561
Atelectasis	p. 561
Bronchiectasis	p. 562
Interstitial Lung Disorders	p. 562
Occupational Lung Disease	p. 562
Sarcoidosis	p. 563
Lung Cancer	p. 563
Pulmonary Vascular Disorders	p. 568
Pulmonary Embolism	p. 568
Pulmonary Hypertension and Cor Pulmonale	p. 571
Pleural Disorders and Trauma	p. 571
Pleuritis	p. 571
Pleural Effusion	p. 571
Pneumothorax	p. 572
Hemothorax	p. 576
Chest and Lung Trauma	p. 576
Critical Respiratory Conditions	p. 579
Respiratory Failure	p. 579
Acute Respiratory Distress Syndrome	p. 579
Critical Thinking Care Map: Caring for a Client with Tuberculosis	p. 587
Disrupted Cardiovascular Function	p. 591
The Cardiovascular System and Assessment	p. 593
The Heart	p. 594
The Peripheral Vascular System	p. 597
Assessment	p. 598
Caring for Clients with Coronary Heart Disease and Dysrhythmias	p. 606
Coronary Heart Disease	p. 607
Angina Pectoris	p. 611
Acute Myocardial Infarction	p. 618
Nursing Process Care Plan: Client with Acute Myocardial Infarction	p. 624
Cardiac Rhythm Disorders	p. 625
Cardiac Dysrhythmias	p. 625
Sudden Cardiac Death	p. 635
Critical Thinking Care Map: Caring for a Client after Coronary Artery Bypass Surgery	p. 639
Caring for Clients with Cardiac Disorders	p. 641
Disorders of Cardiac Function	p. 642
Heart Failure	p. 642
Nursing Process Care Plan: Client with Heart Failure	p. 650
Inflammatory Cardiac Disorders	p. 650
Rheumatic Fever and Rheumatic Heart Disease	p. 651
Infective Endocarditis	p. 652
Myocarditis	p. 655
Pericarditis	p. 655
Disorders of Cardiac Structure	p. 658
Valvular Heart Disease	p. 658
Cardiomyopathy	p. 663
Critical Thinking Care Map: Caring for a Client with Mitral Stenosis	p. 666
Caring for Clients with Peripheral Vascular Disorders	p. 668
Hypertension	p. 669
Nursing Process Care Plan: Client with Hypertension	p. 675
Secondary Hypertension	p. 676
Disorders of the Aorta	p. 676
Aneurysm	p. 676
Peripheral Arterial Disorders	p. 679
Peripheral Atherosclerosis	p. 680
Arterial Thrombus or Embolism	p. 683
Buerger's Disease	p. 683
Raynaud's Phenomenon	p. 684
Venous Disorders	p. 685
Venous Thrombosis	p. 685
Venous Insufficiency	p. 686
Varicose Veins	p. 691
Critical Thinking Care Map: Caring for a Client with Buerger's Disease	p. 695
Disrupted Hematologic and Lymphatic Function	p. 699
The Hematologic and Lymphatic Systems and Assessment	p. 701
Structure and Function of the Hematologic and Lymphatic Systems	p. 702
Assessment	p. 706
Caring for Clients with Hematologic and Lymphatic Disorders	p. 712
Red Blood Cell Disorders	p. 713
Anemia	p. 713
Polycythemia	p. 720
White Blood Cell Disorders	p. 721
Leukemia	p. 721
Multiple Myeloma	p. 727
Agranulocytosis	p. 728
Platelet and Coagulation Disorders	p. 728
Thrombocytopenia	p. 729
Hemophilia	p. 730
Disseminated Intravascular Coagulation	p. 732
Lymphatic System Disorders	p. 733
Lymphangitis and Lymphedema	p. 733
Infectious Mononucleosis	p. 734
Malignant Lymphoma	p. 735
Nursing Process Care Plan: Client with Hodgkin's Disease	p. 737
Critical Thinking Care Map: Caring for a Client with Acute Myelocytic Leukemia	p. 740
Disrupted Urinary Function	p. 743
The Urinary System and Assessment	p. 745
Structure and Function of the Urinary System	p. 746
Assessment	p. 748
Caring for Clients with Renal and Urinary Tract Disorders	p. 757
Voiding Disorders	p. 758
Urinary Incontinence	p. 758
Urinary Retention	p. 762
Infectious and Inflammatory Disorders	p. 763
Urinary Tract Infections	p. 763
Glomerulonephritis	p. 767
Nursing Process Care Plan: Client with Acute Glomerulonephritis	p. 770
Nephrotic Syndrome	p. 771
Obstructive Disorders	p. 772
Urinary Calculi	p. 772
Hydronephrosis	p. 775
Polycystic Kidney Disease	p. 776
Kidney Trauma	p. 777
Tumors of the Kidney and Urinary Tract	p. 777
Bladder Cancer	p. 777
Nursing Process Care Plan: Client with Bladder Cancer	p. 781
Kidney Tumors	p. 782
Renal Failure	p. 784
Acute Renal Failure	p. 784
Chronic Renal Failure	p. 785
Critical Thinking Care Map: Caring for a Client with Urinary Incontinence	p. 796
Cultural Care Strategies: Considering Cultural Variations Related to Time	p. 799
Disrupted Reproductive Function	p. 801
The Reproductive System and Assessment	p. 803
Structure and Function of the Male Reproductive System	p. 804
Structure and Function of the Female Reproductive System	p. 805
Age-Related Changes in the Reproductive System	p. 807
Assessment	p. 807
Caring for Male Clients with Reproductive System Disorders	p. 816
Prostate Disorders	p. 817
Benign Prostatic Hyperplasia	p. 817
Cancer of the Prostate	p. 821
Prostatitis	p. 825
Disorders of the Testes and Scrotum	p. 825
Structural and Inflammatory Disorders	p. 825
Infertility	p. 826
Scrotal Masses and Trauma	p. 826
Testicular Cancer	p. 827
Disorders of the Penis	p. 829
Phimosis	p. 829
Priapism	p. 829
Cancer of the Penis	p. 830
Disorders of Sexual Expression	p. 830
Erectile Dysfunction	p. 830
Nursing Process Care Plan: Client with Erectile Dysfunction	p. 833
Ejaculatory Dysfunction	p. 833
Critical Thinking Care Map: Caring for a Client with Prostate Cancer	p. 836
Caring for Female Clients with Reproductive System Disorders	p. 838
Perimenopause	p. 839
Menopause	p. 839
Disorders of Menstruation	p. 841
Premenstrual Syndrome	p. 841
Dysmenorrhea	p. 843
Dysfunctional Uterine Bleeding	p. 844
Disorders of Female Reproductive Tissue	p. 846
Endometriosis	p. 846
Ovarian Cysts	p. 847
Uterine Fibroid Tumor	p. 848
Infections of the Female Reproductive System	p. 849
Vaginitis	p. 849
Pelvic Inflammatory Disease	p. 851
Toxic Shock Syndrome	p. 853
Malignant Tumors	p. 854
Cervical Cancer	p. 854
Nursing Process Care Plan: Client with Cervical Cancer	p. 856
Endometrial Cancer	p. 857
Ovarian Cancer	p. 858
Cancer of the Vulva	p. 859
Structural Disorders of the Female Reproductive System	p. 860
Uterine Displacement	p. 860
Pelvic Organ Prolapse	p. 861
Vaginal Fistula	p. 862
Breast Disorders	p. 862
Fibrocystic Breast Changes	p. 862
Mastitis	p. 863
Disorders Related to Breast Augmentation	p. 863
Breast Cancer	p. 863
Critical Thinking Care Map: Caring for a Client Experiencing Menopause	p. 874
Caring for Clients with Sexually Transmitted Infections	p. 876
Overview of STIs	p. 877
Chlamydia	p. 877
Genital Herpes	p. 881
Genital Warts	p. 883
Gonorrhea	p. 883
Nursing Process Care Plan: Client with Gonorrhea	p. 884
Syphilis	p. 885
Critical Thinking Care Map: Caring for a Client with Syphilis	p. 888
Cultural Care Strategies: Assessing Communication Variables from a Cultural Perspective	p. 890
Disrupted Neurologic Function	p. 893
The Nervous System and Assessment	p. 895
The Nervous System	p. 896
Structure and Function of the Eye	p. 899
Structure and Function of the Ear	p. 902
Assessment	p. 903
Caring for Clients with Intracranial Disorders	p. 911
Head Injuries	p. 912
Nursing Process Care Plan: Client with Increased Intracranial Pressure and Altered Level of Consciousness	p. 920
Brain Tumor	p. 920
Cerebrovascular Accident	p. 924
Cerebral Aneurysm	p. 931
Seizure Disorder	p. 932
Intracranial Infections	p. 935
Headaches	p. 939
Critical Thinking Care Map: Caring for a Client after a Cerebrovascular Accident	p. 943
Caring for Clients with Degenerative Neurologic and Spinal Cord Disorders	p. 945
Degenerative Neurologic Disorders	p. 946
Alzheimer's Disease	p. 946
Nursing Process Care Plan: Client with Alzheimer's Disease	p. 948
Multiple Sclerosis	p. 949
Parkinson's Disease	p. 952
Myasthenia Gravis	p. 956
Other Neurologic Disorders	p. 957
Huntington's Disease	p. 957
Amyotrophic Lateral Sclerosis	p. 957
Guillain-Barre Syndrome	p. 958
Trigeminal Neuralgia	p. 958
Bell's Palsy	p. 959
Rabies	p. 960
Tetanus	p. 960
Creutzfeldt-Jakob Disease	p. 960
Spinal Cord Disorders	p. 961
Spinal Cord Injury	p. 961
Herniated Intervertebral Disk	p. 966
Spinal Cord Tumor	p. 969
Critical Thinking Care Map: Caring for a Client with Herniated Intervertebral Disk	p. 971
Caring for Clients with Eye and Ear Disorders	p. 973
Eye Disorders	p. 974
Infectious or Inflammatory Eye Disorders	p. 974
Eye Trauma	p. 976
Refractive Errors	p. 978
Cataracts	p. 979
Glaucoma	p. 980
Nursing Process Care Plan: Client with Glaucoma and Cataracts	p. 985
Detached Retina	p. 986
Macular Degeneration	p. 987
Diabetic Retinopathy	p. 987
Enucleation	p. 987
Blindness	p. 988
Ear Disorders	p. 988
External Otitis	p. 988
Impacted Cerumen and Foreign Bodies	p. 990
Otitis Media	p. 990
Otosclerosis	p. 992
Inner Ear Disorders	p. 993
Hearing Loss	p. 995
Critical Thinking Care Map: Caring for a Client with Age-Related Hearing Loss	p. 1000
Disrupted Musculoskeletal Function	p. 1003
The Musculoskeletal System and Assessment	p. 1005
Structure and Function of the Musculoskeletal System	p. 1006
Assessment	p. 1010
Caring for Clients with Musculoskeletal Trauma	p. 1018
Musculoskeletal Trauma	p. 1019
Soft Tissue Trauma	p. 1019
Fractures	p. 1021
Hip Fracture	p. 1032
Nursing Process Care Plan: Client with Hip Fracture	p. 1034
Joint Trauma and Injury	p. 1035
Repetitive Use Injuries	p. 1035
Amputation	p. 1037
Critical Thinking Care Map: Caring for a Client with a Below-Knee Amputation	p. 1042
Cultural Care Strategies: Considering Cultural Variations Related to Space	p. 1044
Caring for Clients with Musculoskeletal Disorders	p. 1045
Structural and Bone Disorders	p. 1046
Scoliosis and Kyphosis	p. 1046
Osteoporosis	p. 1047
Osteomalacia and Paget's Disease	p. 1050
Osteomyelitis	p. 1051
Bone Tumors	p. 1053
Common Foot Disorders	p. 1055
Joint and Connective Tissue Disorders	p. 1056
Osteoarthritis	p. 1056
Rheumatoid Arthritis	p. 1060
Nursing Process Care Plan: Client with Rheumatoid Arthritis	p. 1065
Systemic Lupus Erythematosus	p. 1065
Gout	p. 1068
Lyme Disease	p. 1070
Ankylosing Spondylitis	p. 1071
Fibromyalgia	p. 1071
Low Back Pain	p. 1072
Muscular Dystrophy	p. 1073
Critical Thinking Care Map: Caring for a Client with Osteoarthritis and Total Hip Replacement	p. 1075
Disrupted Integumentary Function	p. 1079
The Integumentary System and Assessment	p. 1081
Structure and Function of the Integumentary System	p. 1082
Assessment	p. 1083
Caring for Clients with Skin Disorders	p. 1090
Common Skin Disorders	p. 1091
Infections and Infestations of the Skin	p. 1096
Malignant Skin Disorders	p. 1102
Pressure Ulcers	p. 1107
Critical Thinking Care Map: Caring for a Client with Herpes Zoster	p. 1112
Caring for Clients with Burns	p. 1114
Types of Burn Injury	p. 1115
Major Burns	p. 1117
Nursing Process Care Plan: Client with a Major Burn	p. 1125
Critical Thinking Care Map: Caring for a Client with Major Burns	p. 1128
Cultural Care Strategies: Assessing the Client from Another Culture in a Social Context	p. 1130
Disrupted Mental Health Function	p. 1133
Mental Health and Assessment	p. 1135
Mental Health	p. 1136
Brain Structure and Function of Brain Neurotransmitters	p. 1137
Mental Disorders	p. 1138
Assessment	p. 1140
Caring for Clients with Psychotic Disorders	p. 1146
Schizophrenia	p. 1147
Nursing Process Care Plan: Client with Schizophrenia	p. 1160
Critical Thinking Care Map: Caring for a Client with Schizophrenia	p. 1162
Caring for Clients with Mood Disorders	p. 1164
Major Depressive Disorder	p. 1165
Bipolar Disorder	p. 1173
Nursing Process Care Plan: Client with Depression	p. 1183
Critical Thinking Care Map: Caring for a Client with Bipolar Disorder	p. 1186
Caring for Clients with Anxiety Disorders	p. 1188
Generalized Anxiety Disorder	p. 1190
Panic Disorder	p. 1191
Agoraphobia	p. 1191
Obsessive-Compulsive Disorder	p. 1192
Posttraumatic Stress Disorder	p. 1192
Social Phobia	p. 1193
Specific Phobias	p. 1193
Nursing Process Care Plan: Client with Generalized Anxiety Disorder	p. 1201
Critical Thinking Care Map: Caring for a Client with Anxiety	p. 1204
Caring for Clients with Personality Disorders	p. 1206
Personality Disorders	p. 1207
Cluster A Personality Disorders: Odd/Eccentric	p. 1209
Cluster B Personality Disorders: Dramatic/Emotional/Erratic	p. 1211
Cluster C Personality Disorders: Anxious/Fearful	p. 1216
Critical Thinking Care Map: Caring for a Client with Ineffective Coping	p. 1220
Caring for Clients with Substance Abuse or Dependency	p. 1222
Problem of Substance Abuse	p. 1223
Commonly Abused Substances	p. 1225
Nursing Process Care Plan: Client with Ineffective Coping	p. 1235
Critical Thinking Care Map: Caring for a Client with Substance Dependency	p. 1237
Appendices
Standard Precautions	p. 1241
2005-2006 NANDA-Approved Nursing Diagnoses	p. 1243
Common Laboratory Values	p. 1245
Glossary	p. 1246
NCLEX-PN Answers; Care Plan Hints; Care Map Answers; and Unit Wrap-Up Answers	p. 1262
Bibliography	p. 1294
Index	p. 1315
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