If bruising occurs, the nurse should monitor the site for an enlarging hematoma. When providing hair and scalp care, the nurse should begin combing at the end of the hair and work toward the head. Proper function of a hearing aid requires careful handling during insertion and removal, regular cleaning of the ear piece to prevent wax buildup, and prompt replacement of dead batteries.
The five branches of pharmacology are pharmacokinetics, pharmacodynamics, pharmacotherapeutics, toxicology, and pharmacognosy. The nurse should remove heel protectors every 8 hours to inspect the foot for signs of skin breakdown. A sutured surgical incision is an example of healing by first intention healing directly, without granulation. Healing by secondary intention healing by granulation is closure of the wound when granulation tissue fills the defect and allows reepithelialization to occur, beginning at the wound edges and continuing to the center, until the entire wound is covered.
The nurse should administer procainepenicillin by deep I. A folded towel scrotal bridge can provide scrotal support for the patient with scrotal edema caused by vasectomy, epididymitis, or orchitis. When giving an injection to a patient who has a bleeding disorder, the nurse should use a small-gauge needle and apply pressure to the site for 5 minutes after the injection. Platelets are the smallest and most fragile formed element of the blood and are essential for coagulation.
To insert a nasogastric tube, the nurse instructs the patient to tilt the head back slightly and then inserts the tube. When the nurse feels the tube curving at the pharynx, the nurse should tell the patient to tilt the head forward to close the trachea and open the esophagus by swallowing.
Sips of water can facilitate this action. Double-bind communication occurs when the verbal message contradicts the nonverbal message and the receiver is unsure of which message to respond to. A nonjudgmental attitude displayed by a nurse shows that she neither approves nor disapproves of the patient.
A patient should be advised to take aspirin on an empty stomach, with a full glass of water, and should avoid acidic foods such as coffee, citrus fruits, and cola. For every patient problem, there is a nursing diagnosis; for every nursing diagnosis, there is a goal; and for every goal, there are interventions designed to make the goal a reality. The keys to answering examination questions correctly are identifying the problem presented, formulating a goal for the problem, and selecting the intervention from the choices provided that will enable the patient to reach that goal.
Fidelity means loyalty and can be shown as a commitment to the profession of nursing and to the patient. Administering an I.
The formula for calculating the drops per minute for an I. When prioritizing nursing diagnoses, the following hierarchy should be used: Problems associated with the airway, those concerning breathing, and those related to circulation. The two nursing diagnoses that have the highest priority that the nurse can assign are Ineffective airway clearance and Ineffective breathing pattern.
The family of a patient who has been diagnosed as hearing impaired should be instructed to face the individual when they speak to him.
Before instilling medication into the ear of a patient who is up to age 3, the nurse should pull the pinna down and back to straighten the eustachian tube. To prevent injury to the cornea when administering eyedrops, the nurse should waste the first drop and instill the drug in the lower conjunctival sac. After administering eye ointment, the nurse should twist the medication tube to detach the ointment. When the nurse removes gloves and a mask, she should remove the gloves first.
They are soiled and are likely to contain pathogens. When feeding an elderly patient, the nurse should limit high-carbohydrate foods because of the risk of glucose intolerance. A nurse should spend no more than 30 minutes per 8-hour shift providing care to a patient who has a radiation implant. Long-handled forceps and a lead-lined container should be available in the room of a patient who has a radiation implant. Diseases that require strict isolation include chickenpox, diphtheria, and viral hemorrhagic fevers such as Marburg disease.
Whether the patient can perform a procedure psychomotor domain of learning is a better indicator of the effectiveness of patient teaching than whether the patient can simply state the steps involved in the procedure cognitive domain of learning. According to Erik Erikson, developmental stages are trust versus mistrust birth to 18 months , autonomy versus shame and doubt 18 months to age 3 , initiative versus guilt ages 3 to 5 , industry versus inferiority ages 5 to 12 , identity versus identity diffusion ages 12 to 18 , intimacy versus isolation ages 18 to 25 , generativity versus stagnation ages 25 to 60 , and ego integrity versus despair older than age An appropriate nursing intervention for the spouse of a patient who has a serious incapacitating disease is to help him to mobilize a support system.
The most effective way to reduce a fever is to administer an antipyretic, which lowers the temperature set point. When a nurse is communicating with a patient through an interpreter, the nurse should speak to the patient and the interpreter. Discrimination is preferential treatment of individuals of a particular group.
Patients often exhibit resistive and challenging behaviors in the orientation phase of the therapeutic relationship. Sites for intradermal injection include the inner arm, the upper chest, and on the back, under the scapula. When answering a question on the NCLEX examination, the student should consider the cue the stimulus for a thought and the inference the thought to determine whether the inference is correct.
When in doubt, the nurse should select an answer that indicates the need for further information to eliminate ambiguity. For example, the patient complains of chest pain the stimulus for the thought and the nurse infers that the patient is having cardiac pain the thought.
It would be more appropriate to make further assessments. Veracity is truth and is an essential component of a therapeutic relationship between a health care provider and his patient. Beneficence is the duty to do no harm and the duty to do good. This category includes everything that affects a patent airway, including a foreign object, fluid from an upper respiratory infection, and edema from trauma or an allergic reaction.
Nursing Assessment Questions boxes help you learn to effectively phrase questions for clients. Cultural Aspects of Care boxes summarize cultural considerations related to the chapter topic and provide practical guidelines for how to meet clients' cultural needs and preferences. Patient Teaching boxes help you plan effective teaching by first identifying outcomes, then developing strategies on how to teach, and, finally, implementing measures to evaluate learning.
Focus on Older Adult boxes highlight key aspects of nursing assessment and care for this population. Evidence-Informed Practice boxes summarize recent guidelines for nursing practice. Content on global health written by Canadian expert, Judy Mill, reflects Canada's focus on global health and diversity.
Expanded coverage of nursing communication, family nursing; spiritual health; medication administration; safety; hygiene; fluid, electrolyte, and acid-base balances; sleep; pain assessment and management; nutrition; and bowel elimination reflects the most up-to-date best practices. Enhanced chapter on communication includes the most current research on key issues such as aphasia, transpersonal communication, communication with older adults, and adapting communication for clients with special needs.
UPDATED chapter on health assessment and physical examination focuses on holistic assessment of health and emphasizes culturally competent care. EXPANDED chapter on pain assessment and management includes new content on the undertreatment of chronic pain, coping strategies for pain, and pain assessment scales. Learn the concepts and skills you need to provide excellent nursing care!
Fundamentals of Nursing, 10th Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, clinical reasoning, nursing theory, evidence-based practice, and patient-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, 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 reasoning you need to succeed in the classroom and in your career. Essential for NCLEX, course and competencey review, this resource is a complete, concentrated outline of nursing fundamentals.
Each chapter contains objectives, pre- and post chapter tests with comprehensive rationales, vocabulary review, practice to pass exercises, critical thinking case studies, as well as NCLEX alerts and new test-taking strategies. Content includes all of the "need-to-know" facts covering the nursing process, physical assessment, communication, professional standards, health promotion through the lifespan, and more.
Fundamentals of Nursing, 9th Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, evidence-based practice, nursing theory, and safe clinical care in all settings. From an expert author team led by Patricia Potter and Anne Griffin Perry, this bestselling nursing textbook helps you develop the understanding and clinical reasoning you need to provide excellent patient care.
Critical Thinking Models in each clinical chapter show how to apply the nursing process and critical thinking to achieve successful clinical outcomes. Evidence-Based Practice chapter shows how nursing research helps in determining best practices.
Caring for the Cancer Survivor chapter prepares nurses to care for cancer patients who may still face physical and emotional issues. Case studies include unique clinical application questions and exercises, allowing you to practice using care plans and concept maps. The 5-step nursing process provides a consistent framework for care, and is demonstrated in more than 20 care plans. Clear, streamlined writing style makes complex material more approachable.
More than 20 concept maps show care planning for clients with multiple nursing diagnoses. Key points and key terms in each chapter summarize important content for more efficient review and study. Unexpected Outcomes and Related Interventions for each skill alert you to potential problems and appropriate nursing actions. Delegation coverage clarifies which tasks can and cannot be delegated. A glossary provides quick access to definitions for all key terms. It's your complete guide to nursing - from basic concepts to essential skills!
Patient Safety and Quality chapter describes how quality and safety apply to the nurse, and includes a new skill on fall prevention in healthcare settings. NEW content addresses the Affordable Care Act, patients' perspectives on hospital care as measured by HCAHPS surveys, health disparities and vulnerable populations, compassion fatigue, pain assessment, patient education techniques like teach-back, new equipment, Healthy People , and more.
Unique Evidence-Based Practice boxes in every chapter include a PICO question - the Problem, Intervention, Comparison, and Outcome - and summarize a research study along with its application to nursing practice.
Over NEW photos clarify procedures and familiarize you with the latest clinical equipment. With a greater emphasis on, and integration of, interprofessional collaboration, health literacy, and clinical reasoning, Canadian Fundamentals of Nursing, Sixth Edition provides you with the solid educational foundation to learn nursing principles, concepts, and skills with ease. The Sixth edition includes new chapters focused on the health needs of Indigenous people along with information on how to collaborate among interprofessional disciplines.
Thoroughly reviewed by Canadian nursing experts, this edition ensures that you are well prepared to practise in Canada. Case studies include unique clinical application questions and exercises, allowing students to practise using care plans and concept maps. New photos capture the latest updates in skills and equipment relevant to Canadian nursing practice.
More than 50 skills demonstrations provide illustrated, step-by-step instructions for safe nursing care — and include rationales for each step.
Focus on Older Persons boxes highlight key aspects of nursing assessment and care for this population. Planning sections help nurses plan and prioritize care by emphasizing Goals and Outcomes, Setting Priorities, and Teamwork and Collaboration. Implementation sections cover health promotion, acute care, and continuing care to prepare you for all levels of care in all settings. Unexpected Outcomes and Related Interventions for each skill offer alerts to potential problems and appropriate nursing actions.
Procedural guidelines provide streamlined, step-by-step instructions for performing basic skills. Critical Thinking Models in each clinical chapter show students how to apply the nursing process and critical thinking to achieve successful clinical outcomes. Evidence-Informed Practice chapter includes the concept of research literacy and discusses quality improvement QI. This textbook is designed for beginning students in all types of professional nursing programs.
The comprehensive coverage provides fundamental nursing concepts, skills, and techniques of nursing practice and a firm foundation for more advanced areas of study. This revision immerses students in a proven nursing framework that clarifies key capabilities — from promoting health, to differentiating between normal function and dysfunction, to the use of scientific rationales and the approved nursing process — and includes new Unfolding Patient Stories and Critical Thinking Using QSEN Competencies.
Bring the principles of nursing to life and build a foundation for success from the classroom to the clinical setting. Fundamentals of Nursing: Concepts and Competencies for Practice, 9th Edition helps foster the strong critical thinking, clinical judgment, clear communication, and sound clinical skills students need to succeed throughout the nursing curriculum and to meet the challenges practicing nurses confront each day.
Drawing from the latest clinical evidence, this big-picture approach breathes life into theoretical principles, putting students in the mindset of a successful nurse and immersing them in a proven nursing process framework that clarifies key capabilities, from promoting health to differentiating between normal function and dysfunction, to the use of scientific rationales and the approved nursing process. This updated 9th Edition further enhances students'' clinical capabilities with new Unfolding Patient Stories that challenge students to think critically about commonly encountered patient scenarios.
Unfolding Patient Stories, written by the National League for Nursing, foster valuable reflection on commonly encountered clinical scenarios.
Critical Thinking Using QSEN Competencies features include thought-provoking questions to boost students'' clinical reasoning and problem-solving capabilities. Revised organization of the Table of Contents reflects an updated focus on foundational nursing concepts and competencies. Case Scenarios at the beginning of each chapter encourage students to think holistically about common clinical situations.
Richly illustrated concept maps help visual learners apply the nursing process and think critically about the chapter-opening case scenarios. Collaborating with the Healthcare Team displays familiarize students with the SBAR technique for effective interpersonal communication.
It also addresses new nursing roles and responsibilities as outlined in the Nursing Organization Accord. What are the Fundamentals of Nursing? Just how do they hold to their lack of research-based knowledge, and explain away the fact that they are not equipped to teach their students content, clinicals, or how to work in teams?
Welcome to Collegelearners. It is a concise and practical textbook that focuses on the concepts of caring. Students and professionals who want to study nursing will find the most used material all in one text.
This edition is updated and enhanced with new material and images that will help students and professional succeed and improve their grades and learning process.
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