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| 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 |
| ... MORE | 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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