Table
of Contents
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1 |
Prioritization, Delegation, and
Critical Thinking in Client Management |
1 |
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Prioritization |
1 |
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Delegation |
1 |
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Critical Thinking |
2 |
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Creating an Individualized,
Prioritized Plan of Care |
2 |
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2 |
Selected Nursing Diagnoses,
Interventions Rationales and Documentation |
9 |
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Activity Intolerance |
9 |
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Airway Clearance, Ineffective |
11 |
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Anxiety |
12 |
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Aspiration, Risk For |
15 |
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Breathing Pattern, Ineffective |
17 |
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Cardiac Output, Decreased |
19 |
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Comfort, Readiness for Enhanced |
22 |
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Confusion, Risk for Acute |
22 |
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Constipation |
24 |
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Contamination/Contamination,
Risk For |
27 |
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Coping, Ineffective |
29 |
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Decision-Making, Readiness for
Enhanced |
29 |
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Diarrhea |
29 |
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Falls, Risk For/Injury Risk For |
37 |
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Fluid Volume, Deficient |
33 |
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Fluid Volume, Excess |
34 |
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Gas Exchange, Impaired |
36 |
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Glucose Level, Blood, Risk for
Unstable |
38 |
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Grieving |
40 |
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Health Behaviors, Risk Prone |
42 |
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Infection, Risk For |
42 |
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Mobility, Physical, Impaired |
45 |
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Nutrition: Less Than Body
Requirements, Imbalanced |
47 |
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Oral Mucous Membrane, Impaired,
50 Pain, Acute |
52 |
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Self-Care, Readiness for Enhanced |
54 |
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Self-Concept, Disturbed |
55 |
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Skin Integrity, Impaired, Risk
For |
55 |
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Sleep Pattern, Disturbed |
57 |
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Swallowing, Impaired |
59 |
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Tissue Perfusion, Ineffective |
62 |
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Urinary Elimination, Impaired |
64 |
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Urinary Retention |
66 |
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3 |
Nursing care of the Client Having Surgery |
69 |
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Conscious Sedation |
69 |
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Preoperative Care |
74 |
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Postoperative Care |
82 |
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4 |
The Client with Alterations in Respiratory
Function |
116 |
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Asthma |
116 |
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Chronic Obstructive Pulmonary
Disease |
123 |
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Mechanical Ventilation |
144 |
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Pneumonia |
155 |
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Pneumothorax |
170 |
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Pulmonary Embolism |
181 |
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Thoracic Surgery |
197 |
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Tuberculosis |
211 |
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5 |
The Client With Alterations in Cardiovascular
Function |
226 |
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Abdominal Aortic Aneurysm |
226 |
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Angina Pectoris |
237 |
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Cardiac Dysrhythmias |
247 |
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Carotid Endarterectomy |
258 |
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Deep Vein Thrombosis |
266 |
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Femoropopliteal Bypass |
276 |
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Heart Failure |
286 |
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Heart Surgery: Coronary Artery
Bypass Grafting or Valve Replacement |
303 |
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Hypertension |
326 |
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Implantable Cardiac Devices |
339 |
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Myocardial Infarction |
348 |
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6 |
The Client with Alterations in Neurological
Function |
366 |
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Alzheimer’s Disease/Dementia |
366 |
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Cerebrovascular Accident |
373 |
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Craniocerebral Trauma/Craniotomy |
389 |
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Spinal Cord Injury |
408 |
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Parkinson’s Disease |
435 |
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7 |
The Client with Alterations in Hematologic and Immune function |
449 |
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Human Immunodeficiency Virus
(HIV) Infection and Acquired Immune Deficiency Syndrome (AIDS) |
449 |
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Sepsis |
473 |
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Splenectomy |
484 |
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8 |
The Client with Alterations in Metabolic Function |
485 |
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Diabetes Mellitus |
485 |
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Hyperthyroidism/Thyroidectomy |
504 |
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Hypothyroidism/Myxedema |
521 |
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9 |
The Client with Alterations in the
Gastrointestinal Tract |
529 |
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Abdominal Trauma |
529 |
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Appendicitis/Appendectomy |
541 |
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Bowel Diversion: Ileostomy |
541 |
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Enteral Nutrition |
563 |
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Gastrectomy |
570 |
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Gastric Reduction/Bariatric Surgery |
570 |
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Gastrointestinal (GI) Bleed,
Acute |
583 |
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Inflammatory Bowel Disease:
Ulcerative Colitis and Crohn’s Disease |
592 |
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Intestinal Obstruction and Bowel
Resection |
670 |
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Parenteral Nutrition |
632 |
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Peptic Ulcer |
638 |
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10 |
The Client with
Alterations in the Liver, Biliary Tract, and Pancreas |
639 |
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Cholecystectomy |
639 |
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Cholelithiasis/Cholecystitis |
647 |
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Cirrhosis |
648 |
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Hepatitis |
674 |
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Pancreatitis, Acute |
687 |
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11 |
The Client with Alterations in the
Kidney and Urinary Tract, |
709 |
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Bladder Neck Suspension (Vesicourethral Suspension) |
709 |
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Cystectomy with Urinary Diversion |
716 |
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Nephrectomy |
717 |
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Renal Failure: Acute and Chronic |
726 |
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12 |
The Client With
Alterations in Musculoskeletal Function |
745 |
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Amputation |
745 |
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Fractured Hip with Internal
Fixation or Prosthesis Insertion |
746 |
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Laminectomy/Diskectomy with or Without Fusion |
760 |
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Total Joint Arthroplasty
(Hip/Knee) |
772 |
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13 |
The Client with Alterations in the Breast and
Reproductive System |
788 |
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Colporrhaphy (Anterior and Posterior Repair) |
788 |
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Hysterectomy with Salpingectomy and Oophorectomy |
796 |
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Mastectomy |
802 |
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Radical Prostatectomy |
816 |
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Transurethral Resection of the
Prostate (TURP) |
817 |
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14 |
The Client Receiving Treatment for Neoplastic Disorders |
829 |
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Chemotherapy |
829 |
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External Radiation Therapy (Teletherapy) |
857 |
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Internal Radiation Therapy (Brachytherapy) |
858 |
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15 |
Nursing Care of the Elderly Client |
859 |
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16 |
End-Of-Life Nursing Care |
901 |
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Bibliography |
925 |
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Index |
935 |
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