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Advances in medical knowledge and technology, together with social and political changes, have raised a number of well-publicized moral dilemmas for patients and physicians. Less well publicized, but no less important, are the troubling conflicts of value that arise for nurses in these changing circumstances. As an example of the sort of dilemma created by the special role and responsibilities …
Surgical Nursing was constructed to provide today’s nursing students with an understanding of the nurse’s role in health and illness within evolving practice environments and across the spectrum of health and illness. The textbook’s content has been revised and updated by experts in the field to reflect current practice and advances in health care and technology.
As a nursing student, you may have preconceived ideas about caring for older adults. Such ideas are influenced by your observations of family members, friends, neighbors, the media, and your own experience with the elderly. Perhaps you have a close relationship with your grandparents or you have noticed the aging of your own parents. For some of you, the aging process may have become noticeable…
The outpouching of the wall of the aorta occurs when the musculoelastic middle layer or media of the artery becomes weak (often caused by plaque and cholesterol deposits) and degenerative changes occur. The inner and outer layers of the arterial wall are stretched, and as the pulsatile force of the blood rushes through the aorta, the vessel wall becomes increasingly weak, and the aneurysm enlar…
Davis’sDrugGuideforNursesprovidescomprehensive,up-to-datedruginformationinwell-organized,nursing-focusedmonographs.Italsoincludesextensivesupplementalmaterialin18appendicesandtheaccompanyingCD-ROM,thoroughlyaddressestheissueofsafemedicationadministration,andeducatesthereaderabout50differenttherapeuticclassesofdrugs.Inthis11thedition,we havecontinuedthetraditionoffocusingonsafemedicationadmini…
Laboratory and diagnostic studies are essential components of a complete patient assessment. Examined in conjunction with an individual’s history and physical examination, laboratory and diagnostic data provide clues about health status. Nurses are increasingly expected to integrate an understanding of laboratory and diagnostic procedures and expected outcomes in assessment, planning, imp…
When present, acetylcholine receptor antibody (AChR) blocks acetylcholine from binding to receptor sites on the muscle membrane. AChR destroys acetylcholine receptor sites, interfering with neuromuscular transmission and causing muscle weakness. Antibodies to acetylcholine receptor sites are present in 90 percent of patients with myasthenia gravis (MG) and in 75 to 80 percent of patients who ei…
Differential diagnosis of back pain is often a daunting task given the wide range of possible causes that must be considered. Terms such as “cervical spine syndrome” or “lumbar spine syndrome” are ambiguous as they identify neither the location nor the nature of the disorder. Oncethehistoryhasbeentaken,anyexaminationofthespineshould be preceded by a general physical examination. This re…
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General Considerations A patient with renal disease can present either as an initial outpatient or inpatient consultation. Some patients may be referred because of abnormal urinary fi ndings, such as hematuria or proteinuria, which may have been incidentally discovered during routine clinical evaluation or as part of initial employment requirements. Depending on the stage of renal diseas…