**Selected for 2025 Doody’s Core Titles® with "Essential Purchase" designation in Fundamentals**
Learn the concepts and skills and develop the clinical judgment you need to provide excellent nursing care! Fundamentals of Nursing, 12th Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, clinical judgment, nursing theory, evidence-based practice, and person-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 that is coordinated with clinical judgement, 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 judgment you need to succeed in the classroom and in your career.
1. Fundamentals of Nursing - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Disclaimer - p. ii 5. Table of Contents - p. iii 6. Evolve Student Resources - p. IFC 7. Copyright - p. iv 8. Contributors and Reviewers - p. v 9. Dedication - p. vii 10. Preface to the instructor - p. viii 11. Acknowledgments - p. x 12. List of Illustrations - p. xi 13. List of Tables - p. xii 14. UNIT 1. Nursing and the Health Care Environment - p. xii 15. 1. Nursing today - p. 1 16. 2. The health care delivery system - p. 14 17. Traditional levels of health care - p. 15 18. Integrated health care delivery - p. 15 19. Issues in health care delivery for nurses - p. 24 20. The future of health care - p. 29 21. Reflective learning - p. 29 22. Review questions - p. 30 23. References - p. 30 24. Research references - p. 32 25. 3. Population health - p. 33 26. 4. Theoretical foundations of nursing practice - p. 44 27. 5. Evidence-based practice - p. 54 28. UNIT 2. Caring Throughout the Life Span - p. 72 29. 6. Health and wellness - p. 73 30. 7. Caring in nursing practice - p. 88 31. 8. Caring for patients with chronic illness - p. 99 32. The prevalence and costs of chronic disease - p. 99 33. Multifactorial nature of chronic disease - p. 100 34. Family caregivers - p. 104 35. The chronic care model - p. 105 36. Implications for nursing - p. 106 37. Health promotion and disease prevention - p. 108 38. Reflective learning - p. 111 39. Review questions - p. 111 40. References - p. 111 41. Research references - p. 113 42. 9. Cultural care - p. 114 43. Culture and health - p. 116 44. Cultural identity and cultural competence - p. 119 45. Cultural awareness and knowledge - p. 121 46. Cultural skill - p. 123 47. Reflective learning - p. 128 48. Review questions - p. 128 49. References - p. 128 50. Research references - p. 129 51. 10. Family dynamics - p. 131 52. 11. Developmental theories - p. 145 53. 12. Conception through adolescence - p. 153 54. Stages of growth and development - p. 153 55. Selecting a developmental framework for nursing - p. 153 56. Intrauterine life - p. 153 57. Transition from intrauterine to extrauterine life - p. 154 58. Newborn - p. 154 59. Infant - p. 156 60. Toddler - p. 159 61. Preschooler - p. 161 62. School-age child and adolescent - p. 162 63. School-age child - p. 162 64. Adolescent - p. 164 65. Reflective learning - p. 168 66. Review questions - p. 169 67. References - p. 169 68. Research references - p. 170 69. 13. Young and middle adults - p. 171 70. Young adults - p. 171 71. Middle adults - p. 179 72. Reflective learning - p. 184 73. Review questions - p. 184 74. References - p. 185 75. Research references - p. 186 76. 14. Older adults - p. 187 77. Variability among older adults - p. 187 78. Myths and stereotypes - p. 188 79. Nurses’ attitudes toward older adults - p. 188 80. Developmental tasks for older adults - p. 188 81. Community-based and institutional health care services - p. 189 82. Assessing the needs of older adults - p. 189 83. Addressing the health concerns of older adults - p. 198 84. Care of older adults - p. 205 85. Reflective learning - p. 206 86. Review questions - p. 207 87. References - p. 207 88. Research references - p. 208 89. UNIT 3. Clinical Judgment in Nursing Practice - p. 209 90. 15. Critical thinking and clinical judgment - p. 210 91. 16. Nursing assessment - p. 226 92. 17. Analysis and nursing diagnosis - p. 244 93. 18. Planning and outcomes identification in nursing care - p. 258 94. 19. Implementing nursing care - p. 276 95. 20. Evaluation - p. 293 96. 21. Managing patient care - p. 305 97. UNIT 4. Professional Standards in Nursing Practice - p. 318 98. 22. Ethics and values - p. 319 99. 23. Legal implications in nursing practice - p. 330 100. Legal limits of nursing - p. 330 101. Federal statutes affecting nursing practice - p. 331 102. State statutes affecting nursing practice - p. 336 103. Nursing workforce guidelines - p. 338 104. Legal implications and reducing your legal risks - p. 340 105. Reflective learning - p. 344 106. Review questions - p. 344 107. References - p. 345 108. Research references - p. 346 109. 24. Communication - p. 346 110. Communication and nursing practice - p. 347 111. Elements of the communication process - p. 350 112. Forms of communication - p. 351 113. Professional nursing relationships - p. 353 114. Elements of professional communication - p. 356 115. Nursing process - p. 357 116. Reflective learning - p. 366 117. Review questions - p. 366 118. References - p. 366 119. Research references - p. 367 120. 25. Patient education - p. 367 121. Purposes of patient education - p. 368 122. Teaching and learning - p. 369 123. Domains of learning - p. 371 124. Basic learning principles - p. 372 125. Clinical judgment in patient education - p. 377 126. Nursing process - p. 377 127. Reflective learning - p. 388 128. Review questions - p. 388 129. References - p. 389 130. Research references - p. 390 131. 26. Informatics and documentation - p. 390 132. UNIT 5. Foundations for Nursing Practice - p. 408 133. 27. Patient safety and quality - p. 409 134. Scientific knowledge base - p. 410 135. Nursing knowledge base - p. 413 136. Critical thinking - p. 419 137. Nursing process - p. 420 138. Safety guidelines for nursing skills - p. 439 139. SKILL 27.1 Fall prevention in health care settings - p. 439 140. SKILL 27.2 Applying physical restraints - p. 445 141. Reflective learning - p. 451 142. Review questions - p. 451 143. References - p. 451 144. Research references - p. 453 145. 28. Infection prevention and control - p. 454 146. Scientific knowledge base - p. 456 147. Nursing knowledge base - p. 461 148. Nursing process - p. 462 149. Safety guidelines for nursing skills - p. 486 150. SKILL 28.1 Hand hygiene - p. 486 151. SKILL 28.2 Preparation of a sterile field - p. 488 152. SKILL 28.3 Surgical hand antisepsis - p. 493 153. SKILL 28.4 Sterile gloving - p. 495 154. Reflective learning - p. 499 155. Review questions - p. 499 156. References - p. 499 157. Research references - p. 501 158. 29. Vital signs - p. 502 159. Guidelines for measuring vital signs - p. 503 160. Body temperature - p. 503 161. Nursing process - p. 507 162. Pulse - p. 512 163. Nursing process - p. 513 164. Respiration - p. 516 165. Nursing process - p. 516 166. Blood pressure - p. 519 167. Nursing process - p. 522 168. Safety guidelines for nursing skills - p. 528 169. SKILL 29.1 Measuring body temperature - p. 529 170. SKILL 29.2 Assessing apical and radial pulse - p. 534 171. SKILL 29.3 Assessing respirations - p. 538 172. SKILL 29.4 Measuring oxygen saturation (pulse oximetry) - p. 541 173. SKILL 29.5 Assessing arterial blood prSKILL 29.5 essure - p. 543 174. Reflective learning - p. 549 175. Review questions - p. 549 176. References - p. 550 177. Research references - p. 550 178. 30. Health assessment and physical examination - p. 551 179. Purposes of the physical examination - p. 553 180. Preparation for examination - p. 553 181. Organization of the examination - p. 556 182. Techniques of physical assessment - p. 558 183. General survey - p. 560 184. Skin, hair, and nails - p. 564 185. Head and neck - p. 571 186. Thorax and lungs - p. 586 187. Heart - p. 591 188. Breasts - p. 599 189. Abdomen - p. 604 190. Female genitalia and reproductive tract - p. 607 191. Male genitalia - p. 609 192. Rectum and anus - p. 612 193. Musculoskeletal system - p. 613 194. Neurological system - p. 617 195. After the examination - p. 623 196. Reflective learning - p. 624 197. Review questions - p. 624 198. References - p. 624 199. Research references - p. 625 200. 31. Medication administration - p. 625 201. Scientific knowledge base - p. 626 202. Nursing knowledge base - p. 635 203. Critical thinking - p. 643 204. Nursing process - p. 646 205. Medication administration - p. 652 206. Safety guidelines for nursing skills - p. 675 207. SKILL 31.1 Administering oral medications - p. 676 208. SKILL 31.2 Administering ophthalmic medications - p. 680 209. SKILL 31.3 Using metered-dose inhalers (MDIs), dry powder inhalers (DPIs), or soft mist inhalers (SMIs) - p. 684 210. SKILL 31.4 Preparing injections: Ampules and vials - p. 689 211. SKILL 31.5 Administering injections - p. 694 212. Needle length and injection sites for immunizations (based on CDC [2023a] guidelines) - p. 694 213. SKILL 31.6 Administering medications by intravenous push - p. 699 214. SKILL 31.7 Administering intravenous medications by piggyback and syringe pumps - p. 703 215. Reflective learning - p. 708 216. Review questions - p. 708 217. References - p. 709 218. Research references - p. 710 219. 32. Complementary, alternative, and integrative therapies - p. 710 220. UNIT 6. Psychosocial Basis for Nursing Practice - p. 725 221. 33. Self-concept - p. 726 222. 34. Sexuality - p. 745 223. Scientific knowledge base - p. 746 224. Nursing knowledge base - p. 749 225. Critical thinking - p. 754 226. Nursing process - p. 754 227. Reflective learning - p. 763 228. Review questions - p. 763 229. References - p. 764 230. Research references - p. 765 231. 35. Spiritual health - p. 766 232. 36. Loss and grief - p. 785 233. Scientific knowledge base - p. 786 234. Nursing knowledge base - p. 788 235. Critical thinking - p. 790 236. Nursing process - p. 790 237. Reflective learning - p. 806 238. Review questions - p. 806 239. References - p. 807 240. Research references - p. 808 241. 37. Stress and coping - p. 809 242. Scientific knowledge base - p. 810 243. Nursing knowledge base - p. 812 244. Critical thinking - p. 815 245. Nursing process - p. 816 246. Reflective learning - p. 825 247. Review questions - p. 825 248. References - p. 826 249. Research references - p. 826 250. UNIT 7. Physiological Basis for Nursing Practice - p. 827 251. 38. Activity and exercise - p. 828 252. Scientific knowledge base - p. 830 253. Nursing knowledge base - p. 835 254. Critical thinking - p. 838 255. Nursing process - p. 840 256. Safety guidelines for nursing skills - p. 862 257. SKILL 38.1 Using safe and effective transfer techniques - p. 862 258. Reflective learning - p. 874 259. Review questions - p. 874 260. References - p. 875 261. Research references - p. 877 262. 39. Immobility - p. 878 263. Scientific knowledge base - p. 878 264. Nursing knowledge base - p. 881 265. Critical thinking - p. 885 266. Nursing process - p. 886 267. Safety guidelines for nursing skills - p. 910 268. SKILL 39.1 Moving and positioning patients in bed - p. 910 269. Reflective learning - p. 919 270. Review questions - p. 919 271. References - p. 920 272. Research references - p. 921 273. 40. Hygiene - p. 922 274. Scientific knowledge base - p. 922 275. Nursing knowledge base - p. 924 276. Critical thinking - p. 926 277. Nursing process - p. 927 278. Safety guidelines for nursing skills - p. 959 279. SKILL 40.1 Bathing and perineal care - p. 959 280. SKILL 40.2 Performing nail and foot care - p. 969 281. SKILL 40.3 Performing mouth care for a patient who is unconscious or debilitated - p. 973 282. Reflective learning - p. 976 283. Review questions - p. 976 284. References - p. 977 285. Research references - p. 977 286. 41. Oxygenation - p. 979 287. Scientific knowledge base - p. 979 288. Nursing knowledge base - p. 986 289. Critical thinking - p. 988 290. Nursing process - p. 988 291. Safety guidelines for nursing skills - p. 1017 292. SKILL 41.1 Suctioning - p. 1018 293. SKILL 41.2 Care of an artificial airway - p. 1028 294. SKILL 41.3 Care of patients with chest tubes - p. 1038 295. SKILL 41.4 Using home oxygen equipment - p. 1044 296. Reflective learning - p. 1048 297. Review questions - p. 1048 298. References - p. 1048 299. Research references - p. 1050 300. 42. Fluid, electrolyte, and acid-base balance - p. 1052 301. Scientific knowledge base - p. 1053 302. Nursing knowledge base - p. 1064 303. Critical thinking - p. 1064 304. Nursing process - p. 1064 305. Safety guidelines for nursing skills - p. 1088 306. SKILL 42.1 Insertion of a short peripheral intravenous device - p. 1088 307. SKILL 42.2 Regulating intravenous flow rates - p. 1099 308. SKILL 42.3 Maintenance of an intravenous system - p. 1103 309. SKILL 42.4 Changing a short peripheral intravenous dressing - p. 1108 310. Reflective learning - p. 1113 311. Review questions - p. 1113 312. References - p. 1113 313. Research references - p. 1114 314. 43. Sleep - p. 1114 315. Scientific knowledge base - p. 1116 316. Nursing knowledge base - p. 1120 317. Critical thinking - p. 1123 318. Nursing process - p. 1123 319. Reflective learning - p. 1137 320. Review questions - p. 1138 321. References - p. 1138 322. Research references - p. 1139 323. 44. Pain management - p. 1141 324. Scientific knowledge base - p. 1142 325. Nursing knowledge base - p. 1145 326. Critical thinking - p. 1150 327. Nursing process - p. 1151 328. Safety guidelines for nursing skills - p. 1176 329. SKILL 44.1 Patient-controlled analgesia - p. 1176 330. Reflective learning - p. 1181 331. Review questions - p. 1181 332. References - p. 1181 333. Research references - p. 1182 334. 45. Nutrition - p. 1184 335. Scientific knowledge base - p. 1186 336. Nursing knowledge base - p. 1191 337. Critical thinking - p. 1196 338. Nursing process - p. 1197 339. Safety guidelines for nursing skills - p. 1218 340. SKILL 45.1 Aspiration precautions - p. 1218 341. SKILL 45.2 Insertion and removal of a small-bore feeding tube - p. 1221 342. SKILL 45.3 Administering enteral nutrition: Nasogastric, nasointestinal, gastrostomy, or jejunostomy tube - p. 1227 343. SKILL 45.4 Blood glucose monitoring - p. 1232 344. Reflective learning - p. 1236 345. Review questions - p. 1237 346. References - p. 1237 347. Research references - p. 1238 348. 46. Urinary elimination - p. 1240 349. Scientific knowledge base - p. 1240 350. Nursing knowledge base - p. 1245 351. Critical thinking - p. 1246 352. Nursing process - p. 1247 353. Safety guidelines for nursing skills - p. 1269 354. SKILL 46.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter - p. 1269 355. SKILL 46.2 Insertion of a straight (intermittent) or indwelling urinary catheter - p. 1273 356. SKILL 46.3 Care and removal of an indwelling catheter - p. 1281 357. SKILL 46.4 Closed catheter irrigation - p. 1284 358. Reflective learning - p. 1287 359. Review questions - p. 1288 360. References - p. 1288 361. Research references - p. 1289 362. 47. Bowel elimination - p. 1290 363. Scientific knowledge base - p. 1290 364. Nursing knowledge base - p. 1292 365. Critical thinking - p. 1295 366. Nursing process - p. 1295 367. Safety guidelines for nursing skills - p. 1314 368. SKILL 47.1 Administering an enema - p. 1315 369. SKILL 47.2 Insertion, maintenance, and removal of a nasogastric tube for gastric decompression - p. 1318 370. SKILL 47.3 Pouching a colostomy or SKILL 47.3 an ileostomy - p. 1326 371. Reflective learning - p. 1329 372. Review questions - p. 1330 373. References - p. 1330 374. Research references - p. 1331 375. 48. Skin integrity and wound care - p. 1332 376. Scientific knowledge base - p. 1332 377. Nursing knowledge base - p. 1341 378. Critical thinking - p. 1344 379. Nursing process - p. 1345 380. Safety guidelines for nursing skills - p. 1375 381. SKILL 48.1 Risk assessment, skin assessment, and prevention strategies for pressure injury - p. 1375 382. SKILL 48.2 Treating pressure injuries and wounds - p. 1380 383. SKILL 48.3 Applying dry and moist dressings - p. 1384 384. SKILL 48.4 Implementation of negative-pressure wound therapy (NPWT) - p. 1391 385. SKILL 48.5 Performing wound irrigation - p. 1395 386. SKILL 48.6 Applying roller gauze or elastic bandage - p. 1398 387. Reflective learning - p. 1402 388. Review questions - p. 1402 389. References - p. 1403 390. Research references - p. 1404 391. 49. Sensory alterations - p. 1406 392. Scientific knowledge base - p. 1407 393. Nursing knowledge base - p. 1409 394. Critical thinking - p. 1410 395. Nursing process - p. 1411 396. Reflective learning - p. 1427 397. Review questions - p. 1427 398. References - p. 1428 399. Research references - p. 1429 400. 50. Perioperative nursing care - p. 1430 401. Scientific knowledge base - p. 1431 402. Nursing knowledge base - p. 1436 403. Perioperative phases - p. 1436 404. Critical thinking - p. 1437 405. Preoperative surgical phase - p. 1437 406. Transport to the operating room - p. 1455 407. Intraoperative surgical phase - p. 1455 408. Postoperative surgical phase - p. 1458 409. Recovery of inpatients: Postoperative recovery and convalescence - p. 1461 410. Nursing process - p. 1461 411. Safety guidelines for nursing skills - p. 1472 412. SKILL 50.1 Perioperative teaching - p. 1472 413. Reflective learning - p. 1478 414. Review questions - p. 1478 415. References - p. 1479 416. Research references - p. 1480 417. Index - p. 1482 418. Special features - p. ES6
**Selected for 2025 Doody’s Core Titles® with "Essential Purchase" designation in Fundamentals**
Learn the concepts and skills and develop the clinical judgment you need to provide excellent nursing care! Fundamentals of Nursing, 12th Edition prepares you to succeed as a nurse by providing a solid foundation in critical thinking, clinical judgment, nursing theory, evidence-based practice, and person-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 that is coordinated with clinical judgement, 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 judgment you need to succeed in the classroom and in your career.
1. Fundamentals of Nursing - p. i 2. Cover image - p. i 3. Title page - p. ii 4. Disclaimer - p. ii 5. Table of Contents - p. iii 6. Evolve Student Resources - p. IFC 7. Copyright - p. iv 8. Contributors and Reviewers - p. v 9. Dedication - p. vii 10. Preface to the instructor - p. viii 11. Acknowledgments - p. x 12. List of Illustrations - p. xi 13. List of Tables - p. xii 14. UNIT 1. Nursing and the Health Care Environment - p. xii 15. 1. Nursing today - p. 1 16. 2. The health care delivery system - p. 14 17. Traditional levels of health care - p. 15 18. Integrated health care delivery - p. 15 19. Issues in health care delivery for nurses - p. 24 20. The future of health care - p. 29 21. Reflective learning - p. 29 22. Review questions - p. 30 23. References - p. 30 24. Research references - p. 32 25. 3. Population health - p. 33 26. 4. Theoretical foundations of nursing practice - p. 44 27. 5. Evidence-based practice - p. 54 28. UNIT 2. Caring Throughout the Life Span - p. 72 29. 6. Health and wellness - p. 73 30. 7. Caring in nursing practice - p. 88 31. 8. Caring for patients with chronic illness - p. 99 32. The prevalence and costs of chronic disease - p. 99 33. Multifactorial nature of chronic disease - p. 100 34. Family caregivers - p. 104 35. The chronic care model - p. 105 36. Implications for nursing - p. 106 37. Health promotion and disease prevention - p. 108 38. Reflective learning - p. 111 39. Review questions - p. 111 40. References - p. 111 41. Research references - p. 113 42. 9. Cultural care - p. 114 43. Culture and health - p. 116 44. Cultural identity and cultural competence - p. 119 45. Cultural awareness and knowledge - p. 121 46. Cultural skill - p. 123 47. Reflective learning - p. 128 48. Review questions - p. 128 49. References - p. 128 50. Research references - p. 129 51. 10. Family dynamics - p. 131 52. 11. Developmental theories - p. 145 53. 12. Conception through adolescence - p. 153 54. Stages of growth and development - p. 153 55. Selecting a developmental framework for nursing - p. 153 56. Intrauterine life - p. 153 57. Transition from intrauterine to extrauterine life - p. 154 58. Newborn - p. 154 59. Infant - p. 156 60. Toddler - p. 159 61. Preschooler - p. 161 62. School-age child and adolescent - p. 162 63. School-age child - p. 162 64. Adolescent - p. 164 65. Reflective learning - p. 168 66. Review questions - p. 169 67. References - p. 169 68. Research references - p. 170 69. 13. Young and middle adults - p. 171 70. Young adults - p. 171 71. Middle adults - p. 179 72. Reflective learning - p. 184 73. Review questions - p. 184 74. References - p. 185 75. Research references - p. 186 76. 14. Older adults - p. 187 77. Variability among older adults - p. 187 78. Myths and stereotypes - p. 188 79. Nurses’ attitudes toward older adults - p. 188 80. Developmental tasks for older adults - p. 188 81. Community-based and institutional health care services - p. 189 82. Assessing the needs of older adults - p. 189 83. Addressing the health concerns of older adults - p. 198 84. Care of older adults - p. 205 85. Reflective learning - p. 206 86. Review questions - p. 207 87. References - p. 207 88. Research references - p. 208 89. UNIT 3. Clinical Judgment in Nursing Practice - p. 209 90. 15. Critical thinking and clinical judgment - p. 210 91. 16. Nursing assessment - p. 226 92. 17. Analysis and nursing diagnosis - p. 244 93. 18. Planning and outcomes identification in nursing care - p. 258 94. 19. Implementing nursing care - p. 276 95. 20. Evaluation - p. 293 96. 21. Managing patient care - p. 305 97. UNIT 4. Professional Standards in Nursing Practice - p. 318 98. 22. Ethics and values - p. 319 99. 23. Legal implications in nursing practice - p. 330 100. Legal limits of nursing - p. 330 101. Federal statutes affecting nursing practice - p. 331 102. State statutes affecting nursing practice - p. 336 103. Nursing workforce guidelines - p. 338 104. Legal implications and reducing your legal risks - p. 340 105. Reflective learning - p. 344 106. Review questions - p. 344 107. References - p. 345 108. Research references - p. 346 109. 24. Communication - p. 346 110. Communication and nursing practice - p. 347 111. Elements of the communication process - p. 350 112. Forms of communication - p. 351 113. Professional nursing relationships - p. 353 114. Elements of professional communication - p. 356 115. Nursing process - p. 357 116. Reflective learning - p. 366 117. Review questions - p. 366 118. References - p. 366 119. Research references - p. 367 120. 25. Patient education - p. 367 121. Purposes of patient education - p. 368 122. Teaching and learning - p. 369 123. Domains of learning - p. 371 124. Basic learning principles - p. 372 125. Clinical judgment in patient education - p. 377 126. Nursing process - p. 377 127. Reflective learning - p. 388 128. Review questions - p. 388 129. References - p. 389 130. Research references - p. 390 131. 26. Informatics and documentation - p. 390 132. UNIT 5. Foundations for Nursing Practice - p. 408 133. 27. Patient safety and quality - p. 409 134. Scientific knowledge base - p. 410 135. Nursing knowledge base - p. 413 136. Critical thinking - p. 419 137. Nursing process - p. 420 138. Safety guidelines for nursing skills - p. 439 139. SKILL 27.1 Fall prevention in health care settings - p. 439 140. SKILL 27.2 Applying physical restraints - p. 445 141. Reflective learning - p. 451 142. Review questions - p. 451 143. References - p. 451 144. Research references - p. 453 145. 28. Infection prevention and control - p. 454 146. Scientific knowledge base - p. 456 147. Nursing knowledge base - p. 461 148. Nursing process - p. 462 149. Safety guidelines for nursing skills - p. 486 150. SKILL 28.1 Hand hygiene - p. 486 151. SKILL 28.2 Preparation of a sterile field - p. 488 152. SKILL 28.3 Surgical hand antisepsis - p. 493 153. SKILL 28.4 Sterile gloving - p. 495 154. Reflective learning - p. 499 155. Review questions - p. 499 156. References - p. 499 157. Research references - p. 501 158. 29. Vital signs - p. 502 159. Guidelines for measuring vital signs - p. 503 160. Body temperature - p. 503 161. Nursing process - p. 507 162. Pulse - p. 512 163. Nursing process - p. 513 164. Respiration - p. 516 165. Nursing process - p. 516 166. Blood pressure - p. 519 167. Nursing process - p. 522 168. Safety guidelines for nursing skills - p. 528 169. SKILL 29.1 Measuring body temperature - p. 529 170. SKILL 29.2 Assessing apical and radial pulse - p. 534 171. SKILL 29.3 Assessing respirations - p. 538 172. SKILL 29.4 Measuring oxygen saturation (pulse oximetry) - p. 541 173. SKILL 29.5 Assessing arterial blood prSKILL 29.5 essure - p. 543 174. Reflective learning - p. 549 175. Review questions - p. 549 176. References - p. 550 177. Research references - p. 550 178. 30. Health assessment and physical examination - p. 551 179. Purposes of the physical examination - p. 553 180. Preparation for examination - p. 553 181. Organization of the examination - p. 556 182. Techniques of physical assessment - p. 558 183. General survey - p. 560 184. Skin, hair, and nails - p. 564 185. Head and neck - p. 571 186. Thorax and lungs - p. 586 187. Heart - p. 591 188. Breasts - p. 599 189. Abdomen - p. 604 190. Female genitalia and reproductive tract - p. 607 191. Male genitalia - p. 609 192. Rectum and anus - p. 612 193. Musculoskeletal system - p. 613 194. Neurological system - p. 617 195. After the examination - p. 623 196. Reflective learning - p. 624 197. Review questions - p. 624 198. References - p. 624 199. Research references - p. 625 200. 31. Medication administration - p. 625 201. Scientific knowledge base - p. 626 202. Nursing knowledge base - p. 635 203. Critical thinking - p. 643 204. Nursing process - p. 646 205. Medication administration - p. 652 206. Safety guidelines for nursing skills - p. 675 207. SKILL 31.1 Administering oral medications - p. 676 208. SKILL 31.2 Administering ophthalmic medications - p. 680 209. SKILL 31.3 Using metered-dose inhalers (MDIs), dry powder inhalers (DPIs), or soft mist inhalers (SMIs) - p. 684 210. SKILL 31.4 Preparing injections: Ampules and vials - p. 689 211. SKILL 31.5 Administering injections - p. 694 212. Needle length and injection sites for immunizations (based on CDC [2023a] guidelines) - p. 694 213. SKILL 31.6 Administering medications by intravenous push - p. 699 214. SKILL 31.7 Administering intravenous medications by piggyback and syringe pumps - p. 703 215. Reflective learning - p. 708 216. Review questions - p. 708 217. References - p. 709 218. Research references - p. 710 219. 32. Complementary, alternative, and integrative therapies - p. 710 220. UNIT 6. Psychosocial Basis for Nursing Practice - p. 725 221. 33. Self-concept - p. 726 222. 34. Sexuality - p. 745 223. Scientific knowledge base - p. 746 224. Nursing knowledge base - p. 749 225. Critical thinking - p. 754 226. Nursing process - p. 754 227. Reflective learning - p. 763 228. Review questions - p. 763 229. References - p. 764 230. Research references - p. 765 231. 35. Spiritual health - p. 766 232. 36. Loss and grief - p. 785 233. Scientific knowledge base - p. 786 234. Nursing knowledge base - p. 788 235. Critical thinking - p. 790 236. Nursing process - p. 790 237. Reflective learning - p. 806 238. Review questions - p. 806 239. References - p. 807 240. Research references - p. 808 241. 37. Stress and coping - p. 809 242. Scientific knowledge base - p. 810 243. Nursing knowledge base - p. 812 244. Critical thinking - p. 815 245. Nursing process - p. 816 246. Reflective learning - p. 825 247. Review questions - p. 825 248. References - p. 826 249. Research references - p. 826 250. UNIT 7. Physiological Basis for Nursing Practice - p. 827 251. 38. Activity and exercise - p. 828 252. Scientific knowledge base - p. 830 253. Nursing knowledge base - p. 835 254. Critical thinking - p. 838 255. Nursing process - p. 840 256. Safety guidelines for nursing skills - p. 862 257. SKILL 38.1 Using safe and effective transfer techniques - p. 862 258. Reflective learning - p. 874 259. Review questions - p. 874 260. References - p. 875 261. Research references - p. 877 262. 39. Immobility - p. 878 263. Scientific knowledge base - p. 878 264. Nursing knowledge base - p. 881 265. Critical thinking - p. 885 266. Nursing process - p. 886 267. Safety guidelines for nursing skills - p. 910 268. SKILL 39.1 Moving and positioning patients in bed - p. 910 269. Reflective learning - p. 919 270. Review questions - p. 919 271. References - p. 920 272. Research references - p. 921 273. 40. Hygiene - p. 922 274. Scientific knowledge base - p. 922 275. Nursing knowledge base - p. 924 276. Critical thinking - p. 926 277. Nursing process - p. 927 278. Safety guidelines for nursing skills - p. 959 279. SKILL 40.1 Bathing and perineal care - p. 959 280. SKILL 40.2 Performing nail and foot care - p. 969 281. SKILL 40.3 Performing mouth care for a patient who is unconscious or debilitated - p. 973 282. Reflective learning - p. 976 283. Review questions - p. 976 284. References - p. 977 285. Research references - p. 977 286. 41. Oxygenation - p. 979 287. Scientific knowledge base - p. 979 288. Nursing knowledge base - p. 986 289. Critical thinking - p. 988 290. Nursing process - p. 988 291. Safety guidelines for nursing skills - p. 1017 292. SKILL 41.1 Suctioning - p. 1018 293. SKILL 41.2 Care of an artificial airway - p. 1028 294. SKILL 41.3 Care of patients with chest tubes - p. 1038 295. SKILL 41.4 Using home oxygen equipment - p. 1044 296. Reflective learning - p. 1048 297. Review questions - p. 1048 298. References - p. 1048 299. Research references - p. 1050 300. 42. Fluid, electrolyte, and acid-base balance - p. 1052 301. Scientific knowledge base - p. 1053 302. Nursing knowledge base - p. 1064 303. Critical thinking - p. 1064 304. Nursing process - p. 1064 305. Safety guidelines for nursing skills - p. 1088 306. SKILL 42.1 Insertion of a short peripheral intravenous device - p. 1088 307. SKILL 42.2 Regulating intravenous flow rates - p. 1099 308. SKILL 42.3 Maintenance of an intravenous system - p. 1103 309. SKILL 42.4 Changing a short peripheral intravenous dressing - p. 1108 310. Reflective learning - p. 1113 311. Review questions - p. 1113 312. References - p. 1113 313. Research references - p. 1114 314. 43. Sleep - p. 1114 315. Scientific knowledge base - p. 1116 316. Nursing knowledge base - p. 1120 317. Critical thinking - p. 1123 318. Nursing process - p. 1123 319. Reflective learning - p. 1137 320. Review questions - p. 1138 321. References - p. 1138 322. Research references - p. 1139 323. 44. Pain management - p. 1141 324. Scientific knowledge base - p. 1142 325. Nursing knowledge base - p. 1145 326. Critical thinking - p. 1150 327. Nursing process - p. 1151 328. Safety guidelines for nursing skills - p. 1176 329. SKILL 44.1 Patient-controlled analgesia - p. 1176 330. Reflective learning - p. 1181 331. Review questions - p. 1181 332. References - p. 1181 333. Research references - p. 1182 334. 45. Nutrition - p. 1184 335. Scientific knowledge base - p. 1186 336. Nursing knowledge base - p. 1191 337. Critical thinking - p. 1196 338. Nursing process - p. 1197 339. Safety guidelines for nursing skills - p. 1218 340. SKILL 45.1 Aspiration precautions - p. 1218 341. SKILL 45.2 Insertion and removal of a small-bore feeding tube - p. 1221 342. SKILL 45.3 Administering enteral nutrition: Nasogastric, nasointestinal, gastrostomy, or jejunostomy tube - p. 1227 343. SKILL 45.4 Blood glucose monitoring - p. 1232 344. Reflective learning - p. 1236 345. Review questions - p. 1237 346. References - p. 1237 347. Research references - p. 1238 348. 46. Urinary elimination - p. 1240 349. Scientific knowledge base - p. 1240 350. Nursing knowledge base - p. 1245 351. Critical thinking - p. 1246 352. Nursing process - p. 1247 353. Safety guidelines for nursing skills - p. 1269 354. SKILL 46.1 Urine specimen collection: Midstream (clean-voided) urine; sterile urinary catheter - p. 1269 355. SKILL 46.2 Insertion of a straight (intermittent) or indwelling urinary catheter - p. 1273 356. SKILL 46.3 Care and removal of an indwelling catheter - p. 1281 357. SKILL 46.4 Closed catheter irrigation - p. 1284 358. Reflective learning - p. 1287 359. Review questions - p. 1288 360. References - p. 1288 361. Research references - p. 1289 362. 47. Bowel elimination - p. 1290 363. Scientific knowledge base - p. 1290 364. Nursing knowledge base - p. 1292 365. Critical thinking - p. 1295 366. Nursing process - p. 1295 367. Safety guidelines for nursing skills - p. 1314 368. SKILL 47.1 Administering an enema - p. 1315 369. SKILL 47.2 Insertion, maintenance, and removal of a nasogastric tube for gastric decompression - p. 1318 370. SKILL 47.3 Pouching a colostomy or SKILL 47.3 an ileostomy - p. 1326 371. Reflective learning - p. 1329 372. Review questions - p. 1330 373. References - p. 1330 374. Research references - p. 1331 375. 48. Skin integrity and wound care - p. 1332 376. Scientific knowledge base - p. 1332 377. Nursing knowledge base - p. 1341 378. Critical thinking - p. 1344 379. Nursing process - p. 1345 380. Safety guidelines for nursing skills - p. 1375 381. SKILL 48.1 Risk assessment, skin assessment, and prevention strategies for pressure injury - p. 1375 382. SKILL 48.2 Treating pressure injuries and wounds - p. 1380 383. SKILL 48.3 Applying dry and moist dressings - p. 1384 384. SKILL 48.4 Implementation of negative-pressure wound therapy (NPWT) - p. 1391 385. SKILL 48.5 Performing wound irrigation - p. 1395 386. SKILL 48.6 Applying roller gauze or elastic bandage - p. 1398 387. Reflective learning - p. 1402 388. Review questions - p. 1402 389. References - p. 1403 390. Research references - p. 1404 391. 49. Sensory alterations - p. 1406 392. Scientific knowledge base - p. 1407 393. Nursing knowledge base - p. 1409 394. Critical thinking - p. 1410 395. Nursing process - p. 1411 396. Reflective learning - p. 1427 397. Review questions - p. 1427 398. References - p. 1428 399. Research references - p. 1429 400. 50. Perioperative nursing care - p. 1430 401. Scientific knowledge base - p. 1431 402. Nursing knowledge base - p. 1436 403. Perioperative phases - p. 1436 404. Critical thinking - p. 1437 405. Preoperative surgical phase - p. 1437 406. Transport to the operating room - p. 1455 407. Intraoperative surgical phase - p. 1455 408. Postoperative surgical phase - p. 1458 409. Recovery of inpatients: Postoperative recovery and convalescence - p. 1461 410. Nursing process - p. 1461 411. Safety guidelines for nursing skills - p. 1472 412. SKILL 50.1 Perioperative teaching - p. 1472 413. Reflective learning - p. 1478 414. Review questions - p. 1478 415. References - p. 1479 416. Research references - p. 1480 417. Index - p. 1482 418. Special features - p. ES6