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Alexander's Care of the Patient in Surgery

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Prepare for success on certification exams and in perioperative nursing! Alexander’s Care of the Patient in Surgery, 16th Edition is the definitive text for nurses and surgical technologists training for a career in the operating room. Illustrated, step-by-step instructions cover patient care in more than 400 surgical interventions, including positioning, instrumentation, and postoperative care. New to this edition is additional coverage of robotic surgery, along with review of evidence-based guidelines for practice. From well-known educator Jane C. Rothrock — and with every chapter authored by an expert nurse — Alexander’s gives you the tools you need to provide safe, high-quality care in the surgical setting.

  • Over 400 general and specialty surgical interventions are covered, as well as many minimally invasive surgical procedures, whether performed in a hospital, outpatient clinic, or in a doctor's office.
  • 900 full-color photos and illustrations show surgical anatomy, procedures, and methods.
  • Comprehensive coverage includes basic perioperative nursing principles, such as patient and environmental safety, infection prevention and control, positioning, anesthesia and pain management, the unique needs of special populations such as pediatric and geriatric patients, and more.
  • Comprehensive practice exams on the Evolve companion website include 300 exam-style questions with rationales.
  • Perioperative nursing considerations include assessment, nursing diagnosis, outcome identification, planning, implementation, evaluation, discharge planning, and patient and family education.
  • Sample plans of care include nursing diagnoses, outcomes, and interventions.
  • Surgical Pharmacology tables summarize the drugs most commonly used for each surgical procedure, including generic and trade names, indications, and pharmacokinetics.
  • Patient and Family Education boxes include specific guidelines for preprocedural and postprocedural care, side effects and complications, home care, discharge instructions, and psychosocial care.
  • Patient Safety boxes highlight Joint Commission initiatives for patient and staff safety in the surgical setting.
  • Best Practice and Research Highlight boxes apply the latest scientific research to patient care.
  • Critical thinking questions at the end of each chapter let you assess your understanding of important material.
  • NEW! Robotic-Assisted Surgery boxes highlight a rapidly expanding surgical modality.
  • NEW! Enhanced Recovery After Surgery boxes promote review of protocols for early recovery for patients undergoing major surgery.
  • NEW! Patient Engagement Exemplar boxes optimize surgical outcomes by addressing AORN guidelines on the issues of patient care and involvement of the patient’s family.
  • NEW standards and AORN toolkits cover topics ranging from enhanced post-surgical recovery to prevention of pressure ulcers.

1. Cover image - p. iii 2. Title Page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. vi 5. Contributors - p. vii 6. Clinical Consultants - p. x 7. Reviewers - p. xi 8. About the Author - p. xiii 9. Preface - p. xiv 10. Unit I Foundations for Practice - p. xv 11. Chapter 1 Concepts Basic to Perioperative Nursing - p. 1 12. Chapter 2 Patient Safety and Risk Management - p. 15 13. Chapter 3 Workplace Issues and Staff Safety - p. 37 14. Chapter 4 Infection Prevention and Control - p. 54 15. Causes of Infection - p. 54 16. Preventing Infection - p. 62 17. Aseptic Practices to Prevent Infection - p. 84 18. Critical Thinking Questions - p. 104 19. References - p. 105 20. Chapter 5 Anesthesia - p. 107 21. Chapter 6 Positioning the Patient for Surgery - p. 142 22. Chapter 7 Sutures, Sharps, and Instruments - p. 176 23. Chapter 8 Surgical Modalities - p. 201 24. Chapter 9 Wound Healing, Dressings, and Drains - p. 244 25. Chapter 10 Postoperative Patient Care and Pain Management - p. 261 26. Unit II Surgical Interventions - p. 286 27. Chapter 11 Gastrointestinal Surgery - p. 287 28. Surgical Anatomy - p. 287 29. Perioperative Nursing Considerations - p. 290 30. Surgical Interventions - p. 299 31. Critical Thinking Question - p. 339 32. References - p. 340 33. Chapter 12 Surgery of the Biliary Tract, Pancreas, Liver, and Spleen - p. 342 34. Chapter 13 Hernia Repair - p. 376 35. Chapter 14 Gynecologic and Obstetric Surgery - p. 400 36. Surgical Anatomy - p. 400 37. Perioperative Nursing Considerations - p. 404 38. Surgical Interventions - p. 413 39. Critical Thinking Questions - p. 453 40. References - p. 453 41. Chapter 15 Genitourinary Surgery - p. 455 42. Surgical Anatomy - p. 455 43. Perioperative Nursing Considerations - p. 459 44. Surgical Interventions - p. 468 45. Critical Thinking Questions - p. 528 46. References - p. 528 47. Chapter 16 Thyroid and Parathyroid Surgery - p. 529 48. Chapter 17 Breast Surgery - p. 549 49. Chapter 18 Ophthalmic Surgery - p. 571 50. Chapter 19 Otorhinolaryngologic Surgery - p. 616 51. Surgical Anatomy - p. 616 52. Perioperative Nursing Considerations - p. 623 53. Surgical Interventions - p. 637 54. Critical Thinking Question - p. 665 55. References - p. 665 56. Chapter 20 Orthopedic Surgery - p. 666 57. Surgical Anatomy - p. 666 58. Perioperative Nursing Considerations - p. 673 59. Surgical Interventions - p. 686 60. Critical Thinking Questions - p. 753 61. References - p. 753 62. Chapter 21 Neurosurgery - p. 755 63. Surgical Anatomy - p. 755 64. Perioperative Nursing Considerations - p. 778 65. Surgical Interventions - p. 791 66. Critical Thinking Question - p. 809 67. References - p. 809 68. Chapter 22 Reconstructive and Aesthetic Plastic Surgery - p. 810 69. Chapter 23 Thoracic Surgery - p. 853 70. Chapter 24 Vascular Surgery - p. 881 71. Chapter 25 Cardiac Surgery - p. 913 72. Surgical Anatomy - p. 913 73. Perioperative Nursing Considerations - p. 918 74. Surgical Interventions - p. 960 75. Critical Thinking Questions - p. 995 76. References - p. 995 77. Unit III Special Considerations - p. 997 78. Chapter 26 Pediatric Surgery - p. 999 79. Pediatric Surgical Anatomy - p. 999 80. Perioperative Nursing Considerations - p. 1001 81. Surgical Interventions - p. 1010 82. References - p. 1066 83. Chapter 27 Geriatric Surgery - p. 1067 84. Chapter 28 Trauma Surgery - p. 1092 85. Chapter 29 Interventional and Image-Guided Procedures - p. 1119 86. Chapter 30 Integrative Health Practices - p. 1147 87. Appendix A Laboratory Values - p. 1163 88. Illustration Credits - p. 1168 89. Index - p. 1174 90. Special Features - p. 1227

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Prepare for success on certification exams and in perioperative nursing! Alexander’s Care of the Patient in Surgery, 16th Edition is the definitive text for nurses and surgical technologists training for a career in the operating room. Illustrated, step-by-step instructions cover patient care in more than 400 surgical interventions, including positioning, instrumentation, and postoperative care. New to this edition is additional coverage of robotic surgery, along with review of evidence-based guidelines for practice. From well-known educator Jane C. Rothrock — and with every chapter authored by an expert nurse — Alexander’s gives you the tools you need to provide safe, high-quality care in the surgical setting.

  • Over 400 general and specialty surgical interventions are covered, as well as many minimally invasive surgical procedures, whether performed in a hospital, outpatient clinic, or in a doctor's office.
  • 900 full-color photos and illustrations show surgical anatomy, procedures, and methods.
  • Comprehensive coverage includes basic perioperative nursing principles, such as patient and environmental safety, infection prevention and control, positioning, anesthesia and pain management, the unique needs of special populations such as pediatric and geriatric patients, and more.
  • Comprehensive practice exams on the Evolve companion website include 300 exam-style questions with rationales.
  • Perioperative nursing considerations include assessment, nursing diagnosis, outcome identification, planning, implementation, evaluation, discharge planning, and patient and family education.
  • Sample plans of care include nursing diagnoses, outcomes, and interventions.
  • Surgical Pharmacology tables summarize the drugs most commonly used for each surgical procedure, including generic and trade names, indications, and pharmacokinetics.
  • Patient and Family Education boxes include specific guidelines for preprocedural and postprocedural care, side effects and complications, home care, discharge instructions, and psychosocial care.
  • Patient Safety boxes highlight Joint Commission initiatives for patient and staff safety in the surgical setting.
  • Best Practice and Research Highlight boxes apply the latest scientific research to patient care.
  • Critical thinking questions at the end of each chapter let you assess your understanding of important material.
  • NEW! Robotic-Assisted Surgery boxes highlight a rapidly expanding surgical modality.
  • NEW! Enhanced Recovery After Surgery boxes promote review of protocols for early recovery for patients undergoing major surgery.
  • NEW! Patient Engagement Exemplar boxes optimize surgical outcomes by addressing AORN guidelines on the issues of patient care and involvement of the patient’s family.
  • NEW standards and AORN toolkits cover topics ranging from enhanced post-surgical recovery to prevention of pressure ulcers.

1. Cover image - p. iii 2. Title Page - p. iii 3. Table of Contents - p. iii 4. Copyright - p. vi 5. Contributors - p. vii 6. Clinical Consultants - p. x 7. Reviewers - p. xi 8. About the Author - p. xiii 9. Preface - p. xiv 10. Unit I Foundations for Practice - p. xv 11. Chapter 1 Concepts Basic to Perioperative Nursing - p. 1 12. Chapter 2 Patient Safety and Risk Management - p. 15 13. Chapter 3 Workplace Issues and Staff Safety - p. 37 14. Chapter 4 Infection Prevention and Control - p. 54 15. Causes of Infection - p. 54 16. Preventing Infection - p. 62 17. Aseptic Practices to Prevent Infection - p. 84 18. Critical Thinking Questions - p. 104 19. References - p. 105 20. Chapter 5 Anesthesia - p. 107 21. Chapter 6 Positioning the Patient for Surgery - p. 142 22. Chapter 7 Sutures, Sharps, and Instruments - p. 176 23. Chapter 8 Surgical Modalities - p. 201 24. Chapter 9 Wound Healing, Dressings, and Drains - p. 244 25. Chapter 10 Postoperative Patient Care and Pain Management - p. 261 26. Unit II Surgical Interventions - p. 286 27. Chapter 11 Gastrointestinal Surgery - p. 287 28. Surgical Anatomy - p. 287 29. Perioperative Nursing Considerations - p. 290 30. Surgical Interventions - p. 299 31. Critical Thinking Question - p. 339 32. References - p. 340 33. Chapter 12 Surgery of the Biliary Tract, Pancreas, Liver, and Spleen - p. 342 34. Chapter 13 Hernia Repair - p. 376 35. Chapter 14 Gynecologic and Obstetric Surgery - p. 400 36. Surgical Anatomy - p. 400 37. Perioperative Nursing Considerations - p. 404 38. Surgical Interventions - p. 413 39. Critical Thinking Questions - p. 453 40. References - p. 453 41. Chapter 15 Genitourinary Surgery - p. 455 42. Surgical Anatomy - p. 455 43. Perioperative Nursing Considerations - p. 459 44. Surgical Interventions - p. 468 45. Critical Thinking Questions - p. 528 46. References - p. 528 47. Chapter 16 Thyroid and Parathyroid Surgery - p. 529 48. Chapter 17 Breast Surgery - p. 549 49. Chapter 18 Ophthalmic Surgery - p. 571 50. Chapter 19 Otorhinolaryngologic Surgery - p. 616 51. Surgical Anatomy - p. 616 52. Perioperative Nursing Considerations - p. 623 53. Surgical Interventions - p. 637 54. Critical Thinking Question - p. 665 55. References - p. 665 56. Chapter 20 Orthopedic Surgery - p. 666 57. Surgical Anatomy - p. 666 58. Perioperative Nursing Considerations - p. 673 59. Surgical Interventions - p. 686 60. Critical Thinking Questions - p. 753 61. References - p. 753 62. Chapter 21 Neurosurgery - p. 755 63. Surgical Anatomy - p. 755 64. Perioperative Nursing Considerations - p. 778 65. Surgical Interventions - p. 791 66. Critical Thinking Question - p. 809 67. References - p. 809 68. Chapter 22 Reconstructive and Aesthetic Plastic Surgery - p. 810 69. Chapter 23 Thoracic Surgery - p. 853 70. Chapter 24 Vascular Surgery - p. 881 71. Chapter 25 Cardiac Surgery - p. 913 72. Surgical Anatomy - p. 913 73. Perioperative Nursing Considerations - p. 918 74. Surgical Interventions - p. 960 75. Critical Thinking Questions - p. 995 76. References - p. 995 77. Unit III Special Considerations - p. 997 78. Chapter 26 Pediatric Surgery - p. 999 79. Pediatric Surgical Anatomy - p. 999 80. Perioperative Nursing Considerations - p. 1001 81. Surgical Interventions - p. 1010 82. References - p. 1066 83. Chapter 27 Geriatric Surgery - p. 1067 84. Chapter 28 Trauma Surgery - p. 1092 85. Chapter 29 Interventional and Image-Guided Procedures - p. 1119 86. Chapter 30 Integrative Health Practices - p. 1147 87. Appendix A Laboratory Values - p. 1163 88. Illustration Credits - p. 1168 89. Index - p. 1174 90. Special Features - p. 1227

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