Assessment Made Incredibly Easy, 4th Edition PDF
Preview Assessment Made Incredibly Easy, 4th Edition
910300FM.qxd 8/26/08 14:10 Page vi 910300FM.qxd 08/30/2008 5:36 PM Page i Assessment yy ll bb dii d ee d e a mrr c c n n I I ! ! yy ss ® aa EE 910300FM.qxd 8/26/08 14:10 Page ii Staff The clinical treatments described and recommended in this publication are based on research and consultation with nurs- ing, medical, and legal authorities. To the best of our knowl- Executive Publisher edge, these procedures reflect currently accepted practice. Judith A. Schilling McCann, RN, MSN Nevertheless, they can’t be considered absolute and universal recommendations. For individual applications, all recommen- Editorial Director dations must be considered in light of the patient’s clinical con- David Moreau dition and, before administration of new or infrequently used drugs, in light of the latest package-insert information. The au- Clinical Director thors and publisher disclaim any responsibility for any adverse Joan M. Robinson, RN, MSN effects resulting from the suggested procedures, from any un- Art Director detected errors, or from the reader’s misunderstanding of the text. Mary Ludwicki Electronic Project Manager © 2008 by Lippincott Williams & Wilkins. All rights reserved. John Macalino This book is protected by copyright. No part of it may be repro- duced, stored in a retrieval system, or transmitted, in any form Senior Managing Editor or by any means—electronic, mechanical, photocopy, record- Jaime Stockslager Buss, MSPH, ELS ing, or otherwise—without prior written permission of the pub- lisher, except for brief quotations embodied in critical articles Clinical Project Manager and reviews and testing and evaluation materials provided by Kate Stout, RN, MSN, CCRN publisher to instructors whose schools have adopted its ac- companying textbook. Printed in the United States of America. Editor For information, write Lippincott Williams & Wilkins, 323 Norris- Margaret Eckman town Road, Suite 200, Ambler, PA 19002-2756. Copy Editor ASSESSIE4E010108 Dorothy P. Terry Designer Lynn Foulk Library of Congress Cataloging-in-Publication Data Illustrator Assessment made incredibly easy!.—4th ed. Bot Roda, Judy Newhouse, Betty Winnberg p. ; cm. Includes bibliographical references and index. Digital Composition Services 1. Nursing assessment--Handbooks, manuals, Diane Paluba (manager), Joyce Rossi Biletz, etc. I. Lippincott Williams & Wilkins. [DNLM: 1. Nursing Assessment—methods— Donald G. Knauss, Donna S. Morris Handbooks. 2. Physical Examination—meth- ods—Handbooks. WY 49 A846 2008] Associate Manufacturing Manager RT48.A876 2008 Beth J. Welsh 616.07'5--dc22 ISBN-13: 978-0-7817-7910-4 (alk. paper) Editorial Assistants ISBN-10: 0-7817-7910-3 (alk. paper) 2007037087 Karen J. Kirk, Jeri O’Shea, Linda K. Ruhf Indexer Barbara Hodgson 910300FM.qxd 8/26/08 14:10 Page iii Contents Contributors and consultants iv Not another boring foreword v Part I Beginning the assessment 1 1 Health history 3 2 Fundamental physical assessment techniques 23 3 Nutritional assessment 41 4 Mental health assessment 57 Part II Assessing body systems 73 5 Skin, hair, and nails 75 6 Neurologic system 103 7 Eyes 135 8 Ears, nose, and throat 159 9 Cardiovascular system 187 10 Respiratory system 221 11 Breasts and axillae 253 12 Gastrointestinal system 271 13 Female genitourinary system 295 14 Male genitourinary system 323 15 Musculoskeletal system 343 Appendices and index 369 Practice makes perfect 370 Glossary 396 Selected references 399 Credits 400 Index 401 iii 910300FM.qxd 8/26/08 14:10 Page iv Contributors and consultants Lillian Craig, RN, MSN, FNP-C Monica Narvaez Ramirez, RN, MSN, Adjunct Faculty Nursing Instructor Oklahoma Panhandle State University University of the Incarnate Word School of Nursing & Health Goodwell, OK Professions San Antonio, TX Caroline Dorsen, MSN, APRN-BC, FNP Coordinator, Adult Primary Care Program/Clinical Instructor Donna Scemons, RN, MSN, FNP-C, CNS, CWOCN New York University College of Nursing President New York, NY Healthcare Systems, Inc. Castaic, CA Valerie J. Flattes, MS, APRN, BC-ANP Instructor, Clinical Bruce Austin Scott, MSN, APRN-BC University of Utah College of Nursing Nursing Instructor Salt Lake City, UT San Joaquin Delta College Stockton, CA Shirley Lyon Garcia, RN, BSN Staff Nurse Nursing Program Director, PNE Marshall Medical Center McDowell Technical Community College Placerville, CA Marion, NC Janice Donaldson Hausauer, RN, MS, FNP Allison J. Terry, RN, MSN, PhD Director, Center for Nursing Adjunct Assistant Professor Alabama Board of Nursing Montana State University College of Nursing Montgomery, AL Bozeman, MT Kathleen M. Lamaute, MA, MS, EdD, APRN-BC, CNAA-BC, FNP Professor South University West Palm Beach, FL iv 910300FM.qxd 8/26/08 14:10 Page v Not another boring foreword If you’re like me, you’re too busy to wade through a foreword that uses pretentious terms and umpteen dull paragraphs to get to the point. So let’s cut right to the chase! Here’s why this book is so terrific: 1. It will teach you all the important things you need to know about ECG interpretation. (And it will leave out all the fluff that wastes your time.) 2. It will help you remember what you’ve learned. 3. It will make you smile as it enhances your knowledge and skills. Don’t believe me? Try these recurring logos on for size: Peak technique illustrates and describes the best ways to perform specific physical examination techniques. Bridging the gap explains cultural variables that may influence the health assessment. Handle with care needs a description to replace this from ages and stages: pinpoints age- related variations in assessment findings. Interpretation station provides surefire guidelines for interpreting assessment findings quickly and easily. Memory jogger helps the reader remember important points. See? I told you! And that’s not all. Look for me and my friends in the margins throughout this book. We’ll be there to explain key concepts, provide important care reminders, and offer reassurance. Oh, and if you don’t mind, we’ll be spicing up the pages with a bit of humor along the way, to teach and entertain in a way that no other resource can. I hope you find this book helpful. Best of luck throughout your career! Joy v 910300FM.qxd 8/26/08 14:10 Page vi 910301.qxd 8/26/08 12:32 Page 1 Part I Beginning the assessment 1 Health history 3 2 Fundamental physical assessment techniques 23 3 Nutritional assessment 41 4 Mental health assessment 57 910301.qxd 8/26/08 12:32 Page 2
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