Introductory Medical-Surgical Nursing, 10th Edition (Lippincott's Practical Nursing) PDF
Preview Introductory Medical-Surgical Nursing, 10th Edition (Lippincott's Practical Nursing)
This page intentionally left blank. Introductory Medical-Surgical Nursing 10 E D I T I O N B a r b a r a K . T i m b y, RN, BC, BSN, MA ProfessorEmeritus Medical-SurgicalNursing GlenOaksCommunityCollege Centreville,Michigan N a n c y E . S m i t h, MS, RN ProfessorandChair DepartmentofNursing SouthernMaineCommunityCollege SouthPortland,Maine ExecutiveAcquisitionsEditor:ElizabethNieginski ProductManager,DevelopmentEditor:BetsyGentzler DirectorofNursingProduction:HelenEwan ArtDirector,Design:JoanWendt ArtDirector,Illustration:BrettMacNaughton ArtCoordinator:RobertGalindo ManufacturingCoordinator:KarinDuffield ProductionServices:CadmusCommunication 10thEdition Copyright(cid:2)C 2010byWoltersKluwerHealth|LippincottWilliams&Wilkins. Copyright(cid:2)C 2007,2003,1999byLippincottWilliams&Wilkins.Copyright(cid:2)C 1997,1995,1991,1986,1982,1977byJ.B. Lippincott Company. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmittedinanyformorbyanymeans,includingasphotocopiesorscanned-inorotherelectroniccopies,orutilizedbyany information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contactLippincottWilliams&Wilkinsat530WalnutStreet,PhiladelphiaPA19106,[email protected] viawebsiteatlww.com(productsandservices). 9 8 7 6 5 4 3 2 1 PrintedinChina. LibraryofCongressCataloging-in-PublicationData Timby,BarbaraKuhn. Introductorymedical-surgicalnursing/BarbaraK.Timby,NancyE.Smith.–10thed. p.;cm. Includesbibliographicalreferencesandindex. ISBN978-1-60547-063-4 1.Nursing.2.Surgicalnursing.I.Smith,NancyE.(NancyEllen).1949-II.Title. [DNLM:1.NursingCare.2.PerioperativeNursing.WY150T583i2010] RT41.S382010 610.73–dc22 2009020193 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness,oraccuracyofthecontentsofthepublication.Applicationofthisinformationinaparticularsituationremains theprofessionalresponsibilityofthepractitioner;theclinicaltreatmentsdescribedandrecommendedmaynotbeconsidered absoluteanduniversalrecommendations. Theauthors,editors,andpublisherhaveexertedeveryefforttoensurethatdrugselectionanddosagesetforthinthistext are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing research,changesingovernmentregulations,andtheconstantflowofinformationrelatingtodrugtherapyanddrugreactions, thereaderisurgedtocheckthepackageinsertforeachdrugforanychangeinindicationsanddosageandforaddedwarnings andprecautions.Thisisparticularlyimportantwhentherecommendedagentisaneworinfrequentlyemployeddrug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limiteduseinrestrictedresearchsettings.ItistheresponsibilityofthehealthcareprovidertoascertaintheFDAstatusofeach drugordeviceplannedforuseinhisorherclinicalpractice. LWW.COM This edition is dedicated to student nurses who will join the collective body of practicing nurses in makingsubstantialcontributionstocombatthehealthcarecrisesfacingpeoplein theUnitedStatesandforeigncountries. BKT Formymother,JaneMillerWolfeEddy,whoencouragedmeincountlesswaystobeanurse andnurseeducator,andwhoalsotaughtmethatcaringandqualitymatter. Iwishshewereheretoseeonemoreedition. NES This page intentionally left blank. Contributors StephanieC.Butkus,MSN, RN, CPNP ArleneH.Morris,EDD, RN, CNE AssistantProfessor DistinguishedTeachingAssociateProfessorofNursing KetteringCollegeofMedicalArts AuburnMontgomerySchoolofNursing Kettering,Ohio Montgomery,Alabama DrugTherapyTables GerontologicConsiderations SusanG.Dudek,RD, CDN, BS SallyS.Roach,MSN, RN, CNE, AHN-BC NutritionInstructor AssociateProfessor ErieCommunityCollege UniversityofTexasatBrownsville Williamsville,NewYork Brownsville,Texas NutritionNotes PharmacologicConsiderations DebbieFaulk,PHD, RN, CNE AssociateProfessor EARNCoordinator AuburnMontgomerySchoolofNursing Montgomery,Alabama GerontologicConsiderations v This page intentionally left blank. Reviewers LaVonBarrett,MSN,RN PinellasCountySchools ErickaGuz,BSN,MED,MSN AssistantProfessor Largo,Florida AssociateProfessor CoordinatorVocationalNursing JennieC.Denker,EDDC,MSN,RN JeffersonCommunityCollege AmarilloCollege Steubenville,Ohio ProgramAdministrator Amarillo,Texas BrownMackieCollege TeresaHarden JudithBartels,BSN,RN,PN Akron,Cincinnati,Findlay,andNorthCan- AssociateProfessor Instructor ton,Ohio IvyTechStateCollege Columbus ButlerTechnologyandCareerDevelop- Columbus,Indiana LindaDouglas mentSchools NevadaRegionalTechnicalCenter ElaineC.Hein,MS,RN Hamilton,Ohio Nevada,Missouri PracticalNurseInstructor TerryBichsel,BSN,RN EverestCollege JenniferDuhon PracticalNursingCoordinator Merrillville,Indiana AssistantProfesserofNursing MoberlyAreaCommunityCollege IllinoisCentralCollege ArdyceHill,MSN,BSN,RN Moberly,Missouri Peoria,Illinois Coordinator,OutreachPracticalNursing MicheleBlash,MSN,RN WesternWyomingCommunityCollege PatriciaDuick AssistantProfessorofNursing Evanston,Wyoming Retired,FormerDirectorofNurses HagerstownCommunityCollege BucksCountyCommunityCollege JudithHince,MS,RN Hagerstown,Maryland Newtown,Pennsylvania AssociateProfessor KarenBrown,PHD JeffersonCommunityCollege PatriciaDusek,RN AssociateDeanKirtlandCommunity Steubenville,Ohio AssistantProfessor College BrazosportCollege KerriHines,BSN,RN Roscommon,Michigan LakeJackson,Texas VocationalNursingInstructor VictoriaJ.M.Brown,MSN,RN LindaElias-Thomas,BSN,RN,LT, SanJacintoCollege ProfessorofNursing Houston,Texas NC,USN JeffersonCollege NursingInstructor BeulahA.Hofmann,MSN,RN Hillsboro,Missouri TheRobertT.WhiteSchoolofPractical NursingDepartmentChairperson TamaraCampbell,MSN,RN Nursing IvyTechCommunityCollege Greencastle NursingProfessor Alliance,Ohio Greencastle,Indiana SchoolcraftCollege StephanieEllis JaneIrwin,MSN,RN Livonia,Michigan PracticalNursingInstructor Coordinator,PracticalNursing CarolCarr,MS,RN MoultrieTechCollege CentralPennsylvaniaInstituteofScience AssociateProfessor Moultrie,Georgia andTechnology ProgramHead,PracticalNurseProgram PleasantGap,Pennsylvania MarieFagan,MN,RN J.SargeantReynoldsCommunityCollege Director LenetraJefferson Richmond,Virginia AnnenbergSchoolofNursing DelgadoCommunityCollege CarlaCarter Reseda,California NewOrleans,Louisiana SpencerianCollege FreemanBJ,MS,RN MelissaJones,BSN,RN Louisville,Kentucky AssociateProfessor PracticalNurseCoordinator MaryAnnCosgarea,BSN,BA,RN IvyTechCommunityCollege WaynesvilleCareerCenter CoordinatorPortageLakesCareerCenter Sellersburg,Indiana Waynesville,Missouri WHowardNicolSchoolofPractical EvelynA.Grace,MSN,RN MariatuKargbo,MSN,RN,CFNP Nursing InterimDirector,PracticalNursing DoctoralStudent Green,Ohio Program ExecutiveDirector LindaCrawford BucksCountyCommunityCollege GlobalHealthNurseTrainingServices CoastalGeorgiaCommunityCollege Newtown,Pennsylvania Alexandria,Virginia Brunswick,Georgia KimberlyGuard,MSN,RN DoloresKaulbach SusanneCubberley,MSN,RN NursingInstructor DallasNursingInstitute NurseEducator IvyTechCommunityCollege–Richmond Dallas,Texas Richmond,Indiana vii viii Reviewers FrancineKirby,MSN,RN MaryJanePignatelli,BSN,ADN LisaStreeter,BSN,RN CoordinatorPracticalNursing AssistantProfessorofPracticalNursing Instructor McDowellCountyCareerandTechnology BerkshireCommunityCollege MadisonOneidaBOCES Center Pittsfield,Massachusetts Verona,NewYork Welch,WestVirginia RosalieM.Poyntz,MPH,EDS,RN LynneA.Sullivan,MS,RN AssociateProfessor DepartmentChairperson Director,PracticalNurseProgram MountainStateUniversity HealthScienceDepartment BristolPlymouthRegionalTechnical Welch,WestVirginia LindseyHopkinsTechnicalEducational School DonnaM.Kuenstler,MSN,RN Center Taunton,Massachusetts DepartmentChair MiamiDadeCountyPublicSchools KaySwartzwelder,MSN,RN VocationalNursingProgram Miami,Florida DirectorofNursing,CollinsCareerCenter SulRossStateUniversity LindaReader,MED,BSN,RN DirectorofHealthTechnology,OhioUni- Alpine,Texas PracticalNursingCoordinator versitySouthern KarenKulhanek,BSN,MED,RN TrumbullCareer&TechnicalCenter Ironton,Ohio NursingInstructor Warren,Ohio BrigitteThiele KelloggCommunityCollege CarolynReese Coordinator BattleCreek,Michigan BlinnCollege KennettCareerandTechnologyCenter ChristinaLamb,BSN,RN Bryan,Texas Kennett,Missouri DirectorofPracticalNursingEducation SandraReider,RN,BA,BSN,MSN IonaThomas-Connor,MA,RN,CNE BolivarTechnicalCollege AssociateProfessor,PracticalNursing AssociateProfessor Bolivar,Missouri Program LaGuardiaCommunityCollege LyndaLogan,BSN,RN ReadingAreaCommunityCollege Queens,NewYork AssistantInstructor Reading,Pennsylvania SandraThompson IvyTechCommunityCollege ElaineM.Rissel-Muscarella,BSN, LicensedPracticalNursingStaff Lafayette,Indiana RN MercerCountyTechnicalEducationCenter TracyLohstroh PNILeadInstructor,JamestownSite Princeton,Wisconsin NursingInstructor Erie2ChautauquaCattaraugusBOCES PeggyThweatt,MSN,BSN,RN ShawneeCommunityCollege AdultandCommunityEducation MedicalCareerInstitute Ullin,Illinois Jamestown,NewYork NewportNews,Virginia KarenMalloy,MSN,RN PriscillaRivera,BS,RN DebraTymcio DepartmentChairAlliedHealthPrograms Faculty,LeadInstructor SouthernOhioCollegeNortheast SanJacintoCollegeCentral AmericareInstitute Akron,Ohio Pasadena,Texas HanoverPark,Illinois ClaireMarshall,BTSN,RN,CMH LyndiShadbolt,MS,RN AliciaL.Warren,MSN,RN AssistantProfessorofNursing Instructor AssociateProfessor,Nursing WashingtonStateCommunityCollege VancouverIslandUniversity AmarilloCollege Marietta,Ohio Nanaimo,BritishColumbia Amarillo,Texas LindaMollino,BSN GregoryF.Sherrill,RN-AAS ChristinaWilson,BAN,PHN,RN Faculty PracticalNursingFaculty SeniorPracticalNursingInstructor AnokaTechnicalCollegePracticalNursing RogueCommunityCollege TennesseeTechnologyCenter Crossville Department Medford,Oregon Crossville,Tennessee Anoka,Minnesota RobbieL.Murphy,BSN,RN,BC-G CindaSiekbert,MSN,RN MargaretA.Yoder,MS,MHA,RN Instructor NursingInstructor AssociateProfessorNurseEducation SanJacintoCollege,NorthCampus GreatOaksSchoolofPracticalNursing PracticalNursingProgramCoordinator Houston,Texas Cincinnati,Ohio QuinsigamondCommunityCollege DianaL.Mustacchio,BSN,RN DeborahSimmons-Johnson,MED, Worcester,Massachusetts CourseCoordinatorLevelII BSN,RN PamelaYoung,BSN,RN ClinicalCoordinator DepartmentChairVocationalNursing LeadInstructor,PracticalNursing TheRobertT.WhiteSchoolofPractical Program TrumbullCareerandTechnicalCenter Nursing HoustonCommunityCollege Warren,Ohio Alliance,Ohio Houston,Texas FrancineP.Pappalardo,MSN,RN SherrillSorensen NursingProgramCurriculumCoordinator KeiserCollege NorthernEssexCommunityCollege MiamiLakes,Florida Lawrence,Massachusetts RusslynSt.John,MSN,RN SueParker,MSN,APN,FNP-BC,CNOR Professor,PracticalNursingCoordinator AssistantProfessor StCharlesCommunityCollege UniversityofArkansas-FortSmith Cottleville,Missouri FortSmith,Arkansas
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