Study Guide for deWit’s Fundamental Concepts and Skills for Nursing - E-Book

325 Pages·2014·11.68 MB·English

Study Guide
deWit’s Fundamental Concepts and Skills for
Nursing
FIFTH EDITION
Patricia Williams, MSN, RN, CCRN
Nursing Instructor
DeAnza College
Cupertino, California
ESL Consultant
Gail G. Boehme, BA
ESL Teaching Certification
University of California at Santa Barbara
2
Contents
Cover image
Title page
Copyright
To the Student
To the Instructor
Chapter 1 Nursing and the Health Care System
Chapter 2 Concepts of Health, Illness, Stress, and Health Promotion
Chapter 3 Legal and Ethical Aspects of Nursing
Chapter 4 Nursing Process and Critical Thinking
Chapter 5 Assessment, Nursing Diagnosis, and Planning
Chapter 6 Implementation and Evaluation
Chapter 7 Documentation of Nursing Care
Chapter 8 Communication and the Nurse-Patient Relationship
Chapter 9 Patient Education and Health Promotion
Chapter 10 Delegation, Leadership, and Management
Chapter 11 Growth and Development: Infancy Through Adolescence
Chapter 12 Adulthood and the Family
Chapter 13 Promoting Healthy Adaptation to Aging
3
Chapter 14 Cultural and Spiritual Aspects of Patient Care
Chapter 15 Loss, Grief, and End of Life Care
Chapter 16 Infection Prevention and Control: Protective Mechanisms and Asepsis
Chapter 17 Infection Prevention and Control in the Hospital and Home
Chapter 18 Safely Lifting, Moving, and Positioning Patients
Chapter 19 Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure
Injuries
Chapter 20 Patient Environment and Safety
Chapter 21 Measuring Vital Signs
Chapter 22 Assessing Health Status
Chapter 23 Admitting, Transferring, and Discharging Patients
Chapter 24 Diagnostic Tests and Specimen Collection
Chapter 25 Fluid, Electrolyte, and Acid-Base Balance
Chapter 26 Concepts of Basic Nutrition and Cultural Considerations
Chapter 27 Nutritional Therapy and Assisted Feeding
Chapter 28 Assisting with Respiration and Oxygen Delivery
Chapter 29 Promoting Urinary Elimination
Chapter 30 Promoting Bowel Elimination
Chapter 31 Pain, Comfort, and Sleep
Chapter 32 Complementary and Alternative Therapies
Chapter 33 Pharmacology and Preparation for Drug Administration
Chapter 34 Administering Oral, Topical, and Inhalant Medications
4
Chapter 35 Administering Intradermal, Subcutaneous, and Intramuscular Injections
Chapter 36 Administering Intravenous Solutions and Medications
Chapter 37 Care of the Surgical Patient
Chapter 38 Providing Wound Care and Treating Pressure Injuries
Chapter 39 Promoting Musculoskeletal Function
Chapter 40 Common Physical Care Problems of the Older Adult
Chapter 41 Common Psychosocial Care Problems of the Older Adult
5
Copyright
3251 Riverport Lane
St. Louis, Missouri 63043
deWit’s Fundamental Concepts and Skills for Nursing, Fifth Edition
ISBN: 978-0-323-48326-1
Copyright © 2018, 2014, 2009, 2005, 2001 by Saunders, an imprint of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by
any means, electronic or mechanical, including photocopy, recording, or any information storage
and retrieval system, without permission in writing from the publisher.
Although for mechanical reasons all pages of this publication are perforated, only those pages
imprinted with an Elsevier Inc. copyright notice are intended for removal.

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical
treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in
evaluating and using any information, methods, compounds, or experiments described herein. In
using such information or methods they should be mindful of their own safety and the safety of
others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their
own experience and knowledge of their patients, to make diagnoses, to determine dosages and the
best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products,
instructions, or ideas contained in the material herein.
ISBN: 978-0-323-48326-1
Printed in the United States of America
Last digit is the print number:  9  8  7  6  5  4  3  2  1
6
7
To the Student
This Study Guide is created to assist you in achieving the objectives of each chapter in deWit’s
Fundamental Concepts and Skills for Nursing, 5th edition, and in establishing a solid base of
knowledge in the fundamentals of nursing. Completing the exercises in each chapter in this guide
will help to reinforce the material studied in the textbook and learned in class. Some exercises
require you to call upon previously learned information and to synthesize to reach an answer. Such
reinforcement also helps you to be successful on the NCLEX-PN® Examination. Please note that the
answers to all the exercises in this guide are provided to your instructor.
8
STUDY HINTS FOR ALL STUDENTS
Ask questions! There are no bad questions. If you do not know something or are not sure, you need
to find out. Other people may be wondering the same thing but may be too shy to ask. The answer
could mean life or death to your patient, which certainly is more important than feeling
embarrassed about asking a question.
Make use of chapter objectives. At the beginning of each chapter in the textbook are objectives that
you should have mastered when you finish studying that chapter. Write these objectives in your
notebook, leaving a blank space after each. Fill in the answers as you find them while reading the
chapter. Review to make sure your answers are correct and complete, and use these answers when
you study for tests. This should also be done for separate course objectives that your instructor has
listed in your class syllabus.
Locate and understand key terms. At the beginning of each chapter in the textbook are key terms
that you will encounter as you read the chapter. Page numbers are provided for easy reference and
review, and the key terms are in bold, blue font the first time they appear in the chapter. Phonetic
pronunciations are provided for terms that might be difficult to pronounce.
Review Key Points. Use the Key Points at the end of each chapter in the textbook to help you
review for exams.
Get the most from your textbook. When reading each chapter in the textbook, look at the subject
headings to learn what each section is about. Read first for the general meaning, then reread parts
you did not understand. It may help to read those parts aloud. Carefully read the information given
in each box and table and study each figure and its caption.
Follow up on difficult concepts. While studying, put difficult concepts into your own words to see if
you understand them. Check this understanding with another student or the instructor. Write these
in your notebook.
Take useful notes. When taking lecture notes in class, leave a large margin on the left side of each
notebook page and write only on right-hand pages, leaving all left-hand pages blank. Look over
your lecture notes soon after each class, while your memory is fresh. Fill in missing words,
complete sentences and ideas, and underline key phrases, definitions, and concepts. At the top of
each page, write the topic of that page. In the left margin, write the key word for that part of your
notes. On the opposite left-hand page, write a summary or outline that combines material from both
the textbook and the lecture. These can be your study notes for review.
Join or form a study group. Form a study group with some other students so you can help one
another. Practice speaking and reading aloud, ask questions about material you are not sure about,
and work together to find answers.
Improve your study skills. Good study skills are essential for achieving your goals in nursing. Time
management, efficient use of study time, and a consistent approach to studying are all beneficial.
There are various study methods for reading a textbook and for taking class notes. Some methods
that have proven helpful can be found in Saunders Student Nurse Planner: A Guide to Success in
Nursing School by Susan C. deWit. This book contains helpful information on test-taking and
preparing for clinical experiences. It includes an example of a “time map” for planning study time
and a blank form that you can use to formulate a personal time map.
9
ADDITIONAL STUDY HINTS FOR ESL/LEP (ENGLISH AS
A SECOND-LANGUAGE/LIMITED ENGLISH
PROFICIENCY) STUDENTS
Find a first-language buddy. ESL students should find a first-language buddy—another student who
is a native speaker of English and is willing to answer questions about word meanings,
pronunciations, and culture. Maybe your buddy would like to learn about your language and
culture. This could help in his or her nursing experience as well.
Expand your vocabulary. If you find a nontechnical word you do not know (e.g., drowsy), try to guess
its meaning from the sentence (e.g., With electrolyte imbalance, the patient may feel fatigued and drowsy).
If you are not sure of the meaning, or if it seems particularly important, look it up in the dictionary.
Keep a vocabulary notebook. Keep a small alphabetized notebook or address book in which you can
write down new nontechnical words you read or hear along with their meanings and
pronunciations. Write each word under its initial letter so you can find it easily, as in a dictionary.
For words you do not know or for words that have a different meaning in nursing, write down how
they are used and sound. Look up their meanings in a dictionary or ask your instructor or first-
language buddy. Then write the different meanings or usages that you have found in your book,
including the nursing meaning. Continue to add new words as you discover them. For example:
–Primary—Of most importance; main (e.g., the primary problem or disease); The first one; elementary (e.g.,
primary school)
–Secondary—Of less importance; resulting from another problem or disease (e.g., a secondary symptom); The
second one (e.g., secondary school [“high school” in the United States])
10