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4. Identify the traditional classifications of the levels of prevention. (See p. 2 in your textbook.) 7. List the types of home care agencies. (See pp. 5-6 in your textbook.) textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier […]

Introduction to Medical-Surgical Nursing, 6th ed. 1 Lesson Plans for The Health Care System CHAPTER LESSON PLANS & OBJECTIVES Lesson 1.1: 1. Describe the organization of the health care system in the United States. 2. Identify the health care issues […]

__________________________________________________________ Chapter 1 The Health Care System 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 1.1 Slide 28 Home Health Care Services (cont.) • Speech therapy • Speech therapists work with patients who have speech or swallowing disorders • A […]

health care, and effectiveness of medical treatments; ensure the safety of foods and cosmetics; ensure the safety and efficacy of drugs and medical devices; monitor and prevent disease outbreaks; provide health services to Native Americans and Alaskan natives; provide access […]

2. List the four major causes of death for those in the young adult age group. (See p. 130 in your textbook.) your textbook.) 6. Describe what may affect the daily functioning of older adults. (See p. 134 in your […]

problems are cancer, pulmonary disease, diabetes, obesity, alcoholism, anxiety, depression, and glaucoma. 4. A complete physical examination is recommended every 3 years and should include routine blood pressure screening and cholesterol and glucose testing. diminished physical strength and resiliency may […]

Introduction to Medical-Surgical Nursing, 6th ed. 10 Lesson Plans for Developmental Processes 1. List the developmental tasks for successful adulthood. • The differences in needs, expectations, and attitudes that occur at each life stage will be reviewed, and the role […]

organ malfunction or errors. Nonstochastic theories assume that aging is the result of a predetermined process governed by some controlling mechanism such as genetic programming, neuroendocrine activity, or immunologic activity. slower responses, problems with short-term memory, and altered learning. Nevertheless, […]

4. Describe the alterations in the pulmonary system in older adults. (See p. 141 in your textbook.) 141 in your textbook.) your textbook.) 9. Define functional assessment. (See p. 146 in your textbook.) Copyright © 2016 by Saunders, an imprint […]

______________________________________________________________ Chapter 11 The Older Patient 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 11.1 Activities Classroom Choose from below to make 30 minutes Online 1 ASSESS BASELINE • Have the class complete the Pretest. Collect their work and use […]

Introduction to Medical-Surgical Nursing, 6th ed. 11 Lesson Plans for The Older Patient CHAPTER LESSON PLANS & OBJECTIVES Lesson 11.1: 1. Describe the roles of the gerontological nurse. 2. Determine the extent to which selected myths and stereotypes about older […]

152 in your textbook.) 4. List and describe the four methods of examination. (See p. 154 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 10. Name the characteristics of the critical thinker. (See p. 163 […]

members in a health history response to direct questioning or in spontaneous statements. Objective data are items obtained through observation, physical examination, or diagnostic testing. health care, present health or history of present illness, medical history, family history, review of […]

Introduction to Medical-Surgical Nursing, 6th ed. 12 Lesson Plans for The Nursing Process and Critical Thinking CHAPTER LESSON PLANS & OBJECTIVES Lesson 12.1: 1. Describe the components of the nursing process. 2. Explain the role of the LPN/LVN in the […]

12 Chapter 12  The Nursing Process and Critical Thinking ___________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 12.1 Slide 27 • Correct answer: C • Rationale: The five components or steps in the nursing process are: (1) assessment (the […]

textbook.) 174 in your textbook.) textbook.) 8. Explain the difference between medical asepsis and surgical asepsis. (See p. 179 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 10. How do autoimmune diseases cause injury? (See […]

18 Chapter 13  Immunity, Inflammation, and Infection _______________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 13.2 13 Slide 38 • Examples of nursing diagnoses for patients with infections or for patients who are vulnerable to infections include Risk for […]

Introduction to Medical-Surgical Nursing, 6th ed. 13 Lesson Plans for Immunity, Inflammation, and Infection CHAPTER LESSON PLANS & OBJECTIVES Lesson 13.1: 1. Describe physical and chemical barriers. 2. Describe the immune response. 3. Identify the organs involved in immunity. 4. […]

3. The healing process is delayed in older persons as a result of decreased tissue elasticity and decreased blood supply. 5. Causative agent, reservoir, portal of exit, mode of transfer, portal of entry, and susceptible host both the patient and […]

___________________________________________________________ Chapter 14 Fluids and Electrolytes 17 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 14.1 Slide 39 • Isotonic fluid excess • Intracellular water excess • Hypotonic fluid excess • From renal or cardiac failure with retention of fluid, increased […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. Linton 14 Lesson Plans for Fluids and Electrolytes CHAPTER LESSON PLANS & OBJECTIVES Lesson 14.1: 1. Describe the extracellular and intracellular fluid compartments. 2. Describe the composition of the extracellular […]

dissolved in water. Examples of electrolytes are sodium, potassium, calcium, chloride, bicarbonate, and magnesium. an area of higher concentration to an area of lower concentration; active transport— using carrier proteins to transport substances from an area of lower concentration to […]

195 in your textbook.) 7. Explain why urine specific gravity is used as a diagnostic test for fluid balance. (See p. 199 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. imbalances? (See p. 196 in […]

2. Endorphins and enkephalins are the body’s natural opioid-like substances that block the transmission of painful impulses to the brain. small-diameter nerve fibers in the afferent pathway. When these small-diameter fibers are stimulated, the gating mechanism opens in the spinal […]

14 Chapter 15  Pain Management ______________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 15.2 Instructor Preparation Textbook Objectives Covered 7. List data to be collected in assessing pain. 9. Describe the nursing care of patients receiving opioid and nonopioid […]

15 Lesson Plans for Pain Management CHAPTER LESSON PLANS & OBJECTIVES Lesson 15.1: 1. Define pain. 2. Explain the physiologic basis for pain. 3. Explain the relationships between past pain experiences, anticipation, culture, anxiety, or activity and a patient’s response […]

5. List the psychological factors that can influence the response to pain. (See p. 215 in your textbook.) 8. Explain transcutaneous electric nerve stimulation (TENS) as a physical intervention to relieve pain. (See p. 222 in your textbook.) Copyright © […]

Introduction to Medical-Surgical Nursing, 6th ed. 16 Lesson Plans for First Aid, Emergency Care, and Disaster Management CHAPTER LESSON PLANS & OBJECTIVES Lesson 16.1: 1. List the principles of emergency and first aid care. 2. List the steps of the […]

current medications, past illness and pregnancy, last food or drink, and events related to the injury. that could be causing the obstruction, remove any visible object, and begin CPR using current American Heart Association guidelines. 4. The immediate treatment for […]

5. Compare and contrast sprains and strains and explain how they are both treated. (See p. 239 in your textbook.) 7. Describe the emergency treatment for a pneumothorax. (See p. 242 in your textbook.) textbook.) Copyright © 2016 by Saunders, […]

16 Chapter 16  First Aid, Emergency Care, and Disaster Management __________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 16.2 Student Preparation • Table 16-1: Interventions for Specific Eye Injuries (p. 241) • Table 16-2: Emergency Interventions for Chest Injuries […]

Introduction to Medical-Surgical Nursing, 6th ed. 17 Lesson Plans for Surgical Care CHAPTER LESSON PLANS & OBJECTIVES Lesson 17.1: 1. State the purpose of each type of surgery: diagnostic, exploratory, curative, palliative, and cosmetic. 2. List data to be included […]

nonsteroidal anti-inflammatory drugs (NSAIDs); aspirin; and herbal products, including ginger, gingko, and ginseng. that the patient agrees to the procedure. Because the consent form is a legal document, the patient must be fully alert and aware of what it contains […]

p.267 in your textbook.) 8. Name and describe the three complications of wound healing. (See p. 270 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. surgery. (See p. 261 in your textbook.) 6. Who participates […]

__________________________________________________________________ Chapter 17 Surgical Care 17 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 17.1 3 • Divide the class into small groups. Present each of the following scenarios to the groups and have the groups refer to the Nursing Diagnoses, […]

(See p. 293 in your textbook.) 7. Define infiltration and explain what may cause it. (See p. 297 in your textbook.) (See p. 297 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. your textbook.) 2. […]

____________________________________________________________ Chapter 18 Intravenous Therapy 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 18.1 Slide 22 TALKING POINTS: • You must become familiar with the type of infusion control devices used in your work setting. • Do IV flow rates […]

2. Specific combinations of water, sugar (in the form of dextrose), sodium chloride, and other electrolytes peripheral veins, and when irritating or vesicant medications or fluids are to be administered. hub after insertion. Others use Luer-Lok connections rather than diaphragms […]

Introduction to Medical-Surgical Nursing, 6th ed. 18 Lesson Plans for Intravenous Therapy CHAPTER LESSON PLANS & OBJECTIVES Lesson 18.1: 1. List the indications for intravenous fluid therapy. 2. Describe the types of fluids used for intravenous fluid therapy. 3. Describe […]

Introduction to Medical-Surgical Nursing, 6th ed. 19 Lesson Plans for Shock CHAPTER LESSON PLANS & OBJECTIVES Lesson 19.1: 1. List the types of shock. 2. Describe the pathophysiology of each type of shock. 3. List the signs and symptoms of […]

4. Name the four stages of shock. (See p. 303 in your textbook.) 7. Explain the interventions for a patient who is diagnosed with decreased cardiac output. (See p. 308 in your textbook.) p. 312 in your textbook.) Copyright © […]

4. Initiation, compensatory, progressive, and refractory; intermediate or progressive; and refractory or irreversible Interventions to increase oxygen delivery and a combination of fluid, pharmacologic, and mechanical therapies are implemented to maintain tissue perfusion. ordered; maintain adequate body heat to prevent […]

________________________________________________________________________ Chapter 19 Shock 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 19.1 3 shock: compensatory, progressive, and irreversible (refractory). Have each group identify the signs and symptoms for the assigned stage. For each sign and symptom, have the groups […]

2. Describe the main difference between home health nursing and nursing in an institution. (See p. 17 in your textbook.) your textbook.) 6. Compare and contrast the terms impairment, disability, and handicap. (See p. 21 in your textbook.) your textbook.) […]

Introduction to Medical-Surgical Nursing, 6th ed. 2 Lesson Plans for Nursing in Varied Patient Care Settings CHAPTER LESSON PLANS & OBJECTIVES Lesson 2.1: 1. Describe the role of the nurse in community and home health, rehabilitation, and long-term care settings. […]

14 Chapter 2  Nursing in Varied Patient Care Settings ______________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 2.1 10 Slide 31 • Respond to questions and concerns • Allow the patient as many independent choices as possible • Encourage […]

2. The main difference is the increased emphasis on the family and the environment in the home. authorized home care; the patient needs intermittent skilled nursing care, physical or speech-language therapy, or continued occupational therapy; the patient is homebound; the […]

by the patient, such chairs with trays; side rails; and vest, waist, wrist or ankles ties. Chemical restraints are usually psychotropic medications that are given to subdue agitated or confused patients. 3. To protect the patient, prevent tampering with medical […]

Introduction to Medical-Surgical Nursing, 6th ed. 20 Lesson Plans for Falls 1. Define falls. 3. Describe factors that increase the risk of falls. restraint use. Lesson 20.2: 6. Describe nursing interventions to use when a fall occurs. • Box 20-2: […]

4. Explain the purpose of the Omnibus Reconciliation Act (OBRA) of 1987. (See p. 316 in your textbook.) textbook.) follow when a patient falls in a hospital or long-term facility. (See p. 321 in your textbook.) Copyright © 2016 by […]

status, adequate food and fluid intake, and normal elimination; and maintaining skin integrity, joint mobility, and circulation. functional positions; use foot boards, splints, and bed boards (patients in bed); and avoid positioning the patient with the knees and hips flexed. […]

Introduction to Medical-Surgical Nursing, 6th ed. 21 Lesson Plans for Immobility CHAPTER LESSON PLANS & OBJECTIVES Lesson 21.1: 1. Describe common problems associated with immobility. 2. Discuss the impact of exercise and positioning on preventing complications related to immobility. 3. […]

6. List and describe the stages of pressure ulcers. (See p. 331 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. effects of immobility. (See p. 329 in your textbook.) ulcers? (See p. 329 in your […]

12 Chapter 21  Immobility _____________________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 21.1 Activities Classroom Choose from below to make 30 minutes Online 1 condition to his or her status upon admission to the facility and note the additional […]

22 Lesson Plans for Delirium and Dementia 1. Describe the neurocognitive disorders (NCDs): delirium, mild NCD, and major NCD. 3. Identify the common causes of derlirium. 5. Identify drugs used to treat delirium and dementia. • Table 22-1: Major Neurocognitive […]

focused assessment of orientation and memory. Be alert for medications that most often cause confusion in older adults. and to explain that the hallucinations are not real even though they seem to be. The patient needs to be assured that […]

(See p. 339 in your textbook.) in your textbook.) textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. with dementia? (See p. 344 in your textbook.) patients who have dementia. (See p. 344 in your textbook.) communicate with […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 10. List the four types of fecal incontinence. (See p. 363 in your textbook.) usually ordered? (See p. 346 in your textbook.) cause urinary incontinence? (See p. 353 in your […]

is not advised to resist the urge and delay voiding. Prompted voiding is often used with habit training for people who are dependent or cognitively impaired. The caregiver checks the patient for wetness at regular intervals and asks the patient […]

Introduction to Medical-Surgical Nursing, 6th ed. 23 Lesson Plans for Incontinence CHAPTER LESSON PLANS & OBJECTIVES Lesson 23.1: (Urinary Incontinence) 1. Identify common therapeutic measures used for the incontinent patient. 2. Identify the types of urinary and fecal incontinence. 3. […]

16 Chapter 23  Incontinence __________________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 23.1 Slide 49 Social Isolation • The person with urinary incontinence may curtail social activities out of fear of having embarrassing accidents • Access to public toilets […]

Introduction to Medical-Surgical Nursing, 6th ed. 24 Lesson Plans for Loss, Death, and End-of-Life Care CHAPTER LESSON PLANS & OBJECTIVES Lesson 24.1: 1. Describe beliefs and practices related to death and dying. 2. Describe responses of patients and their families […]

_________________________________________________ Chapter 24  Loss, Death, and End-of-Life Care 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 24.1 Activities Classroom Choose from below to make 30 minutes Online 1 are devout Catholics and he insists that she take him to […]

textbook.) 4. Describe the physical symptoms of grief. (See p. 378 in your textbook.) 6. Describe respiratory manifestations that are associated with impending death. (See p. 373 in your textbook.) textbook.) (See p. 376 in your textbook.) Copyright © 2016 […]

uncomplicated grief. Grief that is prolonged, unresolved, or disruptive to the person who experiences it may be termed complicated grief. 3. Denial, anger, bargaining, depression, and acceptance suffocation, generalized weakness, intense tightening of the abdomen, and emptiness or churning in […]

2. Tumors are classified by: anatomic site, stage, cell appearance, and differentiation. warning signs of cancer, how to do self-examinations, and the importance of periodic examinations for common cancers. free of signs of disease but has a high likelihood of […]

Introduction to Medical-Surgical Nursing, 6th ed. 25 Lesson Plans for The Patient with Cancer CHAPTER LESSON PLANS & OBJECTIVES Lesson 25.1: 1. List the most common sites of cancer in men and women. 2. Explain the differences between benign and […]

textbook.) 5. Describe the side effects of radiation treatment. (See p. 395 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. any side effects. (See p. 399 in your textbook.) thrombocytopenia? (See p. 406 in your […]

_________________________________________________________ Chapter 25  The Patient with Cancer 17 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 25.1 5 diagnostic tests below to each pair. Have the nurse explain to the patient the purpose of the test. Have the patient ask […]

textbook.) 7. Name the most common type of urinary diversions. (See p. 428 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 10. Compare and contrast a vesicostomy and a nephrostomy. (See p. 433 in your […]

16 Chapter 26  The Patient with an Ostomy _______________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 26.1 3 drainage expected from this site. Examples would be ileostomy, colostomy (ascending, transverse, descending, sigmoid) or ileoanal reservoir. Then have the groups […]

end of the ileum is brought out through a second abdominal incision. The edges of the loop or the end of the ileal segment are everted and sutured to the abdominal skin to create a stoma. fecal matter. The advantage […]

Introduction to Medical-Surgical Nursing, 6th ed. 26 Lesson Plans for The Patient with an Ostomy CHAPTER LESSON PLANS & OBJECTIVES Lesson 26.1: 1. List the indications for ostomy surgery to divert urine or feces. 2. Describe nursing interventions to prepare […]

Introduction to Medical-Surgical Nursing, 6th ed. 27 Lesson Plans for Neurologic Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 27.1: 1. Identify common neurologic changes in the older person and the implication of these for nursing care. 2. List the components […]

3. Describe the lumbar puncture procedure. (See p. 448 in your textbook.) 5. Describe the four common types of headaches. (See p. 453 in your textbook.) textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. CNS? (See p. […]

2. Level of consciousness, pupillary evaluation, neuromuscular response, and vital signs into the subarachnoid space at the level of the third vertebra. After the needle is in place, a sample of cerebrospinal fluid (CSF) is collected for laboratory analysis. signs […]

18 Chapter 27 Neurologic Disorders ____________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 27.2 50-Minute Lesson Plan Lecture Outline 20 minutes 6 Slide 21 • Craniectomy • Excision of a segment of the skull • Cranioplasty • Any procedure done […]

in your textbook.) experiencing an ineffective airway or has ineffective breathing patterns. (See p. 497 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 501 in your textbook.) 3. Name and describe the two main classifications […]

vessel and the degree of narrowing. Medical treatment may include drug therapy with acetylsalicylic acid, extended-release dipyridamole, or clopidogrel bisulfate to decrease platelet clumping. occurs. An ischemic stroke is caused by the obstruction of a blood vessel by an atherosclerotic […]

Introduction to Medical-Surgical Nursing, 6th ed. 28 Lesson Plans for Cerebrovascular Accident CHAPTER LESSON PLANS & OBJECTIVES Lesson 28.1: 1. Discuss the risk factors for cerebrovascular accident (CVA). 2. Identify the two major types of CVA. 3. Describe the pathophysiology, […]

14 Chapter 28  Cerebrovascular Accident ________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 28.1 Activities Classroom Choose from below to make 30 minutes Online 1 lifestyle choices that are risk factors for CVA. • In small groups, have students […]

2. By location, as open or closed, and by extent of damage to the cord. Injuries classified by location are described as cervical, thoracic, or lumbar. below the level of the injury temporarily ceases. It may appear as early as […]

Introduction to Medical-Surgical Nursing, 6th ed. 29 Lesson Plans for Spinal Cord Injury CHAPTER LESSON PLANS & OBJECTIVES Lesson 29.1: 1. Explain the effect of spinal cord injury. 2. Describe the diagnostic tests used to evaluate spinal cord injuries and […]

______________________________________________________________ Chapter 29 Spinal Cord Injury 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 29.1 Slide 29 mobilizing secretions. • How is a patient turned in a Stryker wedge frame? • Once the patient is able to be up in […]

6. Identify and describe the types of special beds available to prevent complications of immobility while maintaining spinal immobilization. (See p. 518 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 2. How are spinal cord […]

determines whether those choices were made carefully. Values clarification enables nurses not only to understand themselves better, but also to understand their patients and to help patients explore what is important to them. criteria of fidelity, veracity, autonomy, beneficence, and […]

Introduction to Medical-Surgical Nursing, 6th ed. 3 Lesson Plans for Legal and Ethical Considerations 1. Define ethics, bioethics, values, morality, moral uncertainty, moral distress, moral outrage, and moral/ethical dilemma. 3. Explain how values are formed. 5. Explain the relationship between […]

p. 33 in your textbook.) in your textbook.) your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. your textbook.) medications? (See p. 40 in your textbook.) must be followed? (See p. 40 in your textbook.) 5. What […]

back of the throat, tonsils, and any obvious lesion. The swab should not touch any other area of the mouth. Because patients often gag or cough, stand to one side or wear a mask. Immediately place the swab in the […]

Introduction to Medical-Surgical Nursing, 6th ed. 30 Lesson Plans for Disorders of the Upper Respiratory Tract CHAPTER LESSON PLANS & OBJECTIVES Lesson 30.1: 1. List the data to be collected for the nursing assessment of the nose, sinuses, and throat. […]

textbook.) 4. Describe the complications of sinusitis. (See p. 540 in your textbook.) in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 7. What is a saddle deformity? (See p. 542 in your textbook.) total laryngectomy. […]

14 Chapter 30  Disorders of the Upper Respiratory Tract _____________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 30.2 Slide 21 • Made on the basis of a detailed history • With chronic symptoms, the patient may be instructed to […]

your textbook.) textbook.) 7. List and describe the three types of positive-pressure ventilators. (See p. 574 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. textbook.) performed? (See p. 569 in your textbook.) 8. How is […]

Introduction to Medical-Surgical Nursing, 6th ed. 31 Lesson Plans for Acute Disorders of the Lower Respiratory Tract CHAPTER LESSON PLANS & OBJECTIVES Lesson 31.1: 1. Identify data to be collected in the nursing assessment of the patient with a respiratory […]

18 Chapter 31Acute Disorders of the Lower Respiratory Tract _________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 31.2 4 chest drainage system and have them open the equipment and perform the entire setup. Ask each group to discuss the rationales […]

test must be done before an arterial puncture to ensure that the arteries to the hand are patent. Inform the patient that after the arterial puncture, pressure must be applied for 5 to 10 minutes to ensure there is no […]

Introduction to Medical-Surgical Nursing, 6th ed. 32 Lesson Plans for Chronic Disorders of the Lower Respiratory Tract CHAPTER LESSON PLANS & OBJECTIVES Lesson 32.1: 1. Identify examples of chronic inflammatory, obstructive, and restrictive pulmonary diseases. 2. For selected chronic respiratory […]

14 Chapter 32Chronic Disorders of the Lower Respiratory Tract _______________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 32.1 Slide 32 • In some, infectious process progresses, and active tuberculosis develops • It is possible for inactive bacteria to be reactivated, […]

stabilizers, the immunomodulator omalizumab, and methylxanthines) and those that relieve acute symptoms (beta2-receptor agonists and anticholinergics and less commonly used methylxanthines). uses the meter twice daily to establish a baseline PEFR and then daily to monitor the level of control. […]

3. Explain the use of the peak expiratory flow rate meter (PEFR). (See p. 601 in your textbook.) in your textbook.) 9. Describe idiopathic pulmonary fibrosis and its treatment. (See p. 616 in your textbook.) Copyright © 2016 by Saunders, […]

4. Identify the types of blood transfusion reactions. (See p. 630 in your textbook.) 6. Explain the nursing interventions when administering the drug oprelvekin. (See p. 634 in your textbook.) textbook.) 9. State the symptoms of thrombocytopenia. (See p. 638 […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. Linton 33 Lesson Plans for Hematologic Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 33.1: 1. List the components of the hematologic system and describe their role in oxygenation and hemostasis. […]

___________________________________________________________ Chapter 33Hematologic Disorders 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 33.2 Slide 18 • Autologous transfusion: using the patient’s own blood • Patient donates blood several times before procedure • Blood is stored by the blood bank and […]

resulting from blood capillaries breaking and leaking small amounts of blood into the tissues. Petechiae almost always signal that the patient has a very low platelet count. injected. As the Jamshidi needle is inserted, the patient may feel pressure and […]

3. State examples of diagnostic tests and procedures used to diagnose disorders of the immune system. (See p. 648 in your textbook.) your textbook.) 8. Compare and contrast idiopathic thrombocytopenic purpura (ITP) and thrombotic thrombocytopenic purpura (TTP). (See p. 657 […]

___________________________________________________________ Chapter 34Immunologic Disorders 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 34.2 Instructor Preparation Textbook Objectives Covered 4. Describe the nursing care for patients undergoing common therapeutic measures for disorders of the immune system. 5. Describe the pathophysiology, signs […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. Linton 34 Lesson Plans for Immunologic Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 34.1: 1. List the components of the immune system and describe their role in innate immunity, acquired […]

cultures, urine cultures, stool cultures, lymphangiography, liver and spleen scan, gallium scan, skin tests 4. Infection, thrombocytopenia renal insufficiency, hepatic veno-occlusive disease, and graft-versus-host disease lymphoblastic leukemia (ALL) take lower doses of chemotherapy (maintenance therapy) for 1 to 3 years. […]

_________________ Chapter 35Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 35.1 Slide 27 • Death within 4 to 6 months after the onset of symptoms • Symptoms include weakness and progressively impaired speech, […]

Introduction to Medical-Surgical Nursing, 6th ed. 35 Lesson Plans for Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome CHAPTER LESSON PLANS & OBJECTIVES Lesson 35.1: 1. Describe the history of HIV/AIDS. 2. Explain the pathophysiology and cause of HIV infection. 3. […]

5. Name the opportunistic viral infections that may affect patients with HIV. (See p. 671 in your textbook.) your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 3. What are the major complications of HIV infections? (See […]

becomes inactive in infected, resting CD4 host cells. Levels of virus are high in lymph nodes where CD4 cells reside but are low in the blood. This stage can last 2 to 12 years. During the third stage of HIV […]

level and check the blood pressure in both arms. Next, measure blood pressure in the lying, sitting, and standing positions. valves in the areas indicated. After listening to each area with the diaphragm, repeat the pattern with the bell of […]

Introduction to Medical-Surgical Nursing, 6th ed. 36 Lesson Plans for Cardiac Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 36.1: 1. Label the major parts of the heart. 2. Describe the flow of blood through the heart and coronary vessels. 3. […]

32 Chapter 36Cardiac Disorders ________________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 36.4 Slide 58 Infective Endocarditis (cont.) • Pathophysiology • Pathogens, usually bacteria, enter the bloodstream by any of the previously mentioned means • The pathogen accumulates on the […]

your textbook.) 6. List the laboratory tests commonly used to diagnose cardiac disorders. (See p. 694 in your textbook.) 8. Describe the formation of lesions in the development of atherosclerosis. (See p. 708 in your textbook.) Copyright © 2016 by […]

_______________________________________________________________ Chapter 36Cardiac Disorders 21 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 36.3 Activities Classroom Choose from below to make 30 minutes Online 6 • Discuss preoperative and postoperative nursing interventions for the cardiac surgery patient, including data collection and […]

Introduction to Medical-Surgical Nursing, 6th ed. 37 Lesson Plans for Vascular Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 37.1: 1. Identify specific anatomic and physiologic factors that affect the vascular system and tissue oxygenation. 2. Indicate appropriate parameters for assessing […]

_____________________________________________________________ Chapter 37 Vascular Disorders 17 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 37.2 5 • Part IIIL: 1, 9, 10, 12, 13 (pp. 236-237) • Part IIIM: 2, 4-6 (pp. 237-238) READ – Textbook (pp. 752-766) REVIEW • Nursing […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. textbook.) peripheral vascular disease would you focus on? (See p. 740 in your textbook.) 5. List the signs and symptoms of inadequate blood supply. (See p. 752 in your textbook.) […]

vascular system. Angiography is used to confirm the diagnosis of peripheral vascular disease, distinguish clot formation from venous obstruction, and locate a suitable vessel for grafting. made into the vessel, and the clot is removed under direct visualization of the […]

Introduction to Medical-Surgical Nursing, 6th ed. 38 Lesson Plans for Hypertension CHAPTER LESSON PLANS & OBJECTIVES Lesson 38.1: 1. Define hypertension. 2. Explain the physiology of blood pressure regulation. 3. Discuss the risk factors, signs and symptoms, diagnosis, treatment, and […]

__________________________________________________________________ Chapter 38Hypertension 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 38.1 4 • A 70-year-old woman who teaches ballroom dancing is taking diuretics to treat hypertension. She loves to take long walks in the park during the summer. • […]

3. Explain the nonpharmacologic approach to modify lifestyle in the control of hypertension. (See p. 773 in your textbook.) p. 774 in your textbook.) 776 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 10. Explain […]

for men or older than 65 years for women, family history, sedentary lifestyle, stress, and overstimulation 3. A nonpharmacologic approach includes weight reduction, smoking cessation, sodium and alcohol restriction, exercise, and relaxation techniques adrenergic blockers, direct vasodilators, calcium channel blockers, […]

walls of the esophagus, increased reflux caused by a relaxed esophageal sphincter, and a slowing of gastric motor activity are all examples of age-related changes to the upper digestive tract. mucosal barriers, histamine-2 (H2) receptor blockers, proton pump inhibitors, 5-hour […]

___________________________________________________ Chapter 39 Upper Digestive Tract Disorders 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 39.1 Activities Classroom Choose from below to make 30 minutes Online 1 bowel resection surgery for the removal of a tumor is receiving total parenteral […]

Introduction to Medical-Surgical Nursing, 6th ed. 39 Lesson Plans for Upper Digestive Tract Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 39.1: 1. Identify the nursing responsibilities in the care of patients undergoing diagnostic tests and procedures for disorders of the […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 1. What are the functions of the digestive tract? (See p. 785 in your textbook.) 2. What are some age-related changes of the mouth and esophagus? (See p. 786 in […]

4. Explain how transformational leadership involves both leader and members. (See p. 47 in your textbook.) your textbook.) 8. List and describe the steps of the decision-making component of the planning process. (See p. 48 in your textbook.) Copyright © […]

Introduction to Medical-Surgical Nursing, 6th ed. 4 Lesson Plans for The Leadership Role of the Licensed Practical Nurse CHAPTER LESSON PLANS & OBJECTIVES Lesson 4.1: 1. Differentiate leadership from management. 2. Describe leadership styles and theories. 3. Discuss contemporary leadership […]

the way to others; and clarifies and punctuates unifying values that, when combined with vision, create a mission for the group to work toward. Managers are generally driven by external organizational rewards. Management provides the means to achieve organizational goals. […]

____________________________________ Chapter 4 The Leadership Role of the Licensed Practical Nurse 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 4.1 Slide 31 Four Stages of Conflict • Stage 1: Frustration • Stage 2: Conceptualization • Stage 3: Action • Stage […]

16 Chapter 40 Lower Digestive Tract Disorders ____________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 40.2 50-Minute Lesson Plan Lecture Outline 20 minutes 3 Slide 39 • Vomiting (possibly projectile), abdominal pain, and constipation • Blood or purulent drainage passed […]

your textbook.) 6. Describe the treatment recommendations for diverticulosis. (See p. 841 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 4. How are abdominal hernias classified? (See p. 836 in your textbook.) 7. What are […]

Introduction to Medical-Surgical Nursing, 6th ed. 40 Lesson Plans for Lower Digestive Tract Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 40.1: 1. Identify the nursing responsibilities in the care of patients undergoing diagnostic tests and procedures for disorders of the […]

effectively enough to propel the fecal mass toward the rectum. Fecal impaction refers to the retention of a large mass of stool in the rectum that the patient is unable to pass. appendicitis is pain at McBurney point, which is […]

18 Chapter 41Liver, Gallbladder, and Pancreatic Disorders Introduction to Medical-Surgical Nursing, 6th ed. LESSON 41.1 Slide 57 • Lifelong drug therapy needed to prevent rejection • Recipient must be monitored for signs of rejection • Fever, anorexia, depression, vague abdominal […]

Introduction to Medical-Surgical Nursing, 6th ed. 41 Lesson Plans for Liver, Gallbladder, and Pancreatic Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 41.1: 1. Identify nursing assessment data related to the functions of the liver, gallbladder, and pancreas. 2. Identify the […]

biopsy). Another method (needle biopsy) involves the use of a special type of needle inserted through the abdominal wall to obtain the specimen. 3. Preicteric phase, icteric phase, and posticteric phase unless contraindicated. Be alert for signs of fluid retention, […]

your textbook.) (See p. 862 in your textbook.) 7. List the signs and symptoms of liver cancer. (See p. 869 in your textbook.) textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. with pancreatitis. (See p. 884 in […]

6. Describe the medical treatment for urethritis. (See p. 908 in your textbook.) 8. Name and describe the four stages of acute renal failure. (See p. 923 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. […]

Introduction to Medical-Surgical Nursing, 6th ed. 42 Lesson Plans for Urologic Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 42.1: 1. List the data to be collected when assessing a patient who has a urologic disorder. 2. Describe the diagnostic tests […]

20 Chapter 42Urologic Disorders _______________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 42.2 5 Slide 35 • Concentrated urine; excessive intake of calcium, vitamin D, protein, oxalates, calcium-based antacids; familial tendency; hyperparathyroidism; immobility, urinary stasis; sedentary lifestyle; altered urine pH; […]

3. Intravenous pyelography—diagnostic procedure in which a radiographic contrast medium (dye) is injected intravenously. into the aorta. Contrast medium is injected into each renal artery, and radiographs are taken. 3. Renal scan—an intravenous radioisotope is injected and radiographs are taken […]

Introduction to Medical-Surgical Nursing, 6th ed. 43 Lesson Plans for Connective Tissue Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 43.1: 1. Define connective tissue. 2. Describe the function of connective tissue. 3. Identify the data to be collected in the […]

your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 9. Describe the unique features of gout. (See p. 962 in your textbook.) controlled with the use of what drugs? (See p. 951 in your textbook.) replacement surgeries? […]

2. Nonsteroidal anti-inflammatory drugs (NSAIDS), glucocorticoids, and disease- modifying antirheumatic drugs (DMARDS) per minute. It prevents formation of scar tissue and promotes flexibility of the new joint. and stockings to ensure that they are not restricting circulation; do not place […]

16 Chapter 43Connective Tissue Disorders _______________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 43.2 50-Minute Lesson Plan Lecture Outline 20 minutes 5 Slide 22 • Disease-modifying antirheumatic drugs (DMARDs) • Cyclooxygenase-2 (COX-2) inhibitors Therapeutic Measures (cont.) • Drug therapy • […]

Introduction to Medical-Surgical Nursing, 6th ed. 44 Lesson Plans for Fractures CHAPTER LESSON PLANS & OBJECTIVES Lesson 44.1: 1. Identify the types of fractures. 2. Describe the five stages of the healing process. 3. Discuss the major complications of fractures, […]

3. Compare and contrast the conditions of malunion, nonunion, and delayed union. (See p. 974 in your textbook.) 5. List the types of materials used for a cast. (See p. 977 in your textbook.) 7. State the five types of […]

Introduction to Medical-Surgical Nursing, 6th ed. Copyright © 2016 by Saunders, an imprint of Elsevier Inc. Linton Slide 53 • Correct answer: B • Rationale: Open fractures have three grades of severity: • Grade I: least severe injury, with minimal […]

external pressure on the affected area. Symptoms include pain, especially with touch or movement that cannot be relieved with opioid analgesia; edema; pallor; weak or unequal pulses; cyanosis; tingling; numbness; and paresthesia. of bone results in external deformity and dysfunction; […]

Introduction to Medical-Surgical Nursing, 6th ed. 45 Lesson Plans for Amputations 1. Identify the clinical indications for amputations. the preoperative and postoperative phases of amputation care and the development of a nursing care plan for the patient who has had […]

stump; a long skin flap with soft tissue and muscle is positioned over the severed end of the bone and sutured in place; open amputation—the severed bone or joint is left uncovered by a skin flap. functional abilities is stressful. […]

textbook.) textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. experiencing decreased cardiac output? (See p. 997 in your textbook.) surgery? (See p. 1001 in your textbook.) Linton: Introduction to Medical-Surgical Nursing, 6th Edition Chapter 45: Amputations Open-Book […]

p. 1010 in your textbook.) 4. Describe the nursing interventions for the patient with a pituitary disorder who is experiencing chronic pain. (See p. 1015 in your textbook.) 6. Describe the management goals and medical treatment of diabetes insipidus (DI). […]

the anterior pituitary hormones. The most common factor in hyperpituitarism is the presence of a pituitary adenoma. 3. Somatostatin analogs, dopamine agonists, and GH receptor antagonists on the pituitary; chronic recurrent infections; total or subtotal destruction or removal of the […]

14 Chapter 46Pituitary and Adrenal Disorders _____________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 46.1 3 Slide 32 • DDAVP (desmopressin acetate) • Sodium intake restricted and thiazide diuretics prescribed Diabetes Insipidus (cont.) • Medical treatment • Intravenous fluid volume […]

Introduction to Medical-Surgical Nursing, 6th ed. 46 Lesson Plans for Pituitary and Adrenal Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 46.1: 1. Identify nursing assessment data relevant to the function of the adrenal and pituitary glands. 2. Describe the tests […]

3. Compare the use of thionamides and iodides in the treatment of patients with thyroid disorders. (See p. 1040 in your textbook.) 5. Describe the signs and symptoms of poor oxygenation after a thyroidectomy. (See p. 1043 in your textbook.) […]

patients with a mild form of the disease. In more severe cases, restlessness, irritable behavior, sleep disturbances, emotional lability, personality changes, hair loss, and fatigue may be evident. will allow the drugs to be discontinued. A disadvantage of thionamides is […]

Introduction to Medical-Surgical Nursing, 6th ed. 47 Lesson Plans for Thyroid and Parathyroid Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 47.1: 1. Identify nursing assessment data related to the functions of the thyroid and parathyroid glands. 2. Describe tests and […]

12 Chapter 47  Thyroid and Parathyroid Disorders _________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 47.1 1 Slide 27 • Usually four parathyroids; some people have more • Embedded in thyroid, but function independently • Secrete only one hormone, […]

________________________________________________ Chapter 48Diabetes Mellitus and Hypoglycemia 17 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 48.1 Slide 37 • Pump is programmed to deliver a steady trickle of insulin throughout the day and can provide a bolus of insulin at mealtimes […]

4. Summarize how you would treat a conscious patient with hypoglycemia. (See p. 1064 in your textbook.) (See p. 1066 in your textbook.) textbook.) 8. Explain the Somogyi phenomenon. (See p. 1077 in your textbook.) Copyright © 2016 by Saunders, […]

than 10 lb; ethnicity derived from Alaskan native, American Indian, African American, Hispanic or Latino, Asian American, or Pacific Islander; polycystic ovary syndrome; cardiovascular disease and hypertension; and the presence of acanthosis nigricans or other conditions associated with insulin resistance […]

Introduction to Medical-Surgical Nursing, 6th ed. 48 Lesson Plans for Diabetes Mellitus and Hypoglycemia CHAPTER LESSON PLANS & OBJECTIVES Lesson 48.1: 1. Explain the pathophysiology of diabetes mellitus and hypoglycemia. 2. Explain the difference between type 1 and type 2 […]

indirectly assess corpus luteum function in cases of suspected infertility, diagnose irregular uterine bleeding patterns, and diagnose uterine cancer of a series of progressively larger rods and scraping the entire uterine lining and removing the tissue samples by vacuum aspiration. […]

Introduction to Medical-Surgical Nursing, 6th ed. 49 Lesson Plans for Female Reproductive Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 49.1: 1. List data to be collected when assessing the female reproductive system. 2. Describe the nursing interventions for women who […]

____________________________________________________ Chapter 49Female Reproductive Disorders 21 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 49.2 Slide 45 regimen of analgesics and broad-spectrum antibiotics • Expedited partner therapy • Follow-up recommended to ensure successful treatment • How long should the patient abstain […]

Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 5. Describe the signs and symptoms of bartholinitis. (See p. 1106 in your textbook.) 6. What is mastitis, and how are its symptoms managed? (See p. 1107 in your textbook.) […]

textbook.) 5. List the characteristics that are necessary for the nurse to assume a helping role. (See p. 60 in your textbook.) 7. Name and explain the two types of communicative behavior. (See p. 61 in your textbook.) Copyright © […]

Introduction to Medical-Surgical Nursing, 6th ed. 5 Lesson Plans for The Nurse-Patient Relationship 1. Define the holistic view of nursing. 3. Discuss the use of self in the practice of nursing. 5. Describe the meaning of the AHA Patient Care […]

used to describe one’s personhood—the knowledge, experience, values, beliefs, perceptions, strengths, and weaknesses that make each individual unique. express both positive and negative feelings; the ability to use problem-solving methods for decision making; the ability to promote interpersonal teaching and […]

when the scrotum is touched or cooled; it will appear with relaxation or rewarming. The left testicle hangs lower than the right. Both testicles should be oval in shape, smooth, and firm and without masses or tenderness. 3. Testicular tumor, […]

Introduction to Medical-Surgical Nursing, 6th ed. 50 Lesson Plans for Male Reproductive Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 50.1: 1. Describe the major structures and functions of the normal male reproductive system. 2. Identify data to be collected when […]

______________________________________________________ Chapter 50Male Reproductive Disorders 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 50.1 Slide 33 • Surgical procedure that bypasses blocked arteries, removes or ties off incompetent veins, and tightens the surrounding tissue • Penile implants • Silicon cylinders […]

3. List the causes of increased levels of testosterone in a man. (See p. 1143 in your textbook.) textbook.) your textbook.) (See p. 1148 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. are the normal […]

____________________________________________________ Chapter 51Sexually Transmitted Infections 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 51.1 Activities Classroom Choose from below to make 30 minutes Online 1 • Discuss what precautions a nurse should use when collecting a sample from a patient […]

1166 in your textbook.) textbook.) textbook.) textbook.) (See p. 1176 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 5. What is the treatment choice for syphilis? (See p. 1172 in your textbook.) episodes? (See p. […]

lead to damage to heart tissue and joints. Men may develop epididymitis and prostatitis. Women may develop pelvic inflammatory disease. months after contact. Symptoms include a rash on the extremities, chest or back, palms of the hands, and soles of […]

Introduction to Medical-Surgical Nursing, 6th ed. 51 Lesson Plans for Sexually Transmitted Infections CHAPTER LESSON PLANS & OBJECTIVES Lesson 51.1: 1. Describe tests used to diagnose sexually transmitted infections and the nursing considerations associated with each. 2. Explain why specific […]

which is then lifted up and severed; incisional biopsy—a wedge of tissue is removed from tissue; and excisional biopsy—entire lesion is removed. Sutures are required to close the defect left by the procedure. to promote shedding of the epidermis. It […]

4. Summarize the three stages of eczema. (See p. 1194 in your textbook.) 6. Name the two types of herpes simplex virus (HSV) and describe how they are treated. (See p. 1201 in your textbook.) 8. Name the classifications of […]

Introduction to Medical-Surgical Nursing, 6th ed. 52 Lesson Plans for Skin Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 52.1: 1. Describe the structure and functions of the skin. 2. Define terms used to describe the skin and skin lesions. 3. […]

_________________________________________________________________ Chapter 52Skin Disorders 19 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 52.2 Slide 36 by vesicles and pustules • Cause and risk factors • Results from heat, friction, and moisture between touching surfaces Intertrigo • Pathophysiology • Inflammation where […]

Introduction to Medical-Surgical Nursing, 6th ed. 53 Lesson Plans for Eye and Vision Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 53.1: 1. Identify the data to be collected in the nursing assessment of the eye and vision. 2. Identify the […]

________________________________________________________ Chapter 53  Eye and Vision Disorders 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 53.2 Student Preparation • Figure 53-18: Loss of partial field of vision because of retinal detachment (p. 1245) • Figure 53-19: Retinal detachment (p. […]

7. Describe the difference between an entropion and an ectropion. (See p. 1234 in your textbook.) 9. Name and describe the advancements in the surgical correction of refractive errors. (See p. 1238 in your textbook.) Copyright © 2016 by Saunders, […]

2. Applanation (slit-lamp microscope) is the most accurate. Others include the Tono- Pen, Diaton tonometer, and the pneumatonometer. place a basin and waterproof pad to collect the fluid; gently direct the fluid into the lower conjunctival sac from the inner […]

5. Summarize the components of hearing aids. (See p. 1258 in your textbook.) 7. Name and describe the categories of hearing loss. (See p. 1260 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. and internal […]

Introduction to Medical-Surgical Nursing, 6th ed. 54 Lesson Plans for Ear and Hearing Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 54.1: 1. Identify the data to be collected when assessing a patient with a disorder affecting the ear, hearing, or […]

14 Chapter 54Ear and Hearing Disorders _________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 54.2 6 READ – Textbook (pp. 1269-1270) REVIEW • Box 54-2: Ototoxic Drugs (p. 1269) ANSWER – Study Guide • Part IC: 1-10 (p. 372) • […]

organs of hearing and balance. Examples of drugs that can have ototoxic effects are aspirin and aminoglycoside antibiotics. placed around the eye, and eye movements are measured as the patient focuses on specific targets—for example, as the ears are irrigated […]

2. Age, cultural beliefs, spirituality, self-concept, family and community resources, emotions, stress, fear, anxiety, loss, grief, and mourning of suffering or existence; patients experience a sense of conflict between the personal beliefs and their relationship with their God; or patients […]

12 Chapter 55Psychologic Responses to Illness____________________________________________________ Copyright © 2016 by Saunders, an imprint of Elsevier Inc. Linton LESSON 55.1 5 & 6 Slide 24 • The individual may begin to express anger as a means of diminishing feelings of helplessness […]

2. List the factors that affect coping with illness. (See p. 1274 in your textbook.) your textbook.) 6. Name several relaxation techniques that may be used to help patients cope with illness. (See p. 1279 in your textbook.) 8. Define […]

Introduction to Medical-Surgical Nursing, 6th ed. 55 Lesson Plans for Psychologic Responses to Illness CHAPTER LESSON PLANS & OBJECTIVES Lesson 55.1: 1. Define mental health. 2. Discuss the concepts of stress, anxiety, adaptation, and homeostasis. 3. Discuss how age and […]

___________________________________________________________ Chapter 56  Psychiatric Disorders 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 56.2 50-Minute Lesson Plan Lecture Outline 60minutes 6 Slide 24 trembling, urinary frequency, diarrhea, a tight sensation in the chest, and difficulty breathing • Psychologic manifestations: […]

Introduction to Medical-Surgical Nursing, 6th ed. 56 Lesson Plans for Psychiatric Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 56.1: 1. Describe the differences between social relationships and therapeutic relationships. 2. Describe key strategies in communicating therapeutically. 3. Describe the components […]

textbook.) your textbook.) 6. Define obsessive-compulsive disorder (OCD) behavior and give examples of this disorder. (See p. 1288 in your textbook.) (See p. 1290 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. 10. Compare and […]

interpersonally, (2) the patient learns new ways of coping or maturing in a therapeutic relationship, and (3) the establishment of trust is an important first step in working with patients. affect, speech and language, thought content, perceptual disturbances, insight and […]

__________________________________________ Chapter 57Substance-Related and Addictive Disorders 15 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 57.1 Slide 39 • Cocaine produces an intense feeling of euphoria that usually lasts only 30 to 60 minutes; however, the substance remains in the brain […]

textbook.) 5. List the common medical complications of chronic alcoholism. (See p. 1313 in your textbook.) 8. State the symptoms of chronic inhalation of cocaine. (See p. 1319 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier […]

for their abuse of substances; intellectualization—related to rationalization but differs in that the person focuses only on objective facts as a way of avoiding dealing with unconscious conflicts and the emotions they evoke; projection—substance abusers shift the blame for their […]

Introduction to Medical-Surgical Nursing, 6th ed. 57 Lesson Plans for Substance-Related and Addictive Disorders CHAPTER LESSON PLANS & OBJECTIVES Lesson 57.1: 1. Apply the biologic, environmental, and behavioral theories to the risks of substance-related and addictive disorders. 2. Discuss prevention […]

Introduction to Medical-Surgical Nursing, 6th ed. 6 Lesson Plans for Cultural Aspects of Nursing Care 1. Describe cultural concepts related to nursing and health care. 3. Explain cultural influences on the interactions of patients and families with the health care […]

2. Culture is learned, shared, and based on symbols. levels have difficulty reading the materials presented and understanding health care jargon. People from economically deprived areas may live in crowded, unsafe housing and have inadequate diets. 5. Asians may favor […]

your textbook.) 6. List the three phases of culture shock associated with hospitalization. (See p. 78 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier Inc. health care services? (See p. 78 in your textbook.) issues affect […]

arrangement, adjusting to a reduced income, maintaining the marital relationship, adjusting to the loss of a spouse, maintaining intergenerational family ties, and continuing to make sense of one’s existence mother, husband-father, son-brother, daughter-sister). Informal roles are often not as apparent […]

Introduction to Medical-Surgical Nursing, 6th ed. 7 Lesson Plans for The Nurse and the Family 1. Describe the concept of family and its relationship to society. 3. Discuss the family from a developmental perspective. 5. Describe adaptive and maladaptive mechanisms […]

3. Describe the family developmental tasks for families in later life. (See p. 84 in your textbook.) textbook.) 8. Describe three types of coping responses. (See p. 87 in your textbook.) Copyright © 2016 by Saunders, an imprint of Elsevier […]

3. Physiologic, safety and security, love and belonging, self-esteem, and self- actualization a body region or body part to homeostasis. General adaptation is a physiologic response of the whole body to stress involving primarily the autonomic nervous system and endocrine […]

_______________________________________________________________ Chapter 8 Health and Illness 13 Introduction to Medical-Surgical Nursing, 6th ed. LESSON 8.1 Slide 22 or withdrawal, blaming oneself or accepting responsibility for the problem, drawing strength from adversity, tension reduction, hostility, fatalism, social support, and faith Coping […]

Introduction to Medical-Surgical Nursing, 6th ed. 8 Lesson Plans for Health and Illness CHAPTER LESSON PLANS & OBJECTIVES Lesson 8.1: 1. Describe the health-illness continuum. 2. Discuss traditional and current views of health and illness. 3. Explain Maslow’s Hierarchy of […]

textbook.) 5. Describe the two types of stress responses. (See p. 93 in your textbook.) your textbook.) 8. List the three factors that influence the effect of illness on the family. (See p. 97 in your textbook.) Copyright © 2016 […]

textbook.) 4. List the factors that affect digestion. (See p. 105 in your textbook.) in your textbook.) 8. Describe the dietary adaptations that a vegetarian must consider. (See p. 120 in your textbook.) Copyright © 2016 by Saunders, an imprint […]

18 Chapter 9  Nutrition _______________________________________________________________________ Introduction to Medical-Surgical Nursing, 6th ed. LESSON 9.1 2 which psychological state, bacterial action, and food processing can affect digestion of its nutrient. Have each group share its findings with the class. • As […]

3. Absorption is accomplished by the combination of the processes of diffusion and active transport. 5. Resting energy expenditure, energy expended in physical activity, and thermic effect of food consideration individual likes and dislikes, and should be tasteful, and filling. […]

Introduction to Medical-Surgical Nursing, 6th ed. 9 Lesson Plans for Nutrition CHAPTER LESSON PLANS & OBJECTIVES Lesson 9.1: 1. Explain the role of the gastrointestinal system in the digestion of food. 2. Describe how food is digested and absorbed. 3. […]

Chapter 01: The Health Care System Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. An 89-year-old man, who was recently discharged from a rehabilitation hospital because of an inability to concentrate and frequent memory lapses, cannot be left […]

Chapter 10: Developmental Processes Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What should a nurse take into consideration regarding developmental tasks when planning patient care? a. All of the activities performed throughout life b. Activities learned primarily […]

Chapter 11: The Older Patient Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. How is the term old age or aged best defined? a. Person’s state of mind b. Person older than 65 years of age c. Process […]

Chapter 12: The Nursing Process and Critical Thinking Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What is the primary purpose of incorporating the nursing process into the care of patients? a. Establish a basis of communication with […]

Chapter 13: Immunity, Inflammation, and Infection Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient in early labor says to the nurse, “I will pass on protection from diseases, and the baby will not ever need any […]

Chapter 14: Fluids and Electrolytes Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse assesses that a patient’s urine has become much more concentrated. What is the most likely cause for the change? a. Adrenaline b. Aldosterone […]

Chapter 15: Pain Management Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. The length of time that a nurse should leave heat to an injured hip of a patient is no longer than: a. 15 minutes. b. 20 […]

Chapter 16: First Aid, Emergency Care, and Disaster Management Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What do changes in cardiopulmonary resuscitation (CPR) techniques as recommended by the American Heart Association (AHA) include? a. Compress the chest […]

Chapter 17: Surgical Care Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A postoperative patient is complaining of incisional pain. An order has been given for morphine every 4 to 6 hours as needed (PRN). What should the […]

Chapter 18: Intravenous Therapy Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. In an assessment of a patient who has been receiving intravenous (IV) fluids for the past 6 hours, a nurse finds that the pulse is now […]

Chapter 19: Shock Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What are the four types of shock? a. Multiple organ, cardiogenic, renal, and anaphylactic b. Cardiogenic, renal, hypovolemic, and septic c. Renal, hypervolemic, obstructive shock, and neurogenic […]

Chapter 02: Nursing in Varied Patient Care Settings Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. While a home health nurse is making the entry to a service assessment on a home-bound patient, the spouse of the patient […]

Chapter 20: Falls Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What recommendation should a nurse make to the family of a patient diagnosed with ataxia when preparing discharge to home? a. Remove all scatter rugs from the […]

Chapter 21: Immobility Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What negative effects does immobilization have on the musculoskeletal system? a. Demineralization of bone b. Increase in aerobic capacity c. Increased muscle oxidation d. Lengthening of muscle […]

Chapter 22: Delirium and Dementia Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. The family of a patient with Alzheimer disease asks the nurse, “When will my mother quit being so confused?” On what information regarding dementia should […]

Chapter 23: Incontinence Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What instruction should a nurse provide to a patient scheduled for a postvoid residual (PVR) test? a. Call the nurse immediately after voiding. b. After voiding, wait […]

Chapter 24: Loss, Death, and End–of-Life Care Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. How should a nurse position the body after the death of a patient? a. Prone b. Supine c. On the side d. In […]

Chapter 25: The Patient with Cancer Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Which statement best defines concepts to be included in a teaching plan for a patient with cancer? a. Cancer is a group of diseases. […]

Chapter 26: The Patient with an Ostomy Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Which term appropriately defines an artificial opening into a body cavity? a. Gastrostomy b. Ostomy c. Colonoscopy d. Ureterostomy 2. Why is a […]

Chapter 27: Neurologic Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. To what does the neural synapse refer? a. Length of time it takes for afferent neurons to carry impulses to the central nervous system (CNS) b. […]

Chapter 28: Cerebrovascular Accident Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient has weakness on the right side and impaired reasoning after having a cerebrovascular accident (CVA). What part of the brain is affected? a. Left […]

Chapter 29: Spinal Cord Injury Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse explains that the spinal cord extends from the brainstem to the level of which vertebra? a. Last thoracic b. Second lumbar c. First […]

Chapter 03: Legal and Ethical Considerations Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A good friend of a licensed practical/vocational nurse (LPN/LVN) confides that she is in a serious romantic relationship with a man the LPN/LVN had […]

Chapter 30: Disorders of the Upper Respiratory Tract Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What portion of the internal nose traps particles and kills bacteria? a. Turbinates b. Mucous membrane c. Vestibular formations d. Cilia 2. […]

Chapter 31: Acute Disorders of the Lower Respiratory Tract Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient asks the nurse how air goes from the nose to the lung. The nurse draws the route according to […]

Chapter 32: Chronic Disorders of the Lower Respiratory Tract Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse assesses wheezes in a patient with asthma. What should the nurse know is the cause of wheezes? a. Increased […]

Chapter 33: Hematologic Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What should be a major focus in a teaching plan for a teenager with sickle cell anemia? a. Limit tobacco use to no more than two […]

Chapter 34: Immunologic Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What is responsible for initiating the inflammatory response in addition to immunoglobulin E (IgE)? a. Eosinophils b. Lymphocytes c. Basophils d. Neutrophils 2. Where are histamine-releasing […]

Chapter 35: Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Which population, according to statistics from the Centers for Disease Control and Prevention (CDC), has the greatest incidence of human immunodeficiency […]

Chapter 36: Cardiac Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse performs an apical-radial pulse evaluation, with the result of 100/88. What is the pulse deficit? a. 12 b. 24 c. 76 d. 88 2. […]

Chapter 37: Vascular Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What is a normal age-related change in older adults that makes them susceptible to cardiovascular disease? a. Increase in cardiac output b. Increase in stroke volume […]

Chapter 38: Hypertension Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient inquires if his blood pressure is normal. What is the nurse’s most accurate response regarding the definition of normal blood pressure? a. Less than 144/90 […]

Chapter 39: Upper Digestive Tract Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse is preparing to give a tube feeding using a large syringe. What action should the nurse implement before starting the infusion? a. […]

Chapter 04: The Leadership Role of the Licensed Practical Nurse Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A licensed practical/vocational nurse (LPN/LVN), as a regular staff member, knows all the patients and anticipates many of their needs. […]

Chapter 40: Lower Digestive Tract Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What is the most current endoscopic procedure for examining the small intestine? a. Capsule camera b. Fiberoptic light probe c. Rigid lighted tubes d. […]

Chapter 41: Liver, Gallbladder, and Pancreatic Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. For which complication should a nurse be careful to monitor a patient after a liver biopsy? a. Headache b. Muscle cramps c. Bleeding […]

Chapter 42: Urologic Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse is assessing a patient with renal impairment. Which facial characteristic is a sign of fluid retention? a. Broken blood vessels around the nose b. […]

Chapter 43: Connective Tissue Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A 51-year-old professional tennis instructor is newly diagnosed with osteoarthritis. What is the nurse’s best explanation to the patient when asked what this diagnosis means? […]

Chapter 44: Fractures Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Two days after surgery for a crushed pelvis, a certified nursing assistant (CNA) reports that the patient is complaining of a shortness of breath and is demonstrating […]

Chapter 45: Amputations Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse is aware that a patient who is having his leg amputated is also having a prosthesis fitted during at the same time as the surgery. […]

Chapter 46: Pituitary and Adrenal Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient believed to have acromegaly asks the purpose of the diagnostic glucose tolerance test (GTT). What is the most accurate response by the […]

Chapter 47: Thyroid and Parathyroid Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A physician ordered T3 and T4 tests for a young woman complaining of fatigue, weight gain, muscle aches and pains, and constipation. Which laboratory […]

Chapter 48: Diabetes Mellitus and Hypoglycemia Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse explains that type 1 diabetes mellitus is a disease in which the body does not produce enough insulin. What is the reason […]

Chapter 49: Female Reproductive Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Which potential side effect should a nurse caution a patient who is taking danazol (Danocrine), an androgenic steroid, for the treatment of menorrhagia to be […]

Chapter 05: The Nurse–Patient Relationship Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse is preparing an anxious patient for major surgery and remarks, “Everyone feels some anxiety, but you will be asleep during the whole thing.” […]

Chapter 50: Male Reproductive Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse is reviewing the drugs taken by a 50-year-old male patient. What medication should the nurse recognize as the most probable cause of erectile […]

Chapter 51: Sexually Transmitted Infections Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse in the outpatient clinic notes that a patient has been treated for syphilis three separate times in the past 2 years. What should […]

Chapter 52: Skin Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. Displaying her hands, a patient asks, “Do you think my liver is OK? Look at all these liver spots!” What is the most appropriate nursing response? […]

Chapter 53: Eye and Vision Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A 60-year-old patient who has had an enucleation asks when he can get his prosthesis fitted. In approximately how many weeks should this patient […]

Chapter 54: Ear and Hearing Disorders Linton: Introduction to Medical-Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A nurse reads in a patient’s history that the patient has experienced otalgia. How should the nurse interpret this term? a. Difficulty hearing b. […]

Chapter 55: Psychologic Responses to Illness Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. How should a nurse describe a patient who has a functional interaction of the cognitive, affective, behavioral, and social dimensions of his personality? a. […]

Chapter 56: Psychiatric Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient is given anxiolytic medications for a mental disorder. What type of approach is this considered? a. Analytical b. Interpersonal c. Biologic d. Psychoanalytic 2. […]

Chapter 57: Substance–Related and Addictive Disorders Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A patient has been diagnosed with alcoholism. A nurse tells him that he has a physical illness with a genetic predisposition to alcoholism, and […]

Chapter 06: Cultural Aspects of Nursing Care Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. A home health nurse prepares to teach a Latino patient who neither speaks nor reads English how to measure and administer insulin. Which […]

Chapter 07: The Nurse and the Family Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What is the primary reason that family is an important unit in society? a. Offers unconditional love and acceptance b. Provides emotional support […]

Chapter 08: Health and Illness Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What is the basis for the health–illness continuum? a. Prevention of acute illness b. Individual response to health or illness c. Promotion of health and […]

Chapter 09: Nutrition Linton: Introduction to Medical–Surgical Nursing, 6th Edition MULTIPLE CHOICE 1. What two mechanisms does the regulation of the gastrointestinal system require? a. Neural control and cardiovascular control b. Secretion of hormones and kidney filtration c. Neural control […]