Nursing: A Concept Based Approach to Learning, Volume 1, 5th edition

VOLUME 1

PART I: BIOPHYSICAL MODULES

Module 1: Acid-Base Balance

• The Concept of Acid-Base Balance
• Exemplar 1.A Metabolic Acidosis
• Exemplar 1.B Metabolic Alkalosis
• Exemplar 1.C Respiratory Acidosis
• Exemplar 1.D Respiratory Alkalosis

Module 2: Cellular Regulation

• The Concept of Cellular Regulation
• Exemplar 2.A Cancer
• Exemplar 2.B Anemia
• Exemplar 2.C Breast Cancer
• Exemplar 2.D Colorectal Cancer
• Exemplar 2.E Leukemia
• Exemplar 2.F Lung Cancer
• Exemplar 2.G Prostate Cancer
• Exemplar 2.H Sickle Cell Disease
• Exemplar 2.I Skin Cancer

Module 3: Comfort

• The Concept of Comfort
• Exemplar 3.A Acute and Chronic Pain
• Exemplar 3.B End-of-Life Care
• Exemplar 3.C Fatigue
• Exemplar 3.D Fibromyalgia
• Exemplar 3.E Sleep-Rest Disorders

Module 4: Digestion

• The Concept of Digestion
• Exemplar 4.A Gastroesophageal Reflux Disease
• Exemplar 4.B Hepatitis
• Exemplar 4.C Malabsorption Disorders
• Exemplar 4.D Pancreatitis
• Exemplar 4.E Pyloric Stenosis

Module 5: Elimination

• The Concept of Elimination
• Exemplar 5.A Benign Prostatic Hyperplasia
• Exemplar 5.B Bladder Incontinence and Retention
• Exemplar 5.C Bowel Incontinence, Constipation, and Impaction
• Exemplar 5.D Urinary Calculi

Module 6: Fluids and Electrolytes

• The Concept of Fluids and Electrolytes
• Exemplar 6.A Fluid and Electrolyte Imbalance
• Exemplar 6.B Acute Kidney Injury
• Exemplar 6.C Chronic Kidney Disease

Module 7: Health, Wellness, and Illness

• The Concept of Health, Wellness, and Illness
• Exemplar 7.A Physical Fitness and Exercise
• Exemplar 7.B Oral Health
• Exemplar 7.C Normal Sleep-Rest Patterns

Module 8: Immunity

• The Concept of Immunity
• Exemplar 8.A HIV/AIDS
• Exemplar 8.B Hypersensitivity
• Exemplar 8.C Rheumatoid Arthritis
• Exemplar 8.D Systemic Lupus Erythematosus

Module 9: Infection

• The Concept of Infection
• Exemplar 9.A Cellulitis
• Exemplar 9.B Conjunctivitis
• Exemplar 9.C Influenza
• Exemplar 9.D Otitis Media
• Exemplar 9.E Pneumonia
• Exemplar 9.F Sepsis
• Exemplar 9.G Tuberculosis
• Exemplar 9.H Urinary Tract Infection
• Exemplar 9.I COVID-19

Module 10: Inflammation

• The Concept of Inflammation
• Exemplar 10.A Appendicitis
• Exemplar 10.B Gallbladder Disease
• Exemplar 10.C Inflammatory Bowel Disease
• Exemplar 10.D Nephritis
• Exemplar 10.E Peptic Ulcer Disease

Module 11: Intracranial Regulation

• The Concept of Intracranial Regulation
• Exemplar 11.A Increased Intracranial Pressure
• Exemplar 11.B Seizure Disorders
• Exemplar 11.C Traumatic Brain Injury

Module 12: Metabolism

• The Concept of Metabolism
• Exemplar 12.A Type 1 Diabetes Mellitus
• Exemplar 12.B Type 2 Diabetes Mellitus
• Exemplar 12.C Liver Disease
• Exemplar 12.D Osteoporosis
• Exemplar 12.E Thyroid Disease

Module 13: Mobility

• The Concept of Mobility
• Exemplar 13.A Back Problems
• Exemplar 13.B Fractures
• Exemplar 13.C Hip Fractures
• Exemplar 13.D Multiple Sclerosis
• Exemplar 13.E Osteoarthritis
• Exemplar 13.F Parkinson Disease
• Exemplar 13.G Spinal Cord Injury

Module 14: Nutrition

• The Concept of Nutrition
• Exemplar 14.A Obesity

Module 15: Oxygenation

• The Concept of Oxygenation
• Exemplar 15.A Acute Respiratory Distress Syndrome
• Exemplar 15.B Asthma
• Exemplar 15.C Chronic Obstructive Pulmonary Disease
• Exemplar 15.D Cystic Fibrosis
• Exemplar 15.E Respiratory Syncytial Virus/Bronchiolitis
• Exemplar 15.F Sudden Unexpected Infant Death
• Exemplar 15.G Pneumothorax

Module 16: Perfusion

• The Concept of Perfusion
• Exemplar 16.A Cardiomyopathy
• Exemplar 16.B Congenital Heart Defects
• Exemplar 16.C Coronary Artery Disease
• Exemplar 16.D Deep Venous Thrombosis
• Exemplar 16.E Disseminated Intravascular Coagulation
• Exemplar 16.F Heart Failure
• Exemplar 16.G Hypertension
• Exemplar 16.H Hypertensive Disorders of Pregnancy
• Exemplar 16.I Life-Threatening Dysrhythmias
• Exemplar 16.J Peripheral Vascular Disease
• Exemplar 16.K Pulmonary Embolism
• Exemplar 16.L Shock
• Exemplar 16.M Stroke

Module 17: Perioperative Care

• The Concept of Perioperative Care

Module 18: Sensory Perception

• The Concept of Sensory Perception
• Exemplar 18.A Hearing Impairment
• Exemplar 18.B Diseases of the Eye
• Exemplar 18.C Eye Injuries
• Exemplar 18.D Peripheral Neuropathy
• Exemplar 18.E Ménière Disease

Module 19: Sexuality

• The Concept of Sexuality
• Exemplar 19.A Family Planning
• Exemplar 19.B Menopause
• Exemplar 19.C Menstrual Disorders
• Exemplar 19.D Sexual Dysfunctions
• Exemplar 19.E Sexually Transmitted Infections

Module 20: Thermoregulation

• The Concept of Thermoregulation
• Exemplar 20.A Hyperthermia
• Exemplar 20.B Hypothermia

Module 21: Tissue Integrity

• The Concept of Tissue Integrity
• Exemplar 21.A Burns
• Exemplar 21.B Pressure Injuries
• Exemplar 21.C Wound Healing

VOLUME 2

PART II: PSYCHOSOCIAL MODULES

Module 22: Addiction

• The Concept of Addiction
• Exemplar 22.A Alcohol Use Disorder
• Exemplar 22.B Nicotine Use Disorder
• Exemplar 22.C Substance Use Disorder

Module 23: Cognition

• The Concept of Cognition
• Exemplar 23.A Alzheimer Disease
• Exemplar 23.B Delirium
• Exemplar 23.C Schizophrenia

Module 24: Culture and Diversity

• The Concept of Culture and Diversity

Module 25: Development

• The Concept of Development
• Exemplar 25.A Attention-Deficit/Hyperactivity Disorder
• Exemplar 25.B Autism Spectrum Disorder
• Exemplar 25.C Cerebral Palsy

Module 26: Family

• The Concept of Family
• Exemplar 26.A Family Response to Health Alterations

Module 27: Grief and Loss

• The Concept of Grief and Loss

Module 28: Mood and Affect

• The Concept of Mood and Affect
• Exemplar 28.A Depression
• Exemplar 28.B Bipolar Disorders
• Exemplar 28.C Peripartum Depression
• Exemplar 28.D Suicide

Module 29: Self

• The Concept of Self
• Exemplar 29.A Feeding and Eating Disorders
• Exemplar 29.B Personality Disorders

Module 30: Spirituality

• The Concept of Spirituality

Module 31: Stress and Coping

• The Concept of Stress and Coping
• Exemplar 31.A Anxiety Disorders
• Exemplar 31.B Crisis
• Exemplar 31.C Obsessive–Compulsive Disorder

Module 32: Trauma

• The Concept of Trauma
• Exemplar 32.A Interpersonal Violence
• Exemplar 32.B Multisystem Trauma
• Exemplar 32.C Posttraumatic Stress Disorder
• Exemplar 32.D Sexual Violence

PART III: REPRODUCTION MODULE

Module 33: Reproduction

• The Concept of Reproduction
• Exemplar 33.A Antepartum Care
• Exemplar 33.B Intrapartum Care
• Exemplar 33.C Postpartum Care
• Exemplar 33.D Newborn Care
• Exemplar 33.E Prematurity

PART IV: NURSING DOMAIN

Module 34: Assessment

• The Concept of Assessment

Module 35: Caring Interventions

• The Concept of Caring Interventions

Module 36: Clinical Decision Making

• The Concept of Clinical Decision Making
• Exemplar 36.A Applying Clinical Judgment to Nursing Practice
• Exemplar 36.B Prioritizing Care

Module 37: Collaboration

• The Concept of Collaboration

Module 38: Communication

• The Concept of Communication
• Exemplar 38.A Groups and Group Communication
• Exemplar 38.B Therapeutic Communication
• Exemplar 38.C Documentation
• Exemplar 38.D Reporting

Module 39: Managing Care

• The Concept of Managing Care
• Exemplar 39.A Case Management
• Exemplar 39.B Cost-Effective Care
• Exemplar 39.C Delegation
• Exemplar 39.D Leadership and Management

Module 40: Professionalism

• The Concept of Professionalism
• Exemplar 40.A Commitment to Profession
• Exemplar 40.B Professional Development
• Exemplar 40.C Work Ethic

Module 41: Teaching and Learning

• The Concept of Teaching and Learning
• Exemplar 41.A Patient/Consumer Education

PART V: HEALTHCARE DOMAIN

Module 42: Accountability

• The Concept of Accountability

Module 43: Advocacy

• The Concept of Advocacy
• Exemplar 43.A Environmental Quality

Module 44: Ethics

• The Concept of Ethics
• Exemplar 44.A Ethical Dilemmas
• Exemplar 44.B Patient Rights

Module 45: Evidence-Based Practice

• The Concept of Evidence-Based Practice

Module 46: Healthcare Systems

• The Concept of Healthcare Systems

Module 47: Health Policy

• The Concept of Health Policy

Module 48: Informatics

• The Concept of Informatics
• Exemplar 48.A Clinical Decision Support Systems
• Exemplar 48.B Individual Information at Point of Care

Module 49: Legal Issues

• The Concept of Legal Issues
• Exemplar 49.A Nurse Practice Acts
• Exemplar 49.B Advance Directives
• Exemplar 49.C Health Insurance Portability and Accountability Act
• Exemplar 49.D Mandatory Reporting
• Exemplar 49.E Risk Management

Module 50: Quality Improvement

• The Concept of Quality Improvement

Module 51: Safety

• The Concept of Safety
• Exemplar 51.A Health Promotion and Injury Prevention Across the Lifespan
• Exemplar 51.B Patient Safety
• Exemplar 51.C Nurse Safety
• Exemplar 51.D Medication Safety

VOLUME 3

1. Introductions & Initial Assessment
   • 1.1 Each and Every Time
   • 1.2 General Survey and Mental Status Assessment
   • 1.3 Assessing Temperature
   • 1.4 Assessing Pulse (Apical and Peripheral)
   • 1.5 Assessing Respirations
   • 1.6 Assessing Blood Pressure
   • 1.7 Assessing Pulse Oximetry
   • 1.8 Height, Weight, and Growth Measurements
   • 1.9 Abuse: Newborn, Infant, Child, Adult, Older Adult
   • 1.10 Pain: Newborn, Infant, Child, Adult, Older Adult

2. Physical Assessment
   • 2.1 Head and Neck
   • 2.2 Ears and Hearing
   • 2.3 Eyes and Vision
   • 2.4 Nose and Sinuses
   • 2.5 Mouth and Throat
   • 2.6 Cranial Nerves
   • 2.7 Respiratory System
   • 2.8 Cardiovascular System
   • 2.9 Peripheral Vascular System
   • 2.10 Abdomen and Gastrointestinal System
   • 2.11 Genitourinary System
   • 2.12 Integumentary System
   • 2.13 Musculoskeletal System
   • 2.14 Neurologic Function

3. Safety
   • 3.1 Applying Fall Prevention Strategies
   • 3.2 Applying Seizure Precautions
   • 3.3 Applying Antiembolism Stockings
   • 3.4 Applying Compression Devices
   • 3.5 Applying Restraints and Alternatives
   • 3.6 Workplace Safety

4. Infection
   • 4.1 Donning and Doffing Personal Protective Equipment
   • 4.2 Establishing a Sterile Field
   • 4.3 Establishing Contact Precautions
   • 4.4 Environmental Safety Considerations for Patients in Isolation

5. Oxygenation
   • 5.1 Measuring Peak Expiratory Flow
   • 5.2 Using an Incentive Spirometer
   • 5.3 Using Oxygen Delivery Systems
   • 5.4 Using CPAP/BiPAP Systems
   • 5.5 Providing Oral Care (Child, Adult, Able, Unconscious)
   • 5.6 Inserting a Nasopharyngeal Airway (Newborn, Infant, Child, Adult)
   • 5.7 Basic Airway Adjuncts (Newborn, Infant, Child, Adult)
   • 5.8 Inserting an Oropharyngeal Airway
   • 5.9 Performing Endotracheal Tube Care
   • 5.10 Suctioning a Tracheostomy or Endotracheal Tube
   • 5.11 Performing Tracheostomy Care
   • 5.12 Maintaining a Chest Tube

6. Elimination
   • 6.1 Measuring Intake and Output
   • 6.2 Using a Bladder Scanner
   • 6.3 Assisting with Toileting (bedpan, urinal)
   • 6.4 Caring for the Perineal-Genital Area
   • 6.5 Assisting with a Sitz Bath
   • 6.6 Providing Indwelling Urinary Catheter Care
   • 6.7 Providing Bladder Irrigation
   • 6.8 Applying Urinary External Devices
   • 6.9 Applying Urinary Pouching Systems
   • 6.10 Obtaining Urine Specimens: Routine and 24-Hour
   • 6.11 Obtaining Urine Specimens: Culture & Sensitivity
   • 6.12 Irrigating a Colostomy
   • 6.13 Removing a Fecal Impaction
   • 6.14 Insertion of Nasogastric Tube
   • 6.15 Flushing/Maintaining a Nasogastric Tube

7. Tissue Integrity
   • 7.1 Assessing Tissue Integrity
   • 7.2 Caring for a Surgical Wound
   • 7.3 Irrigating a Wound
   • 7.4 Changing a Dressing
   • 7.5 Changing a Venous Ulcer Dressing
   • 7.6 Applying an Abdominal Binder
   • 7.7 Obtaining a Wound Drainage Specimen
   • 7.8 Preventing and Caring for Pressure Injuries
   • 7.9 Negative Pressure Wound Therapy

8. Nutrition
   • 8.1 Assessing Nutrition Status
   • 8.2 Administration of Continuous Feedings: Nasoenteric/Jejunostomy
   • 8.3 Intermittent Tube Feedings: Gastrostomy or Jejunostomy
   • 8.4 Providing Eating Assistance

9. Medication Administration
   • 9.1 Providing Safe Medication Administration
   • 9.2 Preparing and Administering Medications
   • 9.3 Calculating Dosages
   • 9.4 Administering Subcutaneous Injections
   • 9.5 Administering Intramuscular Injections (with Z-track)
   • 9.6 Administering Intradermal Injections
   • 9.7 Administering Insulin (syringe, pen, or pump)
   • 9.8 Administering Oral Medications
   • 9.9 Administering Sublingual Medications
   • 9.10 Administering Medications via Inhalers
   • 9.11 Administering Medications via Enteral Tubes
   • 9.12 Applying Transdermal Patch Medications
   • 9.13 Applying Topical Medications
   • 9.14 Administering Eye Medications
   • 9.15 Administering Ear Medications
   • 9.16 Administering Intranasal Medications
   • 9.17 Administering Rectal Medications
   • 9.18 Administering Intravaginal Medications
   • 9.19 Administering Enemas and Retention Enemas
   • 9.20 Using a Patient-Controlled Analgesia (PCA) Pump

10. Fluids & Electrolytes
    • 10.1 Inserting a Peripheral Intravenous Catheter
    • 10.2 Initiating, Maintaining, and Regulating an Infusion
    • 10.3 Managing Infusion Pumps
    • 10.4 Discontinuing Infusions
    • 10.5 Administering Medications (IV Push)
    • 10.6 Administering Medications (Secondary Set)
    • 10.7 Administering Parenteral Nutrition

11. Perfusion
    • 11.1 Maintaining Centrally-Inserted Venous Access Devices
    • 11.2 Maintaining Peripherally-Inserted Central Catheters
    • 11.3 Maintaining Implanted Venous Ports
    • 11.4 Administering Blood Transfusions

12. Thermoregulation
    • 12.1 Applying Heat Therapy
    • 12.2 Applying Cold Therapy
    • 12.3 Applying a Cooling Blanket

13. Mobility
    • 13.1 Using Body Mechanics
    • 13.2 Ambulating a Patient
    • 13.3 Positioning Patient in Bed
    • 13.4 Moving Patient Up in Bed
    • 13.5 Assisting Patient to Side of Bed (Dangling)
    • 13.6 Transferring Patient from Bed to Chair
    • 13.7 Transferring Patient Between Bed and Stretcher
    • 13.8 Logrolling Patient in Bed
    • 13.9 Turning Patient in Bed
    • 13.10 Caring for Patient in Traction
    • 13.11 Performing Initial Cast Care
    • 13.12 Performing Ongoing Cast Care
    • 13.13 Applying an Elastic Bandage

14. Reproduction
    • 14.1 Assisting with Amniocentesis
    • 14.2 Antepartum Assessment: Maternal and Fetal
    • 14.3 Assisting with Antepartum Pelvic Examination
    • 14.4 Assessing Deep Tendon Reflexes and Clonus
    • 14.5 Assessing Fetal Well-Being: Nonstress Test, and Biophysical Profile
    • 14.6 Administering Rh Immune Globulin Intrapartum Care
    • 14.7 Assisting with Amniotomy (Artificial Rupture of Membranes)
    • 14.8 Assisting with Administering an Epidural
    • 14.9 Monitoring Fetal External Electronic Devices
    • 14.10 Auscultating Fetal Heart Rate
    • 14.11 Placing and Monitoring Fetal Internal Scalp Electrodes
    • 14.12 Induction of Labor with Oxytocin and Other Agents
    • 14.13 Intrapartum Assessment: Maternal and Fetal
    • 14.14 Assisting with Intrapartum Pelvic Examination
    • 14.15 Caring for the Patient with a Prolapsed Cord Postpartum Care
    • 14.16 Assisting with Breastfeeding
    • 14.17 Evaluating Lochia
    • 14.18 Postpartum Assessment: Maternal
    • 14.19 Postpartum Assessment: Perineum
    • 14.20 Assessing Uterine Fundus After Vaginal or Caesarean Birth Newborn Care
    • 14.21 Assessing Apgar Score
    • 14.22 Caring for Circumcision
    • 14.23 Newborn Assessment
    • 14.24 Initial Bathing of Newborn
    • 14.25 Stabilization of Newborn Temperature
    • 14.26 Providing Phototherapy: Newborn, Infant
    • 14.27 Umbilical Cord Clamp

15. Diagnostic Procedures
    • 15.1 Collecting Sputum Specimens
    • 15.2 Recording a 12-Lead ECG
    • 15.3 Applying and Monitoring a 12-Lead ECG
    • 15.4 Interpreting a 12-Lead ECG
    • 15.5 Preparing for Bedside Procedures

APPENDICES

• A. Answers to Review Questions
• B. Guidelines for Laboratory and Diagnostic Assessment