Health Assessment for Nursing Practice

635 Pages·2012·153.56 MB·English

by  Susan F. Wilson

B R I E F C O N T E N T S
UNIT 1 Foundations for Health Assessment
1. Importance of Health Assessment, 1
2. Interviewing Patients to Obtain a Health History, 8
3. Techniques and Equipment for Physical Assessment, 21
4. General Inspection and Measurement of Vital Signs, 37
5. Ethnic, Cultural, and Spiritual Considerations, 46
6. Pain Assessment, 54
7. Mental Health and Abusive Behavior Assessment, 65
8. Nutritional Assessment, 80
UNIT 2 Health Assessment of the Adult
9. Skin, Hair, and Nails, 97
10. Head, Eyes, Ears, Nose, and Throat, 136
11. Lungs and Respiratory System, 191
12. Heart and Peripheral Vascular System, 223
13. Abdomen and Gastrointestinal System, 264
14. Musculoskeletal System, 293
15. Neurologic System, 336
16. Breasts and Axillae, 366
17. Reproductive System and the Perineum, 386
UNIT 3 Health Assessment Across the Life Span
18. Developmental Assessment Throughout the Life Span, 439
19. Assessment of the Infant, Child, and Adolescent, 455
20. Assessment of the Pregnant Patient, 495
21. Assessment of the Older Adult, 515
UNIT 4 Synthesis and Application of Health Assessment
22. Conducting a Head-to-Toe Examination, 531
23. Documenting the Comprehensive Health Assessment, 538
24. Adapting Health Assessment to the Hospitalized Patient, 542
Appendixes
A. Health History Using Functional Health Patterns, 557
B. Conversion Tables, 559
C. Abbreviations, 560
D. Answer Key, 562
Glossary, 568
Illustration Credits, 576
References, 579
Health Assessment
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Health Assessment
for Nursing Practice
5th Edition
Susan Fickertt Wilson, PhD, RN, CNE
Associate Professor
School of Nursing
College of Health
University of Alaska Anchorage
Anchorage, Alaska;
Emeritus Associate Professor
Harris College of Nursing and Health Sciences
Texas Christian University
Fort Worth, Texas
Jean Foret Giddens, PhD, RN, FAAN
Professor and Executive Dean
College of Nursing
University of New Mexico
Albuquerque, New Mexico
3251 Riverport Lane
St. Louis, Missouri 63043
HEALTH ASSESSMENT FOR NURSING PRACTICE ISBN: 978-0-323-09151-0
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
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Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom
they have a professional responsibility.
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contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of
their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient,
and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any
liability for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
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To my daughter, Megan, for her continued love, patience, and support; and to
the faculty, colleagues, and students who have challenged me through the years.
SFW
To my husband, Jay, for his unconditional support; to my mentors
and role models for their guidance throughout my career; and
to our nursing students, the future of our profession.
JFG
A B O U T T H E A U T H O R S
Susan Fickertt Wilson has over 40 years of teaching Jean Foret Giddens is a professor and Executive Dean
experience, including 30 years teaching health assess- at the College of Nursing at the University of New
ment. She has cared for adult patients in critical care, Mexico in Albuquerque. Dr. Giddens earned a Bachelor
general care, and rehabilitation units. Dr. Wilson has of Science in Nursing from the University of Kansas, a
taught undergraduate and graduate students about the Master of Science in Nursing from the University of
care of patients in a variety of settings. This text is a Texas at El Paso, and a doctorate in Education and
synthesis of all she has learned about performing health Human Resource Studies from Colorado State Univer-
assessment and teaching health assessment, as well as sity. Dr. Giddens has been involved with nursing educa-
how to meet the challenges she knows students experi- tion since 1984. Her teaching experience includes
ence in learning health assessment. associate, baccalaureate, and master’s degree programs
in New Mexico, Texas, and Colorado. Her content areas
in nursing education include adult health nursing,
health assessment, nursing process, curriculum devel-
opment, and innovative educational strategies.
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C O N T R I B U T O R S A N D C O N S U L T A N T S
Clinical Reasoning Special Consultant Case Studies, Review Questions
for previous editions Maria E. Lauer, MSN, RN, CNE
Christine A. Tanner, PhD, RN Instructor, School of Nursing
A.B. Youmans-Spaulding Distinguished Professor Thomas Edison State College
Oregon Health & Science University Trenton, New Jersey
School of Nursing
Portland, Oregon PowerPoint Slides
Darlene D. Brink, MSN, RN, CCM, NE-BC
Chapter 20 Manager, Resource Center
Joanne Bartram, RN, MSN, FNP Sentara Healthcare
Clinical Educator, Family Nurse Practitioner Virginia Beach, Virginia
University of New Mexico
Albuquerque, New Mexico Test Bank
Susan Fickertt Wilson, PhD, RN, CNE
Carolyn Montoya, RN, MSN, PNP Associate Professor
Academic Coordinator, Advanced Practice School of Nursing
Concentrations College of Health
University of New Mexico University of Alaska Anchorage
Albuquerque, New Mexico Anchorage, Alaska;
Emeritus Associate Professor
Special thanks to the Chamberlain College of Nursing Harris College of Nursing and Health Sciences
in St. Louis, Missouri, for providing a state-of-the-art Texas Christian University
facility in which to take several of the photos for the Fort Worth, Texas
fifth edition. Their hospitality and collaboration were
most appreciated. Test Bank Review
Anne F. Meyer, RN, MS, FNP-BC
Ancillary Writers Instructor, Nursing Department
Case Studies Fitchburg State University
Scharmaine Lawson-Baker, DNP, FNP-BC Fitchburg, Massachusetts
Family Health Nurse Practitioner
Associate Professor, School of Nursing
Southern University
Baton Rouge, Louisiana
vviiii
R E V I E W E R S
Anthony J. Brunello, RN, MS, TNS, PHRN Pamela Newland, RN, PhD
Clinical Leader and Stroke Coordinator Assistant Professor
Cardiovascular Services School of Nursing
Provena St. Mary’s Hospital Southern Illinois University Edwardsville
Kankakee, Illinois Edwardsville, Illinois
Sharon M. Forney, MSN, RN, MSHCA Kit Sebrey Schafer, DNP, BSN, MSN, NP
Faculty Clinical Associate Professor
Associate Degree Nursing School of Nursing
North Central Texas College Purdue University
Gainesville, Texas West Lafayette, Indiana
Rebecca A. Fountain, PhD, RN Mary Shelkey, PhD, ARNP
Assistant Professor Post-Doctoral Fellow
College of Nursing School of Nursing
University of Texas at Tyler Biobehavioral Nursing and Health Systems
Tyler, Texas University of Washington
Seattle, Washington
Colleen J. Hewes, DC, MSN, RN
Director of Nursing Programs Donna Walls, PhD, RN
Nursing Associate Clinical Professor
Lake Washington Technical College Nursing
Kirkland, Washington Texas Woman’s University
Dallas, Texas
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