Welcome to the third edition of Understanding Medical
Surgical Nursing! We have fully updated all the material,
and have added exciting new information on home health
care, end-of-life care, disaster response and bioterrorism,
stroke, and more.
We continue to work hard to provide a text written at an
understandable level, with features that help students understand,
apply, and practice the challenging content required
to function as practical/vocational nurses. We are thankful to
the many students who tell us they find the book very readable,
and actually enjoyable.
The face of our nation’s client population is changing
and will continue to do so more dramatically in the future.
The cumulative effects of sophisticated technology,
an aging population of clients with chronic disease
and long-term sequelae, and an increasingly diverse
cultural population challenge nurses today. Fundamental
& Advanced Nursing Skills has been developed as a
text and guideline to perform the skills used in daily
The authors would like to acknowledge the tireless efforts
and contributions of many people on the staff of
Delmar, especially Cathy Esperti, Pat Gillivan, Tim Conners,
Jim Zayicek, Christopher Leonard, and Lisa Santy.
Authors across the country shared their experience
and knowledge in writing the skills in this book. We
would like to give them our heartfelt thanks for a job
Individuals in the photographs, both nurses and
clients, have our gratitude and respect for agreeing to be
part of this project.
This series is directed to Healthcare professionals who are leading the transformation
of health care by using information and knowledge. Historically, the series was
launched in 1988 as Computers in Health Care, to offer a broad range of titles:
some addressed to specific professions such as nursing, medicine, and health
administration; others to special areas of practice such as trauma and radiology; still
other books in the series focused on interdisciplinary issues, such as the computerbased
patient record, electronic health records, and networked Healthcare systems.
The Men’s Questionnaire was administered to all men age 15-59 living in every other household in the CDHS sample. The Men’s Questionnaire collected much of the same information found in the Women’s Questionnaire but was shorter because it did not contain a detailed reproductive history or questions on maternal and child health or nutrition.
An instruction manual was also developed to support standardized data collection. All data collection instruments were pre-tested in June-July, 2010.
In January 2005 Peg McQueary nicked her ankle while shaving.
It was a tiny cut, but that little opening in her skin provided
a perfect entry point for dangerous bacteria. Two weeks later
McQueary developed a pus-filled boil on her ankle. Shortly
thereafter, her leg swelled to three times its normal size. It was
hot, tender, and painful.
McQueary went to see her doctor. He rushed her to the hospital,
where she was intravenously administered vancomycin,
a powerful antibiotic. It took more than a month for Mc-
Queary’s leg to heal....
There are two situations in which the TST is not required. Applicants providing written documentation (with a health-care provider’s signature) of a TST reaction of 5 mm or greater of induration or applicants with a history of a severe reaction with blistering to a prior TST may be excluded from this requirement. Applicants in these two groups must undergo a chest radiograph. A verbal history of a positive TST reaction from the applicant is not acceptable.
Illness symptoms were assessed with 20 questions asking
whether the respondent experienced the symptom in the past
month. The items were selected from several symptom
inventories, including the Cohen-Hoberman Inventory of
Physical Symptoms [Cohen and Hoberman, 1983] and the
Quality ofWell-being, Self-Administered instrument [Kaplan
et al., 1997]. Five symptoms potentially related to poultry
processing work are the focus of this study.