Brief Contents

Brief Contents

PART ONE MEDICAL-SURGICAL CASES, 1

Chapter 1 Cardiovascular Disorders, 1 Chapter 2 Respiratory Disorders, 83 Chapter 3 Musculoskeletal Disorders, 149 Chapter 4 Gastrointestinal Disorders, 189 Chapter 5 Genitourinary Disorders, 235 Chapter 6 Neurologic Disorders, 273 Chapter 7 Endocrine Disorders, 341 Chapter 8 Immunologic Disorders, 367 Chapter 9 Oncologic and Hematologic Disorders, 393

PART TWO PEDIATRIC, MATERNITY, AND PSYCHIATRIC CASES, 439

Chapter 10 Pediatric Disorders, 439 Chapter 11 Maternal and Obstetric Disorders, 505 Chapter 12 Women's Health Disorders, 533 Chapter 13 Psychiatric Disorders, 559

PART THREE OTHER/ADVANCED CASES, 591

Chapter 14 Alternative Therapies, 591 Chapter 15 Patients with Multiple Disorders, 599 Chapter 16 Emergency Situations, 625 Appendix: Abbreviations and Acronyms, 663 Illustration Credits, 669

5TH EDITION

Winningham's Critical Thinking Cases

In Nursing

Medical-Surgical, Pediatric, Maternity, and Psychiatric

MARIANN HARDING, MSN, RN

Associate Professor Department of Nursing Kent State University at Tuscarawas New Philadelphia, Ohio

JULIE S. SNYDER, MSN, RN-BC

Adjunct Faculty School of Nursing Old Dominion University Norfolk, Virginia

BARBARA A. PREUSSER, PHD, FNPC

Family Nurse Practitioner Veterans Administration Medical Center Salt Lake City, Utah

Deceased

3251 Riverport Lane St. Louis, Missouri 63043

WINNINGHAM'S CRITICAL THINKING CASES IN NURSING: MEDICAL-SURGICAL, PEDIATRIC, MATERNITY, AND PSYCHIATRIC

ISBN: 978-0-323-08325-6

Copyright ? 2013 by Mosby, Inc., an affiliate of Elsevier Inc.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: permissions.

This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.

Previous editions copyrighted 2009, 2005, 2001, 1996

Library of Congress Cataloging-in-Publication Data

Harding, Mariann.

Winningham's critical thinking cases in nursing : medical-surgical, pediatric, maternity, and psychiatric /

Mariann Harding, Julie S. Snyder, Barbara A. Preusser. ? 5th ed.

p. ; cm.

Critical thinking cases in nursing

Rev. ed. of: Critical thinking in medical-surgical settings / Maryl L. Winningham and Barbara A. Preusser. 2nd

ed. c2011.

Includes bibliographical references.

ISBN 978-0-323-08325-6 (pbk. : alk. paper)

I. Snyder, Julie S. II. Preusser, Barbara A. III. Winningham, Maryl Lynne, 1947?2001. Critical thinking in

medical-surgical settings. IV. Title. V. Title: Critical thinking cases in nursing.

[DNLM: 1. Nursing Process?Case Reports. 2. Nursing Process?Problems and Exercises. 3. Nursing Care?

Case Reports. 4. Nursing Care?Problems and Exercises. WY 18.2]

610.73?dc23

2012003221

Executive Content Strategist: Lee Henderson Content Development Specialist: Jacqueline Twomey Publishing Services Managers: Hemamalini Rajendrababu & Deborah L. Vogel Project Managers: Anitha Sivaraj & John W. Gabbert Design Direction: Karen Pauls

Printed in the United States of America Last digit is the print number: 987654321

To Drs. Maryl L. Winningham and Barbara A. Preusser

Drs. Winningham and Preusser, authors of this text for the previous four editions, dedicated their lives to the care of others and the pursuit of excellence in nursing practice.

They have bequeathed a nursing heritage of integrity, excellence, courage, and service to their students, colleagues, and readers.

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Contributors

Ann Campbell, RN, MSN, CPNP

Faculty School of Nursing Old Dominion University Norfolk, Virginia

Sara B. Forbus, MSN, RN

Faculty School of Nursing Old Dominion University Norfolk, Virginia

Contributors to Previous Editions

Elizabeth Jane Bell, MSN, ANPc Lesley A. Black, BSN, MS, ANPc, CWOCN Kent Blad, MS, FNPc, ACNP-C, FCCM Jamie Clinton-Lont, BSN, FNPc Susan L. Croft, BSN, MS Joyce Foster, PhD, CNM, FACNM, FAAN Shellagh Gutke, BSN, CWOCN Nancy Hayden, MSN, FNPc Sondra Heaston, MS, FNPc, CEN Janice Hulbert, RN, MS Lisa Jensen, BSN, MS, APRN, CS Stephanie C. Kettendorf, MS, RN, CNS, NCBF Julie Killebrew, BSN, MS Karen Kone, BSN, ACRN Kathleen Kuntz, MSN, APRN, SANE

Janet G. Madsen, PhD Debra Ann Mills, RN, MS Jeanie O'Donnell, MSN Deb Plasman-Coles, PAc Laura Lee Scott, MSN, FNPc Mary Seegmiller, MSN Sandra Smeeding, MS, FNPc Deborah D. Smith, BSN Ann Speirs, BSN Ronald Ulberg, BSN, MSN Kristy Vankatwyk, MSN, FNPc Annette S. Wendel, BSN Wendy Whitney, MSN, FNPc, CANP Mary Youtsey, BSN, CDE

Copyright ? 2013 by Mosby, an affiliate of Elsevier Inc.

Copyright ? 2009, 2005, 2001, 1996, by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved.

v

Reviewers

Diane K. Daddario, MSN, ACNS-BC, RN, BC, CMSRN

Nurse Specialist Geisinger Medical Center Danville, Pennsylvania; Staff Nurse Evangelical Community Hospital Lewisburg, Pennsylvania; Nursing Instructor Pennsylvania College of Technology Williamsport, Pennsylvania

Jennifer Duhon, RN, MS

Director of Health Services Lutheran Senior Services Peoria, Illinois

Sara B. Forbus, MSN, RN

Faculty School of Nursing Old Dominion University Norfolk, Virginia

Mimi Haskins, MS, RN, CMSRN

Nursing Staff Development Instructor Roswell Park Cancer Institute Buffalo, New York

Suzanne Jed, MSN, APRN-BC

Clinical Instructor, Family Medicine Keck School of Medicine University of Southern California Los Angeles, California

Jamie Lynn Jones, MSN, RN

Assistant Professor, Nursing University of Arkansas at Little Rock Little Rock, Arkansas

Tamara M. Kear, PhD, MSN, RN

Assistant Professor of Nursing Villanova University Villanova, Pennsylvania

Cheryl A. Lehman, PhD, RN, CNS-BC, RN-BC, CRRN

CNS Program Coordinator Department of Health Restoration &

Care Systems Management (HRCSM) Clinical Associate Professor The University of Texas Health Science

Center at San Antonio San Antonio, Texas

Casey Norris, MSN, BSN

Adjunct Instructor, Nursing South College Pulmonary Clinical Nurse Specialist East Tennessee Children's Hospital Knoxville, Tennessee

Brenda K. Shelton, MS, RN, CCRN, AOCN

The Sidney Kimmel Cancer Center at Johns Hopkins

Baltimore, Maryland

Copyright ? 2013 by Mosby, an affiliate of Elsevier Inc.

vi

Copyright ? 2009, 2005, 2001, 1996, by Mosby, Inc. an affiliate of Elsevier Inc. All rights reserved.

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