With more than 100 evidence-based, customizable care plans, Swearingen's All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health is an easy-to-use, curriculum-wide reference to guide the development of patient-centered nursing care plans. The only nursing care planning reference book that covers all four core clinical areas, it features care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric?mental health to help you learn to care for patients in any setting. The interprofessional patient problems focus teaches you how to communicate patient problems using the standard terminology of the health professions rather than in nursing-specific language. Safety icons highlight assessments and interventions that focus on safety measures supported by national patient safety standards and goals. Care plans have been updated throughout to reflect the latest evidence-based treatment guidelines and protocols. Care plan components are now labeled as appropriate with the six cognitive skills identified in the National Council of State Boards of Nursing (NCSBN) Clinical Judgment Measurement Model (CJMM) to help you identify, develop, and implement the clinical judgment skills needed for success on the Next-Generation NCLEX® Exam (NGN) and in clinical practice. With new care plans on Infection, Breastfeeding, and Delirium, a clear, focused approach, an easy-to-use format, and straightforward rationales, this one book will meet your care planning needs throughout your entire nursing program and into clinical practice! UNIQUE! Care plans cover all four major clinical areas: medical-surgical, OB/maternity, pediatrics, and psychiatric-mental health nursing. UNIQUE! Colorful design makes the book more user friendly and includes color-coded tabs and improved cross-referencing and navigation aids for faster information retrieval. UNIQUE! Updated care plan focused on support of LGBTQ+ patients ensures sensitive, professional nursing care. Consistent format for each care plan facilitates more efficient planning, with headings for Overview/Pathophysiology, Health Care Setting, and more. Interprofessional patient problems focus equips users to communicate with other health professionals in the interprofessional language of patient problems, rather than in the nursing-specific language of nursing diagnosis. Safety icons highlight assessments and interventions that focus on safety measures supported by national patient safety standards and goals. Patient problems are prioritized in order of importance and physiologic patient needs are included to help users focus on the most important assessments and interventions. Detailed rationales for each nursing intervention help users apply concepts to specific patient situations in clinical practice. NEW and UNIQUE! Care plan components are now labeled as appropriate with the six cognitive skills identified in the National Council of State Boards of Nursing (NCSBN) Clinical Judgment Measurement Model (CJMM) to help students identify, develop, and implement the clinical judgment skills needed for success on the Next-Generation NCLEX® Exam (NGN) and in clinical practice. NEW! Additional care plans on Infection, Delirium, and Breastfeeding. UPDATED! Content throughout reflects the latest evidence-based treatment guidelines and national and international treatment protocols.

Gain the pharmacology knowledge and skills you need to administer medications safely! Pharmacology and the Nursing Process, 10th Edition provides practical, easy-to-use pharmacology information, emphasizing the application of the nursing process and prioritization throughout the book. Coverage begins with pharmacology basics, then discusses drugs by body systems and drug functions. Hundreds of full-color illustrations show how drugs work in the body and depict key steps in medication administration. Written by pharmacology experts Linda Lane Lilley, Shelly Rainforth Collins, and Julie S. Snyder, this bestselling textbook makes it easy to understand and apply pharmacology concepts and provide safe, quality nursing care. Focus on need-to-know information includes discussions of what nurses may encounter during drug administration in a variety of health care settings, providing accounts of real-life medication errors and tips for avoiding those errors. The Nursing Process is applied to each category of drugs, ensuring that you administer medications accurately and safely, and includes the steps of assessment, human need statements, planning, implementation, and evaluation. Emphasis on drug classes describes key similarities and differences among the drugs in each class, making it easier to understand how individual drugs work in the body. Consistent presentation for each drug group includes the mechanism of action, indications, contraindications, adverse effects, interactions, and dosages, concluding with drug profiles of individual drugs in the class or group. High-alert icons identify medications that pose a greater risk to patient safety. Focus on prioritization includes prioritized nursing diagnoses along with a corresponding prioritization of goals and outcomes, to help you learn to connect nursing diagnoses with goals and outcomes. Ease of readability makes difficult content more understandable. Photo atlas features more than 100 drawings and photographs showing drug administration techniques. Dosages tables summarize generic and trade names, pharmacologic class, normal dosage ranges, and indications for the drugs. Learning features at the beginning of each chapter include objectives and key terms, and at the end of each chapter, key points, critical thinking questions, review questions, and a list of resources available on the Evolve website. QSEN coverage includes the use of human need theory with human need statements, case studies featuring collaboration and teamwork content, Preventing Medication Errors boxes, and a discussion of the QSEN initiative as it relates to the safety and quality of patient care. NEW! Updated drug content reflects the latest FDA drug approvals, withdrawals, and therapeutic uses, and includes updated nursing content.

When a hurricane jogs off course, quaint Pleasant Palms Trailer Park isn't the only thing ripped apart. Right in front of Hester Murphy's eyes is the unbearable evidence of who her husband Al really is. As a young English teacher, Hester was drawn to sexy Alexander Murphy like a moth to a flame. With her perception clouded by lust and anxious to have a family of her own, Hester overlooked the cracks in Al's veneer and committed herself to him. Now the retired teacher begins to piece together the darkest of her husband's secrets, while memories of her own transgressions are driving her mad. She finds her only reprieve in her treasured books, but sometimes even the words of her beloved writers are no consolation. In the end, does Hester have the fortitude to bring the scandalous facts about Al into the light of day, or will she once again choose to the coward's way out and sweep yet another horror under the carpet? A cautionary tale for young women, a song of lament for women of experience, and an eye-opener for men, S. Snyder-Carroll's debut novel, "On the Edge of Dangerous Things," boldly explores the psychology of shame, how it insidiously plagues thoughts and goads even more appalling actions. Disgrace is a heavy yoke for Hester to bear, and like the Hester in "The Scarlet Letter," she tries to stoically accept her tribulations as just punishment in hopes of earning God's forgiveness. But at the same time she wants what every woman wants: to be loved by the man she loves, to have it all come hell or high water...and that might just be her undoing.

The NEXT propulsion system is an advanced ion propulsion system presently under development that is oriented towards robotic exploration of the solar system using solar electric power. The Prototype Model engine PM1 was subjected to qualification-level environmental testing to demonstrate compatibility with environments representative of anticipated mission requirements. Random vibration testing, conducted with the thruster mated to the breadboard gimbal, was executed at 10.0 Grms for 2 minutes in each of three axes. Thermal-vacuum testing included a deep cold soak of the engine to temperatures of -168 C and thermal cycling from -120 to 203 C. Although the testing was largely successful, several issues were identified including the fragmentation of potting cement on the discharge and neutralizer cathode heater terminations during vibration which led to abbreviated thermal testing, and generation of particulate contamination from manufacturing processes and engine materials. Thruster performance was nominal throughout the test program, with minor variations in some engine operating parameters likely caused by facility effects. In general, the NEXT PM1 engine and the breadboard gimbal were found to be well-designed against environmental requirements based on the results reported herein. After resolution of the findings from this test program the hardware environmental qualification program can proceed with confidence.