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Nursing Health Alterations
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Overview

Apply nursing concepts to client care across the lifespan with case studies, simulations, and clinical skill activities.

What phase is this textbook in?
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Estimated Dates
Digital Textbook: Available Now
Print Textbook: Available Now
Audiobook: August 2025
Next Edition: 2028
Annual Student Impact

1,951 students | 8 high school students | $391,780 student savings

Open RN Series

Health Alterations integrates foundational nursing concepts from Open RN Nursing Fundamentals, Nursing Skills, and Nursing Pharmacology while applying the nursing process to caring for clients across the lifespan with common health conditions. Nursing assessments, evidence-based nursing interventions, and multidisciplinary collaborative care are emphasized. Each chapter features brief “RN Recap” video overviews of common health alterations to enhance students’ clinical understanding. Nursing leadership and management concepts for entry-level nurses are also introduced. Content is applied to patient care with interactive learning activities that include flashcards, quiz questions, virtual simulations, and NCLEX Next Generation-style case studies. This resource was developed by a team of nursing faculty to bridge theory and practice and prepare student nurses to provide safe, effective patient care in diverse healthcare settings.

1. Plan nursing care for patients undergoing surgery (peri-operative)

1.a. Describe the responsibilities of the nurse in each of the surgical areas
1.b. Describe the responsibilities of the nurse in pain management
1.c. Prioritize the physical and psychosocial needs of surgical patients
1.d. Identify the surgical care initiated or performed outside the acute care setting
1.e. Identify routine pre/post-op teaching needs
1.f. Discuss nursing implications for high-risk patients undergoing surgery
1.g. Explain how to assess and intervene with patients receiving various types of anesthesia
1.h. Identify how to prevent and/or promptly detect post-op complications including respiratory, gastrointestinal, and cardiovascular

2. Plan nursing care for patients with alterations in the musculoskeletal system

2.a. Differentiate between musculoskeletal alterations: Osteoarthritis, Osteoporosis, Rheumatoid Arthritis, Systemic Lupus Erythematosus, and Amputation
2.b. Describe principles of traction
2.c. Explain how common conditions can lead to musculoskeletal dysfunction
2.d. Review nursing assessments for patients with musculoskeletal disorders
2.e. Discuss the disease process and treatment for patients with musculoskeletal disorders
2.f. Identify nursing diagnoses and interventions including measures to prevent complications of impaired mobility
2.g. Identify prevention strategies for decreasing the incidence and impact of musculoskeletal disorders
2.h. Identify how the disorder influences development and daily living

3. Plan nursing care for patients with alterations in the cardiovascular system

3.a. Differentiate between cardiovascular and peripheral vascular alterations: Heart Failure, Infective Endocarditis, Arteriosclerosis & Atherosclerosis, Hypertension, Peripheral Arterial Disease, DVT, Angina & MI
3.b. Review assessments for patients with cardiovascular alterations
3.c. Identify assessment variables including risk factors and lifestyle
3.d. Identify screening tests for cardiovascular disorders
3.e. Identify nursing diagnoses and interventions for cardiovascular alterations
3.f. Select developmentally appropriate interventions for coping and adaptation
3.g. Discuss specific disease processes and treatments
3.h. Identify the nursing role in prevention of cardiovascular disease

4. Plan nursing care for patients with alterations in the respiratory system

4.a. Differentiate between respiratory alterations: COPD, Lung Cancer, Asthma, TB, Pneumonia
4.b. Review assessment techniques for respiratory alterations
4.c. Identify risk factors and lifestyle variables
4.d. Discuss respiratory disease processes and treatments
4.e. Identify nursing diagnoses and interventions for adaptation and coping

5. Plan nursing care for patients with autoimmune and malignancy disorders

5.a. Identify risk factors for cancer
5.b. Describe the nurse's role in prevention and early detection
5.c. Describe the impact of a cancer diagnosis and treatment
5.d. Discuss cancer processes and treatments
5.e. Identify nursing diagnoses and interventions
5.f. Differentiate among four types of hypersensitivity reactions
5.g. Identify clinical manifestations and emergency management of anaphylaxis
5.h. Describe assessment and care of chronic allergies

6. Plan nursing care for patients with alterations in hematology

6.a. Differentiate between hematological alterations: Iron Deficiency Anemia, Sickle Cell Anemia, Thrombocytopenia, Leukemia, Hodgkin’s and Non-Hodgkin’s Lymphoma
6.b. Review nursing assessments for hematologic alterations
6.c. Describe disease processes and treatments
6.d. Identify nursing diagnoses and interventions
6.e. Select interventions for patient adaptation and coping
6.f. Describe impact on patient and family
6.g. Identify strategies to reduce incidence and impact

7. Plan nursing care for patients with alterations of the nervous system

7.a. Differentiate between nervous system alterations: Seizures, Parkinson’s, Alzheimer’s, MS, Myasthenia Gravis, Stroke
7.b. Identify prevention strategies for neurological disorders
7.c. Review neurologic assessments
7.d. Discuss disease processes and treatments
7.e. Identify nursing diagnoses and interventions
7.f. Identify adaptive communication techniques
7.g. Describe the impact of diagnosis and treatment
7.h. Describe rehabilitation as a tertiary prevention strategy

8. Plan nursing care for patients with alterations of the endocrine system

8.a. Differentiate Type 1 and Type 2 diabetes
8.b. Review diabetes assessments
8.c. Explain nursing role in diagnosis and treatment of diabetes
8.d. Identify nursing diagnoses and interventions
8.e. Discuss effects of diabetes on the individual and family
8.f. Identify age and developmental considerations
8.g. Identify community resources
8.h. Identify prevention strategies for pancreatic disorders
8.i. Review assessment techniques for adrenal disorders
8.j. Discuss diagnosis and treatment of adrenal disorders
8.k. Identify nursing diagnoses and interventions for adrenal disorders
8.l. Describe assessment techniques for thyroid disorders
8.m. Describe diagnosis and treatment of hyper- and hypothyroidism
8.n. Identify nursing diagnoses and interventions for thyroid disorders

9. Plan nursing care for patients with alterations of the gastrointestinal system

9.a. Differentiate GI alterations: GERD, Peptic Ulcer Disease, Appendicitis, Ulcerative Colitis, Crohn’s, Diverticulitis
9.b. Differentiate hepatobiliary alterations: Hepatitis, Cirrhosis, Pancreatitis, Cholecystitis
9.c. Review GI assessments
9.d. Discuss GI disease processes and treatments
9.e. Identify GI nursing diagnoses and interventions
9.f. Describe the nurse's role in implementing treatment
9.g. Describe nursing roles in prevention and early detection
9.h. Identify community resources for prevention and treatment
9.i. Review assessment variables for hepatobiliary dysfunction
9.j. Identify disease processes and treatments for hepatobiliary disorders
9.k. Explain nurse's role in hepatobiliary treatment
9.l. Identify community resources for hepatobiliary disorders
9.m. Identify prevention strategies for GI disorders

10. Plan nursing care for patients with alterations of the renal/urinary system

10.a. Differentiate renal/urinary alterations: Cystitis, Urolithiasis, Pyelonephritis, Glomerulonephritis, ARF, CKD
10.b. Review renal assessments
10.c. Interpret lab results for renal function
10.d. Describe disease processes and treatments
10.e. Identify nursing diagnoses and interventions
10.f. Define chronicity of illness
10.g. Describe impact of chronic illness on patient and family
10.h. Describe nurse's role in reducing incidence and impact

11. Develop a plan for making the transition from student to practicing nurse

11.a. Explore credentialing processes
11.b. Prepare for NCLEX
11.c. Prepare resume and for job interviews
11.d. Examine liability issues

12. Apply leadership principles

12.a. Compare leadership styles and principles
12.b. Identify characteristics of an effective leader
12.c. Explain why conflicts arise in the workplace
12.d. Describe conflict resolution strategies
12.e. Explain the process of ongoing evaluation

13. Manage care for a group of patients according to the Nurse Practice Act

13.a. Identify methods for delivering feedback
13.b. List common patient care needs
13.c. Describe ways to prioritize care needs
13.d. Differentiate prioritizing care for one vs. a group
13.e. List time management strategies
13.f. Explain the importance of time management
13.g. Describe how teams support patient care
13.h. Identify common healthcare team members
13.i. Describe responsibilities of team members

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