Table 6.10b
If information about Inspection was provided, complete the chart with information about Palpation and the results of the test mentioned in the text.
Table 6.10b
If information about Inspection was provided, complete the chart with information about Palpation and the results of the test mentioned in the text.
However, advanced practice nurses and other health care providers may auscultate the carotid arteries for the presence of a swishing sound called a bruit. Bruits suggest interference with cerebral blood flow that can cause neurological deficits.
Could also be removed and left to the cardiac section where it is formally presented.
Auscultation refers to the action of listening to sounds from the heart, lungs, or other organs with a stethoscope as a part of physical examination.
Has been referred to in previous sections, should be removed.
See Figure 6.10[10] for an image of one of the questions on the MMSE regarding interlocking pentagons.
Doesn't add much to the context of learning. Could be removed for an image of the actual form used or no image at all.
Occipital Lobe
I feel this section needs a bit of expansion in comparison to the previous sections. "The occipital lobe is primarily responsible for visual processing. It is associated with visuospatial processing, distance and depth perception, color determination, object and face recognition, and memory formation. The primary visual cortex transmits information through two pathways: the dorsal and ventral stream. The dorsal stream is associated with object location and carries visual information to the parietal lobe. The ventral stream has associations with object recognition and transmits visual information to the temporal lobe." Rehman A, Al Khalili Y. Neuroanatomy, Occipital Lobe. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK544320/
15.3
Great section but would like to see this as one of the first sections in this content area. Placing this towards the end may give the student the impression this is not an important aspect of the process of medication administration
“How to Give an IM Intramuscular Injection Ventrogluteal Buttock Muscle”
If aspiration is not EBP, this video should not be used a new video should be identified for providing this injection.
injections
all IM injections sites. This may give the reader an impression that Z track can be used in other methods of injections
If aspiration is indicated according to agency policy and manufacturer recommendations, pull the plunger back to aspirate for blood. If no blood appears, inject the medication slowly and steadily. If blood appears, discard the syringe and needle and prepare the medication again.
Is this still an acceptable practice that is used currently or have we moved away from this altogether? I want to make sure that as we update this textbook, we also update outdated processes. If this is not accepted as EBP, then I believe it's time to remove this and remove this from teaching.
Figure 18.2 Luer Lock Syringe
Is there a good image that could be placed next to this syringe that shows the Leur slip since it is being mentioned in the text? Having this image can help students understand that when they encountered that type of syringe; connection is somewhat in a similar fashion.
Figure 18.1 Parts of a Syringe
Is there a way to remove the larger image of the syringe top? Upon initial view of the image, I had trouble figuring out what that was in relation to the rest of the image. I believe it is distracting and it is not necessary
Physical Examination
Should be a short sentence indicating the correct general order of the examination and may want to indicate that this is different when performing an abdominal assessment.
Establishing rapport is essential, as it encourages patients and families to openly share their thoughts. This provides nurses with accurate and meaningful information to support holistic, patient-centered care planning.
Should be moved to the communication section so students get a deeper understanding of this concept. Rapport may need a definition in the glossary.
See Figure 1.2
Since in the paragraph there was an expanded explanation of auscultation, an image of this maybe better than showing the example of taking a pulse.
When documenting subjective data, always record the patient’s or family member’s exact words within quotation marks. Begin with phrases such as, “The patient reports…”, “The patient states…”, or “The patient’s wife states…” to indicate the source of the information.
This should move to the end of the paragraph right before the "Example". Students should first understand what subjective data is before understanding how to document it.
Gastrointestinal Basics
There should be a figure showing the female model to demonstrate similarity between the two. Or it can be more specific with providing exact positioning in the body.
Here is a reference for exact positioning information: Shermadou ES, Rahman S, Leslie SW. Anatomy, Abdomen and Pelvis: Bladder. [Updated 2023 Jul 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK531465/
Chapter 3 Glossary
Is there thoughts on adding a "voice" button to the glossary next to each vocabulary word. This would greatly assist all students in their pronunciation and possible spelling of these terms. Very helpful for Multilingual students.
“Answer Key”
does not link to correct answer key
Drag and Drop
in this activity it notes wait 1 minute after acquiring the estimated BP, while the text checklist indicates 30 sec. It is best that either: one number is decided on and used consistently throughout the book OR provide a range 30-60 sec.
Supplementary Video of Blood Pressure Assessment
I believe this video is redundant from the previous video. Although they both show similar processes, having one video helps with students and instructors feel that the one video is the correct video to watch and follow steps when practicing.
Orthostatic hypotension is also commonly referred to a postural hypotension
Adding this combined with where Orthostatic Hypotension will help students immediately associate both as the same term/concept.
“Answer Key”
Does not link to answer key. Directs to Pharmacology answer key
Open the activity: NCLEX Next Generation-style question
Does not link to activity
“Chapter Resources A”
Does not link
“Chapter Resources A
Does not link to appropriate location in textbook
2.2 Health History Basic Concepts
This was covered in Section 1.0. don't know that the redundancy is necessary. If so, consider what is new that is discussed here and add it to the 1.0 section.
1.11
Great activity! Is there a way for the user to have a button within the activity that will take them back to this page after completing the exercise? I know students will find that they had to close the ADAPT link then reopen the book. how about each link forcing the opening of a new tab while keeping this tab open.
Learning Activity
Not the most important topic in this section. Should consider another activity such as identifying expected vs unexpected findings during vitals, general assessment, etc.
General Appearance
"Components of a General Survey". You can then have another header for "General Appearance". This helps create a similar flow with the next section headers
1.4 Basic Concepts
There are elements here that could be put together with 1.1 or have 1.1 be before this section. Students can get the impression that what was present in 1.1 is different from 1.4.
When obtaining a respiratory rate, the respirations are also assessed for quality, rhythm, and rate.
Can this section be expanded similarly to the Pulse section? it does help the student understand what characteristics of each they should be aware of to document findings and potentially act at this stage with an appropriate intervention.
An armpit (axillary)
An axillary (armpit)
Normal range: 98.6 F or 37 C.
Not a range just a number. Better to omit since each route has a different range. Maybe a link to the chart of ranges?
Common Characteristics
Table is not necessary here if the reader is being reference to a link (above) to gain further insight into this topic.
Open the AIDET Patient Communication webpage
Weblink cannot be accessed. Check for possible routing issues with link.
1.2
If presenting in logic flow, I believe this section should be 1.1 then General survey should be 1.2.