MEDICAL-SURGICAL NURSING CARE This title has been archived.

Author: Karen Burke, RN, MS, Priscilla LeMone, RN, DSN, FAAN, Elaine Mohn-Brown, RN, EdD, Linda Eby, RN, MN
Affiliation: Oregon State Board of Nursing, Portland
Publisher: Pearson Health Science
Publication Date: 2007
ISBN 10: 0131714724
ISBN 13: 9780131714724
Edition: 2nd

Description:

Answers the question, what do practical vocational nurses need to know and to be able to do in order to deliver safe and effective medical-surgical nursing care? This comprehensive text prepares basic practical/vocational nursing students to care for adult clients with medical or surgical disorders or diseases. With an emphasis on the nursing role, it explains the risk factors, causes, and pathophysiology of common disorders and diseases, and reviews diagnostic tests and medical management of the disorders. A focus on nursing care is presented in a nursing process format–including assessment data to collect, nursing diagnoses with suggested interventions and their rationales, and evaluation data to determine the effectiveness of nursing care.

Table of Contents

Front Matter

  • ABOUT
  • Notice
  • Student Success is built-in from the start...
  • Makes need-to-know information easy to find and use…
  • Learn to prioritize nursing actions and deliver safe, effective nursing care…
  • Comprehensive reviews at the end of the chapter…
  • Prepare for your career as an LPN/LVN…
  • Preface
  • About the Authors
  • Contributor Team
  • Reviewer Panel

UNIT I Introduction to Medical–Surgical Nursing

    The Medical–Surgical Nurse

    • BRIEF Outline
    • LEARNING Outcomes
    • Roles of the LPN/LVN in Medical–Surgical Nursing Care
    • Framework for Practice: The Nursing Process
    • Critical Thinking
    • Guidelines for Nursing Practice
    • Legal and Ethical Dilemmas in Nursing
    • Chapter Review
    • NCLEX-PN® Exam Preparation

    The Adult Client in Health and Illness

    • BRIEF Outline
    • LEARNING Outcomes
    • Developmental Tasks of the Young and Middle Adult
    • The Family of the Adult Client
    • Health in the Adult Client
    • Illness in the Adult Client
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN Exam Preparation
    • CULTURAL CARE STRATEGIES

    The Older Adult Client in Health and Illness

    • BRIEF Outline
    • LEARNING Outcomes
    • What Is Old?
    • Why Do People Age?
    • Ageism and Common Stereotypes about Older Adults
    • Developmental Aspects of Aging
    • Experiencing and Adapting to Change
    • Health of the Older Adult
    • Nursing Care to Promote Health
    • Chapter Review
    • NCLEX-PN® Exam Preparation

    Settings of Care

    • BRIEF Outline
    • LEARNING Outcomes
    • Community-Based Nursing Care
    • Types of Community-Based Health Care Services
    • Home Health Care
    • Rehabilitation
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Guidelines for Client Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Purposes of a Client Assessment
    • Types of Assessment
    • Sources and Accuracy of Assessment Data
    • Obtaining a Health History
    • Methods of Physical Examination
    • Preparation for a Physical Examination
    • The Physical Examination
    • Documentation
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation
    • CULTURAL CARE STRATEGIES

    Essential Nursing Pharmacology

    • BRIEF Outline
    • LEARNING Outcomes
    • Drug Sources and Names
    • Drug Legislation and Resources
    • Pharmacokinetics
    • Pharmacodynamics
    • Chapter Review
    • NCLEX-PN® Exam Preparation
    • UNIT I WRAP-UP Thinking Strategically About…Thinking Strategically About…

UNIT II Foundations of Medical–Surgical Nursing

    Caring for Clients with Altered Fluid, Electrolyte, or Acid–Base Balance

    • BRIEF Outline
    • LEARNING Outcomes
    • FLUID AND ELECTROLYTE BALANCE
    • ACID–BASE DISORDERS
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients in Pain

    • BRIEF Outline
    • LEARNING Outcomes
    • Physiology of Pain
    • Types of Pain
    • Factors Affecting Client Response to Pain
    • Interdisciplinary Care
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation
    • CULTURAL CARE STRATEGIES

    Caring for Clients Having Sur gery

    • BRIEF Outline
    • LEARNING Outcomes
    • Types and Settings for Surgery
    • Informed Consent
    • Phases of the Surgical Experience
    • Preoperative Care
    • Intraoperative Phase
    • Postoperative Phase
    • Ambulatory Surgery
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Inflammation and Infection

    • BRIEF Outline
    • LEARNING Outcomes
    • Inflammation
    • Infection
    • NURSING CARE
    • NURSING PROCESS CARE PLAN Client with MRSA Infection
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation
    • CULTURAL CARE STRATEGIES

    Caring for Clients with Altered Immunity

    • BRIEF Outline
    • LEARNING Outcomes
    • Overview of the Immune System
    • Natural and Acquired Immunity
    • Altered Immune Responses
    • Autoimmune Disorders
    • Organ/Tissue Transplant
    • Impaired Immune Responses and the Client with HIV
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Cancer

    • BRIEF Outline
    • LEARNING Outcomes
    • Cancer, the Nurse, and the Health Care Team
    • Cancer Incidence and Trends
    • Effects and Manifestations of Cancer
    • Nursing Interventions for Oncologic Emergencies
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • CULTURAL CARE STRATEGIES

    Caring for Clients Experiencing Shock, Trauma, or Critical Illness

    • BRIEF Outline
    • LEARNING Outcomes
    • The Client in Shock
    • The Client Experiencing Trauma
    • The Client Experiencing a Critical Illness
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Loss, Grief, and End-of-Life Care

    • BRIEF Outline
    • LEARNING Outcomes
    • Loss, Grief, and Death
    • End-of-Life Care
    • Settings and Services for End-of-Life Care
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT II WRAP-UP Thinking Strategically About…

UNIT III Disrupted Endocrine Function

    The Endocrine System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Endocrine System
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Endocrine Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Disorders of the Pituitary Gland
    • Disorders of the Thyroid Gland
    • Disorders of the Parathyroid Glands
    • Disorders of the Adrenal Gland
    • Disorder of the Adrenal Medulla
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Diabetes Mellitus

    • BRIEF Outline
    • LEARNING Outcomes
    • Overview of Diabetes Mellitus
    • Complications of Diabetes Mellitus
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT III WRAP-UP Thinking Strategically About…

UNIT IV Disrupted Gastrointestinal Function

    The Gastrointestinal System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • The Gastrointestinal Tract
    • Accessory Organs of Digestion
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Nutritional and Upper Gastrointestinal Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Nutritional Disorders
    • Upper GI Disorders
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • CULTURAL CARE STRATEGIES Integrating Cultural Diversity in Client Education

    Caring for Clients with Bowel Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Disorders of Intestinal Motility and Absorption
    • Inflammatory Disorders
    • Structural and Obstructive Disorders
    • Anorectal Disorders
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Gallbladder, Liver, and Pancreatic Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Gallbladder Disorders
    • Liver Disorders
    • Exocrine Pancreatic Disorders
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT IV WRAP-UP Thinking Strategically About…

UNIT V Disrupted Respiratory

    The Respiratory System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Upper Respiratory System
    • Structure and Function of the Lower Respiratory System
    • RESPIRATORY CHANGES ASSOCIATED WITH AGING
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Upper Respiratory Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Upper Respiratory Infections and Inflammations
    • Pertussis
    • Upper Respiratory Trauma or Obstruction
    • Upper Respiratory Tumors
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Lower Respiratory Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • OVERSET MATTER
    • INFECTIOUS AND INFLAMMATORY DISORDERS
    • OBSTRUCTIVE AND RESTRICTIVE LUNG DISORDERS
    • INTERSTITIAL LUNG DISORDERS
    • LUNG CANCER
    • PULMONARY VASCULAR DISORDERS
    • PLEURAL DISORDERS AND TRAUMA
    • CRITICAL RESPIRATORY CONDITIONS
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT V WRAP-UP Thinking Strategically About…

UNIT VI Disrupted Cardiovascular Function

    The Cardiovascular System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • The Heart
    • The Peripheral Vascular System
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Coronary Heart Disease and Dysrhythmias

    • BRIEF Outline
    • LEARNING Outcomes
    • Coronary Heart Disease
    • Angina Pectoris
    • Acute Myocardial Infarction
    • CARDIAC RHYTHM DISORDERS
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Cardiac Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • DISORDERS OF CARDIAC FUNCTION
    • INFLAMMATORY CARDIAC DISORDERS
    • DISORDERS OF CARDIAC STRUCTURE
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Peripheral Vascular Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Hypertension
    • Secondary Hypertension
    • DISORDERS OF THE AORTA
    • PERIPHERAL ARTERIAL DISORDER
    • VENOUS DISORDERS
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT VI WRAP-UP Thinking Strategically About…

UNIT VII Disrupted Hematologic and Lymphatic Function

    The Hematologic and Lymphatic Systems and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Hematologic and Lymphatic Systems
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Hematologic and Lymphatic Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • RED BLOOD CELL DISORDERS
    • WHITE BLOOD CELL DISORDERS
    • PLATELET AND COAGULATION DISORDER
    • LYMPHATIC SYSTEM DISORDERS
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT VII WRAP-UP Thinking Strategically About…

UNIT VIII Disrupted Urinary Function

    The Urinary System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Urinary System
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Renal and Urinary Tract Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • VOIDING DISORDERS
    • INFECTIOUS AND INFLAMMATORY DISORDERS
    • OBSTRUCTIVE DISORDERS
    • KIDNEY TRAUMA
    • TUMORS OF THE KIDNEY AND URINARY TRACT
    • RENAL FAILURE
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation
    • CULTURAL CARE STRATEGIES
    • UNIT VIII WRAP-UP Thinking Strategically About…

UNIT IX Disrupted Reproductive Function

    The Reproductive System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Male Reproductive System
    • Structure and Function of the Female Reproductive System
    • Age-Related Changes in the Reproductive System
    • Assessment
    • Chapter Review
    • NCLEX-PN® Exam Preparation

    Caring for Male Clients with Reproductive System Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • PROSTATE DISORDERS
    • DISORDERS OF THE TESTES AND SCROTUM
    • DISORDERS OF THE PENIS
    • DISORDERS OF SEXUAL EXPRESSION
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Female Clients with Reproductive System Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • PERIMENOPAUSE
    • DISORDERS OF MENSTRUATION
    • DISORDERS OF FEMALE REPRODUCTIVE TISSUE
    • INFECTIONS OF THE FEMALE REPRODUCTIVE SYSTEMS
    • MALIGNANT TUMORS
    • STRUCTURAL DISORDERS OF THE FEMALE REPRODUCTIVE SYSTEM
    • BREAST DISORDERS
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Sexually Transmitted Infections

    • BRIEF Outline
    • LEARNING Outcomes
    • Overview of STIs
    • Chlamydia
    • Genital Herpes
    • Genital Warts
    • Gonorrhea
    • Syphilis
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation
    • CULTURAL CARE STRATEGIES
    • UNIT IX WRAP-UP Thinking Strategically About…

UNIT X Disrupted Neurologic Function Disrupted Neurologic Function

    The Nervous System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • The Nervous System
    • Structure and Function of the Eye
    • Structure and Function of the Ear
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Intracranial Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Head Injuries
    • Brain Tumor
    • Cerebrovascular Accident
    • Cerebral Aneurysm
    • Seizure Disorder
    • Intracranial Infections
    • Headaches
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Degenerative Neurologic and Spinal Cord Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Degenerative Neurologic Disorders
    • Other Neurologic Disorders
    • Spinal Cord Disorders
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Eye and Ear Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Eye Disorders
    • Ear Disorders
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT X WRAP-UP Thinking Strategically About…

UNIT XI Disrupted Musculoskeletal Function

    The Musculoskeletal System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Musculoskeletal System
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Musculoskeletal Trauma

    • BRIEF Outline
    • LEARNING Outcomes
    • Musculoskeletal Trauma
    • Joint Trauma and Injury
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • CULTURAL CARE STRATEGIES Considering Cultural Variations Related to Space

    Caring for Clients with Musculoskeletal Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Structural and Bone Disorders
    • Joint and Connective Tissue Disorders
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

UNIT XII Disrupted Integumentary Function Disrupted Integumentary Function

    The Integumentary System and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Structure and Function of the Integumentary System
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Skin Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Common Skin Disorders
    • Infections and Infestations of the Skin
    • Malignant Skin Disorders
    • Pressure Ulcers
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Burns

    • BRIEF Outline
    • LEARNING Outcomes
    • Types of Burn Injury
    • Major Burns
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • CULTURAL CARE STRATEGIES Assessing the Client from Another Culture in a Social Context
    • UNIT XII WRAP-UP Thinking Strategically About…

UNIT XIII Disrupted Mental Health Function

    Mental Health and Assessment

    • BRIEF Outline
    • LEARNING Outcomes
    • Mental Health
    • Brain Structure and Function of Brain Neurotransmitters
    • Mental Disorders
    • Assessment
    • Chapter Review
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Psychotic Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Schizophrenia
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Mood Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Major Depressive Disorder
    • Bipolar Disorder
    • Chapter Review
    • KEY Points
    • EXPLORE MediaLink
    • FOR FURTHER Study
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation

    Caring for Clients with Anxiety Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Generalized Anxiety Disorder
    • Panic Disorder
    • Agoraphobia
    • Obsessive-Compulsive Disorder
    • Posttraumatic Stress Disorder
    • Social Phobia
    • Specific Phobias
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Personality Disorders

    • BRIEF Outline
    • LEARNING Outcomes
    • Personality Disorders
    • Cluster A Personality Disorders: Odd/Eccentric
    • Cluster B Personality Disorders: Dramatic/Emotional/Erratic
    • Cluster C Personality Disorders: Anxious/Fearful
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN® Exam Preparation

    Caring for Clients with Substance Abuse or Dependency

    • BRIEF Outline
    • LEARNING Outcomes
    • Problem of Substance Abuse
    • Commonly Abused Substances
    • Chapter Review
    • Critical Thinking Care Map
    • NCLEX-PN ® Exam Preparation
    • UNIT XIII WRAP-UP Thinking Strategically About…

Appendix I Standard Precautions

Appendix II 2005–2006 NANDA-Approved Nursing Diagnoses

Appendix III Common Laboratory Values

Appendix IV GLOSSARY

Appendix V NCLEX-PN ® Answers; Care Plan Hints; Care Map Answers; and Unit Wrap-Up Answers

Bibliography