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deWit’s Medical-Surgical Nursing
Concepts & Practice
- 4th Edition - January 9, 2020
- Author: Holly K. Stromberg
- Language: English
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 4 0 3 6 - 7
Get the solid foundation you need to pass the NCLEX-PN® exam and succeed in practice! deWit’s Medical-Surgical Nursing: Concepts and Practice, 4th Edition builds on the fu… Read more
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Request a sales quoteGet the solid foundation you need to pass the NCLEX-PN® exam and succeed in practice! deWit’s Medical-Surgical Nursing: Concepts and Practice, 4th Edition builds on the fundamentals of nursing with complete coverage of adult medical-surgical conditions, including roles, settings, health care trends, and all body systems and their disorders. It provides special attention to care of older adults, those with chronic illnesses, and residents in long-term care settings. Written by nursing educator Holly Stromberg, deWit’s Medical-Surgical Nursing makes exam prep easier with NCLEX-PN® review questions, and reflects national LPN/LVN standards with an emphasis on evidence-based practice and patient safety.
- Safety alerts emphasize safety precautions to protect patients, family, health care providers, and the public from accidents, spread of disease, and medication-related accidents.
- Older Adult Care Points address the unique care issues of gerontologic nursing, and describe assessment and interventions for long-term care patients.
- Nursing care plans show plans of care based on patient history, including patient goals and outcomes, with critical thinking questions allowing you to assess your understanding of nursing care concepts.
- Assignment Considerations cover task delegation from the RN to the LPN/LVN and from the LPN/LVN to unlicensed assistive personnel, as allowed by each state’s nurse practice act.
- Get Ready for the NCLEX® Examination! section at the end of each chapter covers key points and includes review questions to help you prepare for class tests and the NCLEX-PN examination.
- Focused Assessment boxes show how to collect patient data, including history, physical, and psychosocial assessment.
- Home Care Considerations focus on adapting medical-surgical nursing care to the home environment after discharge.
- Cultural Considerations promote understanding of various ethnic groups and sensitivity to differing beliefs and practices.
- Communication boxes help in developing therapeutic communication skills in realistic patient care situations.
- Patient Teaching boxes provide instructions and guidelines for educating patients on post-hospital care.
- Legal and Ethical Considerations describe legal issues and ethical dilemmas that may face the practicing nurse.
- Think Critically encourages you to synthesize information and apply concepts to practice.
- Nutrition Considerations emphasize the role nutrition plays in disease and nursing care.
- Medication tables provide quick access to dosages and side effects of commonly used medications.
- Key terms include phonetic pronunciations and text page references, making learning easier with terms listed at the beginning of each chapter, appearing in blue at first mention or where defined in the text, and defined in the glossary.
- Cover image
- Title Page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Reviewers
- LPN Advisory Board
- To the Instructor
- About the Text
- Pedagogical Features
- Organization of the Text
- LPN Threads
- For the Instructor
- For the Student
- To the Student
- Reading and Review Tools
- Chapter Features
- Acknowledgments
- Unit I Medical-Surgical Nursing Settings
- 1 Caring for Medical-Surgical Patients
- Caring for Medical-Surgical Patients
- Roles of the LPN/LVN
- Employment Opportunities
- Ethical and Legal Practice
- Quality and Safety
- Health Care Today
- Financing of Health Care
- Providing Holistic Care
- Get Ready for the NCLEX® Examination!
- 2 Critical Thinking and the Nursing Process
- Critical Thinking and Clinical Judgment
- Applying LPN/LVN Standards in Medical-Surgical Nursing
- Interdisciplinary (Collaborative) Care Plans
- Get Ready for the NCLEX® Examination!
- Unit II Medical-Surgical Patient Care Problems
- 3 Fluids, Electrolytes, Acid-Base Balance, and Intravenous Therapy
- Distribution and Regulation of Body Fluids
- Osmolality
- Fluid Imbalances
- Electrolytes
- Acid-Base System
- Acid-Base Imbalances
- Intravenous Fluid Therapy
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- 4 Care of Preoperative and Intraoperative Surgical Patients
- Surgery
- Technological Advances in Surgery
- Autologous Blood for Transfusion
- Bloodless Surgery
- Perioperative Nursing Management
- The Surgical Team
- The Surgical Suite
- Anesthesia
- Potential Intraoperative Complications
- Get Ready for the NCLEX® Examination!
- 5 Care of Postoperative Surgical Patients
- Immediate Postoperative Care
- Nursing Management
- Discharge Planning
- Community Care
- Get Ready for the NCLEX® Examination!
- 6 Infection Prevention and Control
- The Infectious Process and Disease
- The Body's Defense Against Infection
- Infection Prevention and Control
- Health Care–Associated Infections
- Multidrug Resistant Organisms (MDRO)
- Sepsis and Septic Shock
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- 7 Care of Patients With Pain
- Theories of Pain
- Classification of Pain
- Perception of Pain
- Acute Versus Chronic Pain
- Nursing Management
- Management of Pain
- Community Care
- Get Ready for the NCLEX® Examination!
- 8 Care of Patients With Cancer
- The Impact of Cancer
- Pathophysiology of Cancer
- Metastasis
- Genetic Factors
- Contributing Factors
- Classification of Tumors
- Measures to Prevent Cancer
- Detection of Cancer
- Nursing Management
- Common Therapies, Problems, and Nursing Care
- Common Problems Related to Cancer or Cancer Treatment
- Caring for the Dying Cancer Patient
- GET Ready for the Nclex® Examination!
- 9 Chronic Illness and Rehabilitation
- Chronic Illness
- Rehabilitation
- Nursing Management
- Home Care
- Get Ready for the NCLEX® Examination!
- Unit III Immune System
- 10 The Immune and Lymphatic Systems
- Anatomy and Physiology of the Immune and Lymphatic Systems
- Protective Mechanisms of the Immune and Lymphatic Systems
- Immune and Lymphatic System Disorders
- Nursing Management
- Common Problems Related to the Immune and Lymphatic Systems
- Get Ready for the NCLEX® Examination!
- 11 Care of Patients With Immune and Lymphatic Disorders
- Immune Function and Dysfunction
- Immune Deficiency Conditions
- Therapeutic Immunosuppression
- Nursing Management
- Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
- Nursing Management
- Human Immunodeficiency Virus Risk in Patients Older Than 50 Years
- Community Education and Care
- Autoimmune and Autoinflammatory Disorders
- Disorders of the Lymphatic System
- Disorders of Inappropriate Immune Response
- Nursing Management
- Get Ready for the NCLEX® Examination!
- Unit IV Respiratory System
- 12 The Respiratory System
- Overview of Anatomy and Physiology of the Respiratory System
- Causes of Respiratory Disorders
- Respiratory Disorders
- Nursing Management
- Common Respiratory Patient Care Problems
- Get Ready for the NCLEX® Examination!
- 13 Care of Patients With Disorders of the Upper Respiratory System
- Disorders of the Nose and Sinuses
- Obstruction and Trauma
- Community Care
- Get Ready for the NCLEX® Examination!
- 14 Care of Patients With Disorders of the Lower Respiratory System
- Respiratory Infectious Diseases
- Restrictive Pulmonary Disorders
- Obstructive Pulmonary Disorders
- Pulmonary Vascular Disorders
- Chest Injuries
- Lung Disorders
- Common Therapeutic Measures
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit V Hematologic System
- 15 The Hematologic System
- Overview of Anatomy and Physiology of the Hematologic System
- Causes of Hematologic Disorders
- Prevention of Hematologic Disorders
- Diagnostic Tests and Procedures
- Nursing Management
- Common Problems Related to Disorders of the Hematologic System
- Get Ready for the NCLEX® Examination!
- 16 Care of Patients With Hematologic Disorders
- Disorders of the Hematologic System
- Nursing Management
- Coagulation Disorders
- Therapies Frequently Used in the Management of Hematologic Disorders
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit VI Cardiovascular System
- 17 The Cardiovascular System
- Overview of Anatomy and Physiology of the Cardiovascular System
- Cardiovascular Disease
- Nursing Management
- Common Problems of Patients With Cardiovascular Disorders
- Get Ready for the NCLEX® Examination!
- 18 Care of Patients With Hypertension and Peripheral Vascular Disease
- Hypertension
- Nursing Management
- Arteriosclerosis and Atherosclerosis
- Peripheral Vascular Disease
- Nursing Management
- Nursing Management
- Nursing Management
- Venous Disorders
- Nursing Management
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- 19 Care of Patients With Cardiac Disorders
- Disorders of the Heart
- Nursing Management
- Inflammatory and Infectious Diseases of the Heart
- Cardiomyopathy
- Cardiac Valve Disorders
- Common Therapies and Their Nursing Implications
- Community Care
- Get Ready for the NCLEX® Examination!
- 20 Care of Patients With Coronary Artery Disease and Cardiac Surgery
- Coronary Artery Disease
- Surgical and Nonsurgical Treatment Options
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit VII Neurologic System
- 21 The Neurologic System*
- Anatomy and Physiology of the Neurologic System
- Causative Factors Involved in Neurologic Disorders
- Prevention of Neurologic Disorders
- Evaluation of Neurologic Status
- Nursing Management
- Common Neurologic Patient Care Problems
- Get Ready for the NCLEX® Examination!
- 22 Care of Patients With Head and Spinal Cord Injuries
- Traumatic Brain (Head) Injuries
- Increased Intracranial Pressure
- Nursing Management
- Injuries of the Spine and Spinal Cord
- Nursing Management
- Back Pain and Herniated Disk (Bulged, Slipped, or Ruptured Disk)
- Get Ready for the NCLEX® Examination!
- 23 Care of Patients With Brain Disorders
- Seizure Disorders and Epilepsy
- Nursing Management
- Transient Ischemic Attack
- Cerebrovascular Accident (Stroke, Brain Attack)
- Nursing Management
- Brain Tumor
- Infectious and Inflammatory Disorders of the Nervous System
- Nursing Management
- Headaches
- Cranial Nerve Disorders
- Nursing Management
- Get Ready for the NCLEX® Examination!
- 24 Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders
- Parkinson Disease
- Nursing Management
- Multiple Sclerosis
- Nursing Management
- Alzheimer Disease
- Amyotrophic Lateral Sclerosis
- Guillain-Barré Syndrome
- Nursing Management
- Poliomyelitis and Postpolio Syndrome
- Huntington Disease
- Myasthenia Gravis
- Nursing Management
- Restless Leg Syndrome
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit VIII Sensory System
- 25 The Sensory System
- Anatomy and Physiology of the Eye
- The Eye
- Nursing Management
- Common Disorders of the Eye
- Nursing Care of Patients Having Eye Surgery
- Community Care
- Get Ready for the NCLEX® Examination!
- 26 The Sensory System
- Anatomy and Physiology of the Ear
- The Ear
- Nursing Management
- Common Problems of Patients With Ear Disorders
- Common Disorders of the Ear
- Cochlear Implant
- Nursing Care of Patients Having Ear Surgery
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit IX Gastrointestinal System
- 27 The Gastrointestinal System
- Anatomy and Physiology of the Gastrointestinal System
- The Gastrointestinal System
- Nursing Management
- Get Ready for the NCLEX® Examination!
- 28 Care of Patients With Disorders of the Upper Gastrointestinal System
- Eating Disorders
- Nursing Management of Obesity
- Upper Gastrointestinal Disorders
- Nursing Management
- Common Therapies for Disorders of the Gastrointestinal System
- Get Ready for the NCLEX® Examination!
- 29 Care of Patients With Disorders of the Lower Gastrointestinal System
- Disorders of the Abdomen and Bowel
- Nursing Management
- Ostomy Surgery and Care
- Nursing Management
- Anorectal Disorders
- Community Care
- Get Ready for the NCLEX® Examination!
- 30 Care of Patients With Disorders of the Gallbladder, Liver, and Pancreas
- Disorders of the Gallbladder
- Disorders of the Liver
- Nursing Management
- Nursing Management
- Disorders of the Pancreas
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit X Musculoskeletal System
- 31 The Musculoskeletal System
- Anatomy and Physiology of the Musculoskeletal System
- Musculoskeletal Disorders
- Nursing Management
- Get Ready for the NCLEX® Examination!
- 32 Care of Patients With Musculoskeletal and Connective Tissue Disorders
- Connective Tissue Disorders
- Nursing Management
- Inflammatory Disorders of the Musculoskeletal System
- Nursing Management
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit XI Urinary System
- 33 The Urinary System
- Anatomy and Physiology of the Urologic System
- The Urologic System
- Nursing Management
- Common Urologic Problems
- Get Ready for the NCLEX® Examination!
- 34 Care of Patients With Disorders of the Urinary System
- Inflammatory Disorders of the Urinary Tract
- Obstructions of the Urinary Tract
- Urologic System Trauma
- Urologic System Cancers
- Renal Failure
- Nursing Management
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit XII Endocrine System
- 35 The Endocrine System
- Anatomy and Physiology of the Endocrine System
- The Endocrine System
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- 36 Care of Patients With Pituitary, Thyroid, Parathyroid, and Adrenal Disorders
- Disorders of the Pituitary Gland
- Disorders of the Thyroid Gland
- Disorders of the Parathyroid Glands
- Disorders of the Adrenal Glands
- Community Care
- Get Ready for the NCLEX® Examination!
- 37 Care of Patients With Diabetes and Hypoglycemia
- Diabetes Mellitus and Hypoglycemia
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit XIII Reproductive System
- 38 The Reproductive System
- The Female Reproductive System
- Anatomy and Physiology of the Female Reproductive System
- Women's Health Care
- Health Screening and Assessment
- Nursing Management
- Anatomy and Physiology of the Male Reproductive System
- The Male Reproductive System
- Nursing Management
- Care of Patients Who Identify as LGBTQIA+
- Get Ready for the NCLEX® Examination
- 39 Care of Women With Reproductive Disorders
- Menstrual Dysfunction
- Infertility
- Nursing Management
- Menopause
- Nursing Management
- Disorders of the Female Reproductive Tract
- Cancer of the Reproductive Tract
- Disorders of the Breast
- Home Care
- Community Care
- Get Ready for the NCLEX® Examination
- 40 Care of Men With Reproductive Disorders
- Disorders of the Male Reproductive System
- Community Care
- Get Ready for the NCLEX® Examination!
- 41 Care of Patients With Sexually Transmitted Infections
- Common Infections of the Female Reproductive Tract
- Risk Factors for Transmission of Sexually Transmitted Infections
- Transmission of Sexually Transmitted Infections
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit XIV Integumentary System
- 42 The Integumentary System
- Anatomy and Physiology of the Integumentary System
- The Integumentary System
- Nursing Management
- Get Ready for the NCLEX® Examination!
- 43 Care of Patients With Integumentary Disorders and Burns
- Inflammatory Infections
- Bacterial Infections
- Viral Infections
- Fungal Infections
- Parasitic Infections
- Noninfectious Disorders of Skin
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- Unit XV Emergency and Disaster Management
- 44 Care of Patients in Disasters or Bioterrorism Attack
- Disaster Preparedness and Response
- Preparing for Chemical, Nuclear, or Biological Disasters
- Active Shooter
- Debriefing
- Get Ready for the NCLEX® Examination!
- 45 Care of Patients With Emergent Conditions, Trauma, and Shock
- Prevention of Accidents
- First Aid and Good Samaritan Laws
- Psychological and Social Emergencies
- Emergency Care
- Metabolic Emergencies
- Injuries Caused by Extreme Heat and Cold
- Poisoning
- Bites and Stings
- Electrical Injuries and Burns
- Choking Emergencies
- Cardiopulmonary Resuscitation
- Shock
- Nursing Management
- Get Ready for the Nclex® Examination!
- Unit XVI Mental Health Nursing of the Adult
- 46 Care of Patients With Cognitive Function Disorders
- Overview of Cognitive Disorders
- Nursing Management
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- 47 Care of Patients With Anxiety, Mood, and Eating Disorders
- Anxiety and Related Disorders
- Nursing Management of Anxiety Disorders
- Depressive Disorders
- Nursing Management of Depressive Disorders
- Nursing Management of Bipolar Disorder
- Patients With Suicidal Ideation
- Nursing Management of Patients With Suicidal Ideation
- Eating Disorders
- Nursing Management of Patients With an Eating Disorder
- Community Care
- Get Ready for the NCLEX® Examination!
- 48 Care of Patients With Substance-Related and Addictive Disorders
- Substance Use Disorder and Alcohol Use Disorder
- Disorders Associated With Substance-Related and Addictive Disorders
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- 49 Care of Patients With Thought and Personality Disorders
- Overview of Thought Disorders
- Nursing Management
- Overview of Personality Disorders
- Nursing Management
- Community Care
- Get Ready for the NCLEX® Examination!
- appendix A Most Common Laboratory Test Values
- appendix B Standard Precautions*
- A Hand Hygiene
- B Personal Protective Equipment (PPE)
- appendix C Standard Steps for All Nursing Procedures
- At the Beginning of the Procedure
- During the Procedure
- At the End of the Procedure
- References
- Reader References
- Bibliography
- Bibliography
- Glossary
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- U
- V
- W
- X
- Y
- Z
- Index
- Priority Problem List
- Language: English
- Edition: 4
- Published: January 9, 2020
- Imprint: Saunders
- eBook ISBN: 9780323640367
HS
Holly K. Stromberg
Affiliations and expertise
Professor Emeritus of Nursing, Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California