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Lewis's Medical-Surgical Nursing
Assessment and Management of Clinical Problems, Single Volume
- 12th Edition - July 2, 2022
- Authors: Mariann M. Harding, Jeffrey Kwong, Debra Hagler, Courtney Reinisch
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 8 9 6 1 - 5
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 8 2 5 1 8 - 4
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 9 2 3 2 - 5
**American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Medical-Surgical Nursing, 2023****Selected for Doody’s Core Titles® 2024 with "Essential Purch… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quote**American Journal of Nursing (AJN) Book of the Year Awards, 1st Place in Medical-Surgical Nursing, 2023**
**Selected for Doody’s Core Titles® 2024 with "Essential Purchase" designation in Medical/Surgical**
Gain the knowledge and skills you need to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 12th Edition uses a conversational writing style, a focus on nursing concepts and clinical trends, evidence-based content, and basic pathophysiology review to provide the solid foundation needed in a rapidly changing healthcare environment. Comprehensive chapters cover topics including nursing management and collaboration, health promotion, acute interventions, and ambulatory care. Summary tables and boxes make it easy to find essential information, and a building-block approach makes even the most complex concepts simple to grasp. In addition to three new chapters, this edition includes a stronger focus on the nursing process, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.
- Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate.
- Interprofessional care is addressed in special Interprofessional Care sections and Interprofessional Care tables.
- Bridge to the NCLEX® Examination review questions reinforce key content and include both standard and alternate item format questions to help you prepare for the NCLEX exam.
- Coverage of cultural and ethnic health disparities highlights important issues such as risk factors, economic aspects, and access to health care.
- Coverage of gerontology and chronic illness is addressed in a separate chapter and highlighted in special gerontologic tables.
- Pathophysiology maps use flowcharts to outline complex concepts related to diseases, making them easier to understand.
- Focused Assessment boxes provide brief checklists for a practical "assessment on the run" or bedside approach to assessment, and can be used to evaluate the status of previously identified health problems and monitor for signs of new problems.
- Safety Alert boxes highlight patient safety issues and focus on the National Patient Safety Goals.
- Nutritional Therapy tables summarize nutritional interventions and strategies for promoting healthy lifestyles.
- Promoting Population Health boxes summarize health care goals as they relate to specific disorders such as cancer and diabetes, and identify strategies for health promotion.
- Drug Therapy tables and Drug Alerts highlight important safety considerations for key drugs.
- Check Your Practice boxes challenge you to think critically, analyze patient assessment data, and implement appropriate interventions.
- Coverage of genetics includes a separate chapter on genetics, Genetics in Clinical Practice boxes covering disorders and genetic testing, risk alerts, and links to disorders.
- Focus on patient and caregiver teaching shows how you can help patients and caregivers learn to manage chronic illnesses and conditions.
- Ethical / Legal Dilemmas boxes introduce key topics such as informed consent, advance directives, and confidentiality.
Undergraduate nursing students in medical-surgical nursing courses in ADN, BSN, RN-to-BSN, and accelerated BSN programs (344,944 students in BSN and RN-to-BSN programs, AACN 2017-2018)
- Cover image
- Title page
- Disclaimer
- Table of Contents
- Copyright
- About the Authors
- Contributors
- Authors of Teaching and Learning Resources
- Preface
- Concept Exemplars
- Special Features
- Reviewers
- Section 1. Concepts in Nursing Practice
- 1. Professional Nursing
- Professional Nursing Practice
- Influences on Professional Nursing Practice
- Patient-Centered Care
- Interprofessional Partnerships
- Safety
- Quality Improvement
- Informatics
- Evidence-Based Practice
- 2. Social Determinants of Health
- Social Determinants of Health
- Health Disparities and Health Equity
- Culture
- Cultural Competence
- Cultural Factors Affecting Health and Health Care
- Nursing Management: Social Determinants of Health and Culturally Competent Care
- 3. Health History and Physical Examination
- Data Collection
- Nursing History: Subjective Data
- Physical Examination: Objective Data
- Types of Assessment
- 4. Patient and Caregiver Teaching
- Role of Patient and Caregiver Teaching
- Teaching-Learning Process
- Process of Patient Teaching
- 5. Chronic Illness and Older Adults
- Chronic Illness
- Older Adults
- 6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients
- Biologic Sex, Gender Identity, and Sexual Orientation
- LGBTQ+ Health Inequities
- Gerontologic Considerations
- Establishing Inclusive Environments
- Preventive Health
- Gender Affirmation Therapy
- Nursing Management: Gender Affirming Surgery
- Section 2. Problems Related to Comfort and Coping
- 7. Stress Management
- What is stress?
- Physiologic Response to Stress
- Mind-Body-Spirit Connection
- Effects of Stress on Health
- Coping Strategies
- Relaxation Strategies
- Nursing Management: Stress
- 8. Sleep and Sleep Disorders
- Sleep
- Insufficient Sleep and Sleep Disturbances
- Sleep Disorders
- 9. Pain
- Extent of Pain Problem
- Definitions and Dimensions of Pain
- Classification of Pain
- Pain Assessment
- Pain Treatment
- Nursing and Interprofessional Management: Pain
- Institutionalizing Pain Education and Management
- Managing Pain in Special Populations
- 10. Palliative and End-of-Life Care
- Palliative Care
- Hospice Care
- Domains of Palliative Care
- Death
- Nursing Management: End of Life
- Special Needs of Caregivers and Nurses in End-of-Life Care
- 11. Substance Use Disorders in Acute Care
- Drugs Associated With Substance use Disorder
- Use of Other Substances
- Section 3. Problems Related to Homeostasis and Protection
- 12. Inflammation and Healing
- Inflammatory Response
- Nursing Management: Inflammation
- Healing Process
- Nursing and Interprofessional Management: Wound Healing
- Pressure Injuries
- Nursing Management: Pressure Injuries
- 13. Genetics
- Genetics and Genomics
- Genetic Disorders
- Genetic Screening and Testing
- Pharmacogenomics and Pharmacogenetics
- Gene Therapy
- Stem Cell Therapy
- Nursing Management: Genetics and Genomics
- 14. Immune Responses and Transplantation
- Normal Immune Response
- Altered Immune Response
- Allergic Disorders
- Nursing Management: Immunotherapy
- Nursing Management: Latex Allergies
- Autoimmunity
- Immunodeficiency Disorders
- Human Leukocyte Antigen System
- Organ Transplantation
- Graft-Versus-Host Disease
- 15. Infection
- Infections
- COVID-19
- Human Immunodeficiency Virus Infection
- 16. Cancer
- Biology of Cancer
- Benign Versus Malignant Neoplasms
- Classification of Cancer
- Prevention and Detection of Cancer
- Interprofessional Care
- Complications of Cancer
- 17. Fluid, Electrolyte, and Acid-Base Imbalances
- Water Content of the Body
- Electrolytes
- Mechanisms Controlling Fluid and Electrolyte Movement
- Fluid Movement in Capillaries
- Fluid Spacing
- Regulation of Water Balance
- Fluid Volume Imbalances
- Sodium Imbalances
- Potassium Imbalances
- Calcium Imbalances
- Phosphate Imbalances
- Magnesium Imbalances
- Acid-Base Imbalances
- Section 4. Perioperative and Emergency Care
- 18. Preoperative Care
- Surgical Settings
- Patient Interview
- Assessment of Preoperative Patient
- Nursing Management: Preoperative Patient
- 19. Intraoperative Care
- Physical Environment of the Operating Room
- Surgical Team
- Nursing Management: Patient Before Surgery
- Nursing Management: Patient During Surgery
- Management: Patient After Surgery
- Anesthesia
- 20. Postoperative Care
- Postoperative Care of Surgical Patient
- Respiratory Problems
- Nursing Management: Respiratory Problems
- Cardiovascular Problems
- Nursing Management: Cardiovascular Problems
- Neurologic and Psychologic Problems
- Nursing Management: Neurologic and Psychologic Problems
- Pain and Discomfort
- Nursing Management: Pain
- Temperature Changes
- Nursing Management: Temperature Changes
- Gastrointestinal Problems
- Nursing Management: Gastrointestinal Problems
- Urinary Problems
- Nursing Management: Urinary Problems
- Skin Problems
- Nursing Management: Surgical Wounds
- Discharge From The Pacu
- Ambulatory Surgery
- 21. Emergency and Disaster Nursing
- Care of Emergency Patient
- Environmental Emergencies
- Section 5. Problems Related to Altered Sensory Input
- 22. Assessment and Management: Visual Problems
- Structures and Functions of Visual System
- Visual Pathway
- Assessment of Visual System
- Diagnostic Studies of Visual System
- Vision Problems
- Visual Impairment
- Nursing Management: Visual Impairment
- Eye Trauma
- Extraocular Inflammation And Infection
- Nursing Management: Inflammation and Infection
- Dry Eye Disorders
- Strabismus
- Corneal Disorders
- Intraocular Disorders
- Nursing Management: Cataracts
- Retinopathy
- Retinal Detachment
- Age-Related Macular Degeneration
- Glaucoma
- Nursing Management: Glaucoma
- Intraocular Inflammation and Infection
- Ocular Tumors
- Enucleation
- 23. Assessment and Management: Auditory Problems
- Auditory System
- External Ear And Canal Problems
- Middle Ear and Mastoid Problems
- Inner Ear Problems
- 24. Assessment: Integumentary System
- Structures and Functions of Skin and Appendages
- Assessment of Integumentary System
- Diagnostic Studies of Integumentary System
- 25. Integumentary Problems
- Environmental Hazards
- Skin Cancer
- Nonmelanoma Skin Cancer
- Melanoma
- Skin Infections and Infestations
- Allergic Skin Problems
- Benign Skin Problems
- Interprofessional Care: Skin Problems
- Nursing Management: Skin Problems
- Cosmetic Procedures
- Nursing Management: Cosmetic Surgery
- Skin Grafts
- 26. Burns
- Types of Burn Injury
- Classification of Burn Injury
- Prehospital and Emergency Care
- Phases of Burn Management
- Section 6. Problems of Oxygenation: Ventilation
- 27. Assessment: Respiratory System
- Structures and Functions of Respiratory System
- Assessment of Respiratory System
- Diagnostic Studies of Respiratory System
- 28. Supporting Ventilation
- Respiratory Physiotherapy
- O2 Therapy
- Nursing Management: O2 Therapy
- Artificial Airways
- Procedures to Support Ventilation
- Nursing management: Chest drainage
- Noninvasive Ventilation
- Nursing management: Noninvasive ventilation
- Mechanical Ventilation
- Tracheostomy
- Nursing Management: Patient With a Tracheostomy
- 29. Upper Respiratory Problems
- Nasal and Paranasal Sinus Problems
- Upper Respiratory Infections
- Pharyngeal Problems
- Laryngeal and Tracheal Problems
- 30. Lower Respiratory Problems
- Lower Respiratory Tract Infections
- Restrictive Respiratory Disorders
- Interstitial Lung Diseases
- Chest Trauma And Thoracic Injuries
- Vascular Lung Disorders
- Pulmonary Hypertension
- 31. Obstructive Pulmonary Diseases
- Bronchiectasis
- Interprofessional Care
- Nursing Management: Bronchiectasis
- Cystic Fibrosis
- Nursing Management: Cystic Fibrosis
- Asthma
- Nursing Management: Asthma
- Chronic Obstructive Pulmonary Disease
- Nursing Management: COPD
- 32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
- Acute Respiratory Failure
- Nursing and Interprofessional Management: ARF
- Acute Respiratory Distress Syndrome
- Nursing And Interprofessional Management: ARDS
- Section 7. Problems of Oxygenation: Transport
- 33. Assessment: Hematologic System
- Structures and Functions of Hematologic System
- Assessment of Hematologic System
- Diagnostic Studies of Hematologic System
- 34. Hematologic Problems
- Anemia
- Nursing and Interprofessional Management: Anemia
- Anemia Caused by Decreased RBC Production
- Megaloblastic Anemias
- Anemia Caused by Blood Loss
- Anemia Caused by Increased RBC Destruction
- Other Red Blood Cell Disorders
- Problems of Hemostasis
- Lymphomas
- Section 8. Problems of Oxygenation: Perfusion
- 35. Assessment: Cardiovascular System
- Structures and Functions of Cardiovascular System
- Assessment of Cardiovascular System
- Hemodynamic Monitoring
- Nursing Management: Hemodynamic Monitoring
- Diagnostic Studies of Cardiovascular System
- 36. Hypertension
- Normal Regulation of Blood Pressure
- Hypertension
- Nursing Management: Primary Hypertension
- Hypertensive Crisis
- 37. Coronary Artery Disease and Acute Coronary Syndrome
- Coronary Artery Disease
- Interprofessional and Nursing MANAGEMENT: Coronary Artery Disease
- Chronic Stable Angina
- Interprofessional and Nursing Care: Chronic Stable Angina
- Acute Coronary Syndrome
- Unstable Angina
- St-Elevation and Non–St-Elevation Myocardial Infarction
- Interprofessional Care: Acute Coronary Syndrome
- Nursing Management: Acute Coronary Syndrome
- Sudden Cardiac Death
- 38. Heart Failure
- Heart Failure
- Nursing Management: Heart Failure
- Mechanical Circulatory Support Devices
- Nursing and Interprofessional Management: Mechanical Circulatory Support
- Heart Transplantation
- 39. Dysrhythmias
- Rhythm Identification and Treatment
- Interprofessional and Nursing Management: Dysrhythmias
- Syncope
- 40. Inflammatory and Structural Heart Disorders
- Inflammatory Heart Disorders
- Valvular Heart Disease
- Cardiomyopathy
- 41. Vascular Disorders
- Peripheral Artery Disease
- Aortic Aneurysms
- Acute and Chronic Venous Disorders
- 42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
- Shock
- Nursing Management: Shock
- Systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome
- Nursing and Interprofessional Management: Sirs and Mods
- Section 9. Problems of Ingestion, Digestion, Absorption, and Elimination
- 43. Assessment: Gastrointestinal System
- Structures and Functions of Gastrointestinal System
- Assessment of Gastrointestinal System
- Diagnostic Studies of Gastrointestinal System
- 44. Nutrition Problems
- Nutrition Problems
- Normal Nutrition
- Vegetarian Diet
- Malnutrition
- Nursing and Interprofessional Management: Malnutrition
- Specialized Nutrition Support
- Nursing Management: Parenteral Nutrition
- Eating Disorders
- 45. Obesity
- Obesity
- Health risks Associated With Obesity
- Nursing and Interprofessional Management: Obesity
- Bariatric Surgery
- Nursing Management: Perioperative Care of the Patient With Obesity
- Cosmetic Surgery
- Metabolic Syndrome
- Nursing and Interprofessional Management: Metabolic Syndrome
- 46. Upper Gastrointestinal Problems
- Nausea and Vomiting
- Nursing Management: Nausea and Vomiting
- Oral Inflammation and Infections
- Oral Cancer
- Nursing Management: Oral Cancer
- Esophageal PROBLEMS
- Stomach and Upper Small Intestine PROBLEMS
- 47. Lower Gastrointestinal Problems
- Diarrhea
- Nursing Management: Acute Infectious Diarrhea
- Fecal Incontinence
- Nursing Management: Fecal Incontinence
- Constipation
- Nursing Management: Constipation
- Acute Abdominal Pain and Laparotomy
- Nursing Management: Acute Abdominal Pain
- Abdominal Trauma
- Chronic Abdominal Pain
- Inflammatory Disorders
- Malabsorption Syndrome
- Anorectal Problems
- 48. Liver, Biliary Tract, and Pancreas Problems
- Liver Problems
- Pancreas Problems
- Biliary Tract Problems
- Section 10. Problems of Urinary Function
- 49. Assessment: Urinary System
- Structures and Functions of Urinary System
- Assessment of Urinary System
- Diagnostic Studies of Urinary System
- 50. Renal and Urologic Problems
- Infectious and Inflammatory Urinary Problems
- Immunologic Kidney Problems
- Obstructive Uropathies
- Renal Vascular Problems
- Hereditary Kidney Diseases
- Urinary Tract Tumors
- Bladder Dysfunction
- Catheterization
- Urinary Tract Surgery
- 51. Acute Kidney Injury and Chronic Kidney Disease
- Acute Kidney Injury
- Nursing Management: Acute Kidney Injury
- Chronic Kidney Disease
- Nursing Management: Chronic Kidney Disease
- Dialysis
- Section 11. Problems Related to Regulatory and Reproductive Mechanisms
- 52. Assessment: Endocrine System
- Structures and Functions of Endocrine System
- Assessment of Endocrine System
- Diagnostic Studies of Endocrine System
- 53. Diabetes
- Diabetes
- Nursing Management: Diabetes
- Acute Complications of Diabetes
- Chronic Complications Associated With Diabetes
- 54. Endocrine Problems
- Anterior Pituitary Gland Problems
- Posterior Pituitary Gland Problems
- Thyroid Gland Problems
- Parathyroid Gland Problems
- Adrenal Cortex Problems
- Adrenal Medulla Problems
- 55. Assessment: Reproductive System
- Structures and Functions of Male and Female Reproductive Systems
- Assessment of Male and Female Reproductive Systems
- Diagnostic Studies of Reproductive Systems
- 56. Breast Problems
- Assessment of Breast Problems
- Benign Breast Problems
- Breast Cancer
- 57. Sexually Transmitted Infections
- Factors Affecting Incidence Of STIs
- STIs Characterized by Discharge, Cervicitis, or Urethritis
- STIs Characterized by Genital Lesions or Ulcers
- 58. Female Reproductive Problems
- Infertility
- Pregnancy Loss
- Ectopic Pregnancy
- Problems Related to Menstruation
- Female Reproductive System Cancers
- 59. Male Reproductive Problems
- Problems of the Prostate Gland
- Problems of the Penis
- Problems of Scrotum and Testes
- Sexual Function
- Section 12. Problems Related to Movement and Coordination
- 60. Assessment: Nervous System
- Structures and Functions of Nervous System
- Assessment of Nervous System
- Diagnostic Studies of Nervous System
- 61. Acute Intracranial Problems
- Intracranial Regulation
- Increased Intracranial Pressure
- Nursing Management: Increased Intracranial Pressure
- Head Injury
- Nursing Management: Head Injury
- Brain Tumors
- Nursing Management: Brain Tumors
- Cranial Surgery
- Nursing Management: Cranial Surgery
- Inflammatory Conditions of the Brain
- 62. Stroke
- Pathophysiology of Stroke
- Risk Factors For Stroke
- Types of Stroke
- Clinical Manifestations
- Diagnostic Studies
- Interprofessional Care
- Nursing Management: Stroke
- 63. Chronic Neurologic Problems
- Headaches
- Degenerative Neurologic Disorders
- 64. Dementia and Delirium
- Dementia
- Delirium
- 65. Spinal Cord and Peripheral Nerve Problems
- Spinal Cord Problems
- Cranial Nerve Disorders
- Polyneuropathies
- 66. Assessment: Musculoskeletal System
- Structures and Functions of Musculoskeletal System
- Assessment of Musculoskeletal System
- Diagnostic Studies of Musculoskeletal System
- 67. Musculoskeletal Trauma and Orthopedic Surgery
- Health Promotion
- Soft Tissue Injuries
- Types of Fractures
- Common Joint Surgeries
- 68. Musculoskeletal Problems
- Osteomyelitis
- Nursing Management: Osteomyelitis
- Bone Tumors
- Low Back Pain
- Metabolic Bone Diseases
- 69. Arthritis and Connective Tissue Diseases
- Arthritis
- Spondyloarthropathies
- Appendix. Basic Life Support for Health Care Providers
- AppendixB. Clinical Problems With Definitions
- AppendixC. Laboratory Reference Intervals
- Index
- Abbreviations
- No. of pages: 1824
- Language: English
- Edition: 12
- Published: July 2, 2022
- Imprint: Elsevier
- Hardback ISBN: 9780323789615
- Hardback ISBN: 9780323825184
- eBook ISBN: 9780323792325
MH
Mariann M. Harding
Affiliations and expertise
Professor of Nursing Technology, Kent State University Tuscarawas, New Philadelphia, OhioJK
Jeffrey Kwong
Affiliations and expertise
Professor, Division of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, New JerseyDH
Debra Hagler
Affiliations and expertise
Clinical Professor,Edson College of Nursing and Health Innovation,Arizona State University,Phoenix, ArizonaCR
Courtney Reinisch
Affiliations and expertise
Director of Undergraduate Nursing, School of Nursing, Montclair State University, Montclair, New Jersey