Lewis's Medical-Surgical Nursing
Assessment and Management of Clinical Problems
- 13th Edition - January 19, 2026
- Latest edition
- Authors: Mariann M. Harding, Jeffrey Kwong, Debra Hagler, Courtney Reinisch
- Language: English
Gain the knowledge and skills needed to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 13th Edition, uses a conversationa… Read more
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Gain the knowledge and skills needed to succeed in medical-surgical nursing with this leading textbook! Lewis's Medical-Surgical Nursing, 13th 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 required 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, social determinants of health, clinical judgment, and preparation for the Next-Generation NCLEX® Examination.
- Trusted content from one of the bestselling medical-surgical nursing textbooks of all time equips you with the knowledge and skills you need for success on today’s Next-Generation NCLEX® Exam (NGN) and in medical-surgical nursing
- Evidence-based content features a unique emphasis on levels of care, from health promotion to acute intervention to ambulatory care, along with a strong focus on essential pathophysiology review
- Clear delineation of nursing care and interprofessional collaborative care makes it easy to identify key nursing responsibilities and how to collaborate effectively with other members of the healthcare team
- In-text learning aids include unique Pathophysiology Maps, Check Your Practice questions, Biologic Sex Considerations boxes, Genetics in Clinical Practice boxes, Interprofessional Care boxes, Promoting Health Equity boxes, Promoting Population Health boxes, and much more
- True-to-life case studies help you understand and apply key content and develop your clinical judgment for safe, effective clinical practice in the care of adult patients
Nursing students in medical-surgical nursing / adult health nursing courses in ADN, BSN, RN-to-BSN, and accelerated BSN programs; Nursing students in concept-based curricula; Nursing students in master's-entry RN programs
SECTION 1: Concepts in Nursing Practice
1. Professional Nursing
2. Social Determinants of Health
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness and Older Adults
6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients
SECTION 2: Problems Related to Comfort and Coping
7. Stress Management
8. Sleep and Sleep Disorders
9. Pain
10. Palliative and End-of-Life Care
11. Substance Use Disorders in Acute Care
SECTION 3: Problems Related to Homeostasis and Protection
12. Inflammation and Healing
13. Genetics
14. Immune Responses and Transplantation
15. Infection
16. Cancer
17. Fluid, Electrolyte, and Acid-Base Imbalances
SECTION 4: Perioperative and Emergency Care
18. Preoperative Care
19. Intraoperative Care
20. Postoperative Care
21. Emergency and Disaster Nursing
SECTION 5: Problems Related to Altered Sensory Input
22. Assessment and Management: Visual Problems
23. Assessment and Management: Auditory Problems
24. Assessment: Integumentary System
25. Integumentary Problems
26. Burns
SECTION 6: Problems of Oxygenation: Ventilation
27. Assessment: Respiratory System
28. Supporting Ventilation
29. Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
SECTION 7: Problems of Oxygenation: Transport
33. Assessment: Hematologic System
34. Hematologic Problems
SECTION 8: Problems of Oxygenation: Perfusion
35. Assessment: Cardiovascular System
36. Hypertension
37. Coronary Artery Disease and Acute Coronary Syndrome
38. Heart Failure
39. Dysrhythmias
40. Inflammatory and Structural Heart Disorders
41. Vascular Disorders
42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
SECTION 9: Problems of Ingestion, Digestion, Absorption, and Elimination
43. Assessment: Gastrointestinal System
44. Nutrition Problems
45. Obesity
46. Upper Gastrointestinal Problems
47. Lower Gastrointestinal Problems
48. Liver, Biliary Tract, and Pancreas Problems
SECTION 10: Problems of Urinary Function
49. Assessment: Urinary System
50. Renal and Urologic Problems
51. Acute Kidney Injury and Chronic Kidney Disease
SECTION 11: Problems Related to Regulatory and Reproductive Mechanisms
52. Assessment: Endocrine System
53. Diabetes
54. Endocrine Problems
55. Assessment: Reproductive System
56. Breast Problems
57. Sexually Transmitted Infections
58. Female Reproductive Problems
59. Male Reproductive Problems
SECTION 12: Problems Related to Movement and Coordination
60. Assessment: Nervous System
61. Acute Intracranial Problems
62. Stroke
63. Chronic Neurologic Problems
64. Dementia and Delirium
65. Spinal Cord and Nerve Problems
66. Assessment: Musculoskeletal System
67. Musculoskeletal Trauma and Orthopedic Surgery
68. Musculoskeletal Problems
69. Arthritis and Connective Tissue Diseases
1. Professional Nursing
2. Social Determinants of Health
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness and Older Adults
6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients
SECTION 2: Problems Related to Comfort and Coping
7. Stress Management
8. Sleep and Sleep Disorders
9. Pain
10. Palliative and End-of-Life Care
11. Substance Use Disorders in Acute Care
SECTION 3: Problems Related to Homeostasis and Protection
12. Inflammation and Healing
13. Genetics
14. Immune Responses and Transplantation
15. Infection
16. Cancer
17. Fluid, Electrolyte, and Acid-Base Imbalances
SECTION 4: Perioperative and Emergency Care
18. Preoperative Care
19. Intraoperative Care
20. Postoperative Care
21. Emergency and Disaster Nursing
SECTION 5: Problems Related to Altered Sensory Input
22. Assessment and Management: Visual Problems
23. Assessment and Management: Auditory Problems
24. Assessment: Integumentary System
25. Integumentary Problems
26. Burns
SECTION 6: Problems of Oxygenation: Ventilation
27. Assessment: Respiratory System
28. Supporting Ventilation
29. Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
SECTION 7: Problems of Oxygenation: Transport
33. Assessment: Hematologic System
34. Hematologic Problems
SECTION 8: Problems of Oxygenation: Perfusion
35. Assessment: Cardiovascular System
36. Hypertension
37. Coronary Artery Disease and Acute Coronary Syndrome
38. Heart Failure
39. Dysrhythmias
40. Inflammatory and Structural Heart Disorders
41. Vascular Disorders
42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
SECTION 9: Problems of Ingestion, Digestion, Absorption, and Elimination
43. Assessment: Gastrointestinal System
44. Nutrition Problems
45. Obesity
46. Upper Gastrointestinal Problems
47. Lower Gastrointestinal Problems
48. Liver, Biliary Tract, and Pancreas Problems
SECTION 10: Problems of Urinary Function
49. Assessment: Urinary System
50. Renal and Urologic Problems
51. Acute Kidney Injury and Chronic Kidney Disease
SECTION 11: Problems Related to Regulatory and Reproductive Mechanisms
52. Assessment: Endocrine System
53. Diabetes
54. Endocrine Problems
55. Assessment: Reproductive System
56. Breast Problems
57. Sexually Transmitted Infections
58. Female Reproductive Problems
59. Male Reproductive Problems
SECTION 12: Problems Related to Movement and Coordination
60. Assessment: Nervous System
61. Acute Intracranial Problems
62. Stroke
63. Chronic Neurologic Problems
64. Dementia and Delirium
65. Spinal Cord and Nerve Problems
66. Assessment: Musculoskeletal System
67. Musculoskeletal Trauma and Orthopedic Surgery
68. Musculoskeletal Problems
69. Arthritis and Connective Tissue Diseases
- Edition: 13
- Latest edition
- Published: January 19, 2026
- Language: English
MH
Mariann M. Harding
Mariann M. Harding, Nursing Program Director and Professor of Nursing, Kent State University Tuscarawas.
Affiliations and expertise
Nursing Program Director and Professor of Nursing, Kent State University Tuscarawas, USAJK
Jeffrey Kwong
Professor Jeffrey Kwong works in the Division of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, New Jersey.
Affiliations and expertise
Professor, Division of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, New Jersey, USADH
Debra Hagler
Clinical Professor Debra Hagler works at Edson College of Nursing and Health Innovation, Arizona State University.
Affiliations and expertise
Clinical Professor, Edson College of Nursing and Health Innovation, Arizona State University, USACR
Courtney Reinisch
Courtney Reinisch, Director of Undergraduate Nursing, School of Nursing, Montclair State University, Montclair, New Jersey.
Affiliations and expertise
Director of Undergraduate Nursing, School of Nursing, Montclair State University, Montclair, New Jersey, USA