Medical-Surgical Nursing

8th Edition - March 8, 2022
Imprint: Saunders
Authors: Adrianne Dill Linton, Mary Ann Matteson
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 2 8 4 4 - 4
LooseLeaf ISBN:
9 7 8 - 0 - 4 4 3 - 1 1 1 5 6 - 3
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 8 2 6 7 1 - 6
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 8 2 8 4 7 - 5

Provide quality nursing care for adults with medical-surgical and psychiatric disorders! Building upon the fundamentals of nursing, Medical-Surgical Nursing, 8th Edition helps yo… Read more

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Provide quality nursing care for adults with medical-surgical and psychiatric disorders! Building upon the fundamentals of nursing, Medical-Surgical Nursing, 8th Edition helps you master the role and responsibilities of the LPN/LVN in medical-surgical care. The text addresses the special problems of older adult patients, then covers each major disorder by body system, presenting patient problems, goals, outcome criteria, and nursing interventions. As LPN/LVNs do not formulate NANDA diagnoses, the book is organized by patient problems rather than NANDA nursing diagnoses. Written by noted educators Adrianne Dill Linton and Mary Ann Matteson, this text helps you build the clinical judgment skills you need to succeed on the Next-Generation NCLEX-PN® examination and in nursing practice.

UNIQUE! Older Adult Patient unit

UNIQUE! In-depth pharmacology coverage includes Pharmacology Capsule boxes highlighting critical information for common drugs, Pharmacology and Medications tables including classification, use/action, side/adverse effects, and nursing interventions, and a Pharmacology Tutorial on the Evolve website covering drug classifications, how drugs work, and nursing responsibilities.
Nursing care plans illustrate the application of content to the nursing process in realistic scenarios, with critical thinking questions to encourage thoughtful analysis of patient needs and nursing care.
For each body system, an introductory chapter provides a refresher review of anatomy and physiology; to minimize repetition in subsequent chapters, relevant diagnostic tests and procedures are described; and common classifications of the drugs used to manage system disorders are introduced.
Get Ready for the NCLEX^® Examination! section at the end of each chapter covers key points and includes review questions and critical thinking questions to help you prepare for class tests and the NCLEX-PN examination.
Put on Your Thinking Cap boxes ask you to analyze and apply concepts to clinical situations.
Patient Teaching boxes provide nursing instructions, stressing the role and responsibility of the LPN/LVN in patient education.
Health Promotion Considerations boxes highlight timely wellness and disease prevention topics.
Nutrition Considerations boxes emphasize the role nutrition plays in disease and holistic nursing care.
Complementary and Alternative Therapies boxes break down nontraditional therapies along with precautions and possible side effects.
Coordinated Care boxes highlight the team approach to patient care, helping nurses prioritize tasks and assign them safely to assistive personnel.
Cultural Considerations boxes promote understanding of the needs of culturally diverse patients when planning nursing care.
Key terms include phonetic pronunciations and make learning easier with terms listed at the beginning of each chapter, shown in color at first mention in the text, and defined in the glossary.

Cover image
Title page
Table of Contents
Copyright
Dedication
Acknowledgments
Contributors and Reviewers
LPN Advisory Board
To the Instructor
Organization
Key Features
Other Features
Ancillaries
To the Student
Key Features
Reading and Review Tools
Additional Learning Resources
Chapter Features
Unit I. Medical-Surgical Nursing
1. Aspects of Medical-Surgical Nursing
Description
Professional Organizations
Roles
Practice Settings
Essential Knowledge and Skills
Ethical Considerations
Legal Considerations
Leadership and Management in Medical-Surgical Settings
Issues Related to Leadership and Management
Clinical Judgment in Nursing
2. Medical-Surgical Practice Settings
Community and Home Health Nursing
Rehabilitation
Long-Term Care
Assisted Living
Continuing Care Retirement Communities
Supportive Housing Programs
Other Patient Care Settings
Unit II. Populations Receiving Medical-Surgical Care
3. Medical-Surgical Patients: Individuals, Families, and Communities
Health-Illness Continuum
Health Promotion, Disease Prevention, and Health Maintenance
Cultural Awareness and Competency
Medical-Surgical Patients From Various Cultures
Stage of Development
Social Network
Unit III. Pathology Processes and Effects
4. Health, Illness, Stress, and Coping
Health, Disease, and Illness
Psychologic Responses to Illness
Nursing Care to Promote Coping With Illness
5. Immunity, Inflammation, and Infection
Physical and Chemical Barriers
Immunity
Nonspecific Defenses Against Infection
Specific Defenses Against Infection: Immune Response
Inflammatory Process
Infection
Care of Patients With Infection
Nursing Care of the Patient With an Infection
Immunodeficiency
Nursing Care of the Immunosuppressed Patient
Hypersensitivity and Allergy
Nursing Care of the Patient With Allergies
Anaphylaxis
Nursing Care of the Patient With Anaphylaxis
Autoimmune Diseases
Nursing Care of the Patient With an Autoimmune Disorder
6. Fluid, Electrolyte, and Acid-Base Balance
Homeostasis
Body Fluid Compartments
Composition of Body Fluids
Transport of Water and Electrolytes
Osmolality
Regulatory Mechanisms
Age-Related Changes Affecting Fluid Balance
Focused Assessment of Fluid and Electrolyte Balance
Fluid Imbalances
Electrolyte Imbalances
Acid-Base Disturbances
7. The Patient With Cancer
Why Study Cancer?
What Is Cancer?
Diagnosis of Cancer
Medical Treatment of Cancer
Complementary and Alternative Therapies
Unproven Methods of Cancer Treatment
Nursing Care of the Patient Who Has Cancer
Oncologic Emergencies
8. Pain
Definition of Pain
Physiology of Pain
Factors Influencing Response to Pain
Responses to Pain
Nursing Care of the Patient in Pain
9. Shock
Definition of Shock
Types of Shock
Effects of Shock on Body Systems and Functions
Stages of Shock
Diagnosis
First Aid for Shock Outside the Medical Facility
General Medical Treatment
Nursing Care of the Patient in Shock
Systemic Inflammatory Response Syndrome
Unit IV. Special Problems of the Older Adult Patient
10. The Older Adult Patient
Definitions
Roles of the Gerontological Nurse
Ageism: Myths and Stereotypes
Biologic and Physiologic Factors in Aging
Theories of Biologic Aging
Physiologic Changes in Body Systems
Psychosocial Theories of Aging
Coping and Adaptation
Family
Functional Assessment
Drug Therapy and Older Adults
The Nurse and the Older Patient
11. Falls
Definition of Falls
Incidence and Risk Factors
Restraints
Nursing Assessment and Intervention
Reducing Fall-Related Injuries
12. Immobility
Psychosocial
Nursing Assessment and Intervention
13. Delirium and Dementia
Delirium
Mild Neurocognitive Disorder
Major Neurocognitive Disorder (Dementia)
Nursing Care of the Patient With a Neurocognitive Disorder
Guidelines for Working With Patients With Dementia
14. Incontinence
Urinary Incontinence
Bowel (Fecal) Incontinence
Unit V. Therapeutics
15. Nutrition
Nutritional Requirements of Healthy Adults
Guidelines for Dietary Planning
Vegetarian Diets
Nursing Assessment of Nutritional Status
Disorders Associated With Food Consumption
Nutritional Delivery Methods for Feeding Problems
Medical Nutrition Therapy
Nutrition for the Older Adult
16. Intravenous Therapy
Indications for Intravenous Therapy
Types of Intravenous Fluids
Venous Access Devices
Initiation of Intravenous Therapy
Maintenance of Intravenous Therapy
Intravenous Infusion of Medications
Changing Venous Access Devices and Administration Sets
Termination of Intravenous Therapy
Precautions
Complications of Intravenous Therapy
The Older Patient and Intravenous Therapy
Nursing Care During Intravenous Therapy
17. Surgery
Purposes of Surgery
Variables Affecting Surgical Outcomes
Preoperative Phase
Intraoperative Phase
Intraoperative Nursing Care
Postoperative Phase
Immediate Postoperative Nursing Care in the Postanesthesia Care Unit
Postoperative Nursing Care on the Nursing Unit
18. The Patient With an Ostomy
Indications and Preparation for Ostomy Surgery
Nursing Care of the Patient Having Ostomy Surgery
Fecal Diversion
Urinary Diversion
19. Palliative and Hospice Care
Loss and Grief
Palliative Care
Hospice Care
Legal and Ethical Issues Related to Terminal Illness and Death
The Dying Process
Nursing Care at End of Life
Nursing Care Near End of Life
Care of the Body After Death
Needs of Caregivers
20. Complementary and Alternative Therapies and Integrative Health Care
Nonmainstream Therapies
Whole Medical Systems
Nonmainstream Products and Practices in the United States
Unit VI. Neurological System
21. Neurologic System Introduction
Anatomy and Physiology of the Nervous System
Age-Related Changes
Pathophysiology of Neurologic Diseases
Nursing Assessment of Neurologic Function
Diagnostic Tests and Procedures
Common Therapeutic Measures
Increased Intracranial Pressure
22. Neurologic Disorders
Headache
Nursing Care of the Patient with A Migraine Headache
Seizure Disorder
Nursing Care of the Patient With a Seizure Disorder
Head Injury
Nursing Care of the Patient With a Head Injury
Brain Tumors
Nursing Care of the Patient With a Brain Tumor
Infectious and Inflammatory Conditions: Meningitis
Nursing Care of the Patient With Meningitis
Infectious and Inflammatory Conditions: Encephalitis
Nursing Care of the Patient With Encephalitis
Guillain-Barré Syndrome
Nursing Care of the Patient With Guillain-Barré Syndrome
Parkinson Disease
Nursing Care of the Patient With Parkinson Syndrome
Multiple Sclerosis
Nursing Care of the Patient With Multiple Sclerosis
Amyotrophic Lateral Sclerosis
Nursing Care of the Patient With Amyotrophic Lateral Sclerosis
Huntington Disease
Myasthenia Gravis
Nursing Care of the Patient With Myasthenia Gravis
Trigeminal Neuralgia (TIC Douloureux)
Nursing Care of the Patient With Trigeminal Neuralgia
Neurofibromatosis, Types 1 and 2
Bell’s Palsy
Cerebral Palsy
Nursing Care of the Patient With Cerebral Palsy
Poliomyelitis and Postpolio Syndrome
Summary
23. Cerebrovascular Accident
Risk Factors for Cerebrovascular Accident
Transient Ischemic Attack
Stroke
Nursing Care in the Acute Phase of Stroke
Nursing Care in the Rehabilitation Phase
Discharge
24. Spinal Cord Injury
Anatomy and Physiology of the Spinal Cord
Pathophysiology of Spinal Cord Injury
Medical Treatment in the Acute Phase
Nursing Care in the Acute Phase
Nursing Care of the Laminectomy Patient
Unit VII. Respiratory System
25. Respiratory System Introduction
Anatomy and Physiology of the Respiratory System
Nursing Assessment of the Respiratory Tract
Diagnostic Tests and Procedures
Common Therapeutic Measures
26. Upper Respiratory Disorders
Disorders of the Nose and Sinuses
Disorders of the Throat
Disorders of the Larynx
27. Acute Lower Respiratory Tract Disorders
Acute Bronchitis
Nursing Care of the Patient With Acute Bronchitis
Influenza
Nursing Care of the Patient With Influenza
Coronavirus
Nursing Care of the Patient With Coronavirus
Pneumonia
Nursing Care of the Patient With Pneumonia
Pleuritis (Pleurisy)
Nursing Care of the Patient With Pleuritis
Chest Trauma
Pneumothorax
Nursing Care of the Patient With Pneumothorax
Hemothorax
Rib Fractures
Nursing Care of the Patient With Rib Fractures
Flail Chest
Nursing Care of the Patient With Flail Chest
Pulmonary Embolus
Nursing Care of the Patient With a Pulmonary Embolus
Respiratory Arrest
Acute Respiratory Distress Syndrome
Nursing Care of the Patient With Acute Respiratory Distress Syndrome
28. Chronic Lower Respiratory Tract Disorders
Obstructive Pulmonary Disorders
Chronic Restrictive Pulmonary Disorders
Interstitial Lung Diseases
Occupational Lung Diseases
Lung Cancer
Extrapulmonary Disorders
Unit VIII. Hematologic and Immunologic Systems
29. Hematologic System Introduction
Anatomy and Physiology of the Hematologic System
Nursing Assessment of the Hematologic System
Diagnostic Tests and Procedures
Common Therapeutic Measures
30. Hematologic Disorders
Red Blood Cell Disorders
Coagulation Disorders
31. Immunologic System Introduction
Anatomy and Physiology of the Immune System
Nursing Assessment of the Patient With an Immunologic Disorder
Diagnostic Tests and Procedures
Common Therapeutic Measures
Nursing Actions for the Patient at Risk for Injury From Infection
32. Immunologic Disorders
White Blood Cell Disorders of the Immune System
Other Immune System Disorders
Human Immunodeficiency Virus
Nursing Care of the Patient With Human Immunodeficiency Virus Infection
Unit IX. Cardiovascular System
33. Cardiovascular System Introduction
Anatomy and Physiology of the Cardiovascular System
Age-Related Changes in the Cardiovascular System
Nursing Assessment of Cardiovascular Function
Diagnostic Tests and Procedures
Common Therapeutic Measures
34. Hypertension
Introduction
Definitions
Anatomy and Physiology of Blood Pressure Regulation
Types of Hypertension
Hypertensive Crisis
Technology and Hypertension
35. Cardiac Disorders
Coronary Artery Disease
Myocardial Infarction
Heart Failure
Cardiomyopathy
Cardiac Transplantation
Inflammatory Disorders
Valvular Disease
36. Vascular Disorders
Peripheral Arterial Disease of Lower Extremities
Arterial Embolism
Chronic Venous Insufficiency
Venous Thrombosis
Varicose Vein Disease
Thromboangiitis Obliterans
Raynaud Disease
Aneurysms
Aortic Dissection
Lymphangitis
Unit X. Digestive System
37. Digestive System Introduction
Anatomy and Physiology of the Digestive Tract
Accessory Organs
Age-Related Changes
Nursing Assessment of the Digestive Tract
Diagnostic Tests and Procedures
Common Therapeutic Measures
38. Upper Digestive Tract Disorders
Disorders Affecting Ingestion
Disorders Affecting Digestion and Absorption
39. Lower Digestive Tract Disorders
Obesity
Disorders Affecting Absorption and Elimination
Patient Education to Promote Normal Bowel Function
40. Liver, Gallbladder, and Pancreatic Disorders
Disorders of the Liver
Disorders of the Gallbladder
Disorders of the Pancreas
Unit XI. Urologic System
41. Urologic System Introduction
Anatomy of the Urinary System
Physiology of the Urinary System
Age-Related Changes in the Urinary System
Diagnostic Tests and Procedures
Common Therapeutic Measures
42. Urologic Disorders
Urinary Tract Inflammation and Infections
Hereditary Renal Disease
Immunologic Renal Disease
Urinary Tract Obstructions
Urologic Trauma
Cancers of the Urinary System
Kidney Failure
Renal Transplantation
Unit XII. Musculoskeletal System
43. Musculoskeletal System Introduction
Anatomy and Physiology of the Musculoskeletal System
Age-Related Changes in the Musculoskeletal System
Nursing Assessment of the Musculoskeletal System
Diagnostic Tests and Procedures
Common Therapeutic Measures
44. Connective Tissue Disorders
Osteoarthritis
Nursing Care of the Patient With Osteoarthritis
Total Joint Replacement
Nursing Care After Total Joint Replacement
Intervertebral Osteoarthritis
Rheumatoid Arthritis
Nursing Care of the Patient With Rheumatoid Arthritis
Gout
Nursing Care of the Patient With Gout
Osteoporosis
Nursing Care of the Patient With Osteoporosis
Systemic Sclerosis (Scleroderma)
Nursing Care of the Patient With Progressive Systemic Sclerosis
Other Connective Tissue Disorders
45. Fractures
Classification of Fractures
Cause and Risk Factors
Fracture Healing
Complications
Clinical Manifestations
Diagnostic Tests and Procedures
Medical Treatment
Common Therapeutic Measures
Assistive Devices
Nursing Care of the Patient With a Fracture
Management of Specific Fractures
46. Amputations
Indications and Incidence
Diagnostic Tests and Procedures
Medical Treatment
Surgical Treatment
Complications
Prostheses
Nursing Care Of The Patient Having Amputation Surgery
Older Adult With an Amputation
Replantation
Surgical Care
Unit XIII. Endocrine System
47. Endocrine System Introduction
Hormone Functions and Regulation
Anatomy and Physiology of the Endocrine System
Age-Related Changes in the Endocrine System
Nursing Assessment of the Patient With an Endocrine Disorder
Diagnostic Tests and Procedures
Drug Therapy
48. Pituitary and Adrenal Disorders
Disorders of the Pituitary Gland
Posterior Pituitary Disorders
Disorders of the Adrenal Glands
Nursing Care of the Adrenalectomy Patient
Pheochromocytoma
49. Thyroid and Parathyroid Disorders
Thyroid Disorders
Parathyroid Disorders
50. Diabetes and Hypoglycemia
Diabetes Mellitus
Nursing Care of the Patient With Diabetes Mellitus
Hypoglycemia Unrelated to Diabetes
Nursing Care of the Patient With Hypoglycemia
Unit XIV. Reproductive Systems
51. Female Reproductive System Introduction
Anatomy and Physiology of the Female Reproductive System
Nursing Assessment of the Female Reproductive System
Diagnostic Tests and Procedures
Common Therapeutic Measures
52. Female Reproductive Disorders
Uterine Bleeding Disorders
Infections And Inflammation
Pelvic Inflammatory Disease
Fibrocystic Breast Changes
Nursing Care of the Patient With Fibrocystic Changes
Benign Growths
Vaginal Fistulas
Cancer
Infertility
Menopause
53. Male Reproductive System Introduction
Anatomy of the Male Reproductive System
Physiology of the Male Reproductive System
Age-Related Changes in the Male Reproductive System
54. Male Reproductive Disorders
Infections and Inflammatory Conditions
Benign Prostatic Hyperplasia
Prostatic Cancer
Nursing Care of the Patient With Prostatic Cancer
Erectile Dysfunction
Peyronie Disease
Priapism
Phimosis and Paraphimosis
Infertility
Penile Cancer
Testicular Cancer
55. Sexually Transmitted Infections
Diagnostic Tests and Procedures
Pathophysiology
Drug Therapy
Reporting Sexually Transmitted Infections
Specific Sexually Transmitted Infections
Nursing Care of the Patient With a Sexually Transmitted Infection
Condom Use
Dental Dam Use
Unit XV. Integumentary Systems
56. Integumentary System Introduction
Anatomy and Physiology of the Skin
Nursing Assessment of the Skin
Age-Related Changes in the Skin
Diagnostic Tests and Procedures
Common Therapeutic Measures
57. Skin Disorders
Pruritus
Inflammatory Conditions and Infections
Infestations
Pemphigus
Cancer
Burns
Unit XVI. Special Senses: Vision and Hearing
58. Special Senses: Vision and Hearing Introduction
Vision and Hearing
Eye and Vision
Ear and Hearing
Surgical Intervention for the Eye and Ear
59. Eye and Vision Disorders
External Eye Disorders
Errors of Refraction
Nursing Care of the Patient With Errors of Refraction
Internal Eye Disorders
60. Ear and Hearing Disorders
Hearing Disorders
Unit XVII. Medical-Surgical Patients with Psychiatric Disorders
61. Psychobiologic Disorders
Establishing Therapeutic Relationships
Types of Psychiatric Disorders
Summary
62. Substance-Related and Addictive Disorders
The Science of Addiction
Diagnostic Tests
Gambling Disorder
Prescription Drug Addiction
Substance-Related Disorders
Conditions Associated With Substance Use Disorders
Treatment for Substance Use Disorders
Special Problems for Populations of People With Substance Use Disorders
Peer Assistance Programs
Unit XVIII. Nursing in Disasters and First AID
63. First Aid, Emergency Care, and Disaster Management
General Principles of Emergency Care
Specific Emergencies
Epidemics and Pandemics
Acts of Bioterrorism
Disaster Planning
Legal Aspects of Emergency Care
Bibliography and Reader References
Index
Patient Problem Statements

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Adrianne Dill Linton

Mary Ann Matteson

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