Medical-Surgical Nursing
Concepts & Practice
- 5th Edition - December 13, 2021
- Author: Holly K. Stromberg
- Language: English
- formats.LooseLeaf ISBN:9 7 8 - 0 - 3 2 3 - 9 3 1 8 4 - 7
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 1 0 2 2 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 1 1 8 4 - 2
Build skills in clinical judgment and prepare for the Next-Generation NCLEX-PN® examination! Medical-Surgical Nursing: Concepts and Practice, 5th Edition provides a solid founda… Read more
Purchase options
Institutional subscription on ScienceDirect
Request a sales quoteBuild skills in clinical judgment and prepare for the Next-Generation NCLEX-PN® examination! Medical-Surgical Nursing: Concepts and Practice, 5th Edition provides a solid foundation in nursing concepts and skills essential to the LPN/LVN role. Complete coverage of common adult medical-surgical conditions includes all body systems and their disorders, addressing patient care in a variety of settings. Special attention is given to care of older adults, those with chronic illnesses, and residents in long-term care settings. Written by nursing educator Holly Stromberg, this text emphasizes evidence-based practice and reflects the expanding scope of practice for LPN/LVNs. What’s more, it makes exam prep easier with new Next-Generation NCLEX® case studies and an emphasis on developing critical thinking and clinical judgment.
- Nursing care plans show plans of care based on patient history and include patient goals and outcomes, with critical thinking questions allowing you to assess your understanding of related nursing concepts.
- Concept maps illustrate how a disorder’s symptoms, treatments, and side effects relate to each other.
- Safety alerts emphasize safety precautions to protect patients, family, health care providers, and the public from accidents, spread of disease, and medication-related accidents.
- Focused Assessment boxes show how to collect patient data, including history and physical and psychosocial assessment, with guidance on collecting information for specific disorders.
- Communication boxes help in developing therapeutic communication skills in realistic patient care situations.
- Patient Teaching boxes provide instructions and guidelines for educating patients in self-care.
- Elder Care Points address the unique care issues that affect older adults and provide suggestions for assessment and interventions for long-term patients.
- Home Care Considerations focus on adapting medical-surgical nursing care to the home environment after discharge.
- 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.
- Nutrition Considerations emphasize the role nutrition plays in disease and holistic nursing care.
- Cultural Considerations promote understanding of the needs of various ethnic groups and sensitivity to differing beliefs and practices.
- Legal and Ethical Considerations describe legal issues and ethical dilemmas that may face the practicing nurse.
- Get Ready for the Next-Generation 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.
- Medication tables provide quick access to drug 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.
- Concepts important to developing nursing knowledge for sound clinical thinking are identified for each chapter.
- Care for those who identify as LGBTQIA+ is discussed.
- Companion study guide further promotes clinical judgment through additional case studies, critical thinking opportunities, and interactive communication activities. Emphasis is placed on understanding and application of nursing knowledge. Available separately.
- Cover image
- Title page
- Disclaimer
- Table of Contents
- Copyright
- Dedication
- Contributors
- Reviewers
- LPN Advisory Board
- To the Instructor
- To The Student
- 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
- 2. Critical Thinking, Clinical Judgment, and the Nursing Process
- Critical Thinking and Clinical Judgment
- Applying LPN/LVN Standards in Medical-Surgical Nursing
- Interdisciplinary (Collaborative) Care Plans
- 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
- 4. Care of Preoperative and Intraoperative Surgical Patients
- Surgery
- Technological Approaches in Surgery
- Autologous Blood for Transfusion
- Bloodless Surgery
- Perioperative Nursing Management
- The Surgical Team
- The Surgical Suite
- Anesthesia
- Potential Intraoperative Complications
- 5. Care of Postoperative Surgical Patients
- Immediate Postoperative Care
- Nursing Management
- Discharge Planning
- Community Care
- 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 (MDROs)
- Sepsis and Septic Shock
- Nursing Management
- Community Care
- 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
- 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
- 9. Chronic Illness and Rehabilitation
- Chronic Illness
- Rehabilitation
- Nursing Management
- Home Care
- 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
- 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
- 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
- 13. Care of Patients With Disorders of the Upper Respiratory System
- Disorders of the Nose and Sinuses
- Obstruction and Trauma
- Community Care
- 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
- 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
- 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
- Unit VI. Cardiovascular System
- 17. The Cardiovascular System
- Overview of Anatomy and Physiology of the Cardiovascular System
- Cardiovascular Disease
- Nursing Management
- Evaluation
- Common Problems of Patients With Cardiovascular Disorders
- 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
- 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
- 20. Care of Patients With Coronary Artery Disease and Cardiac Surgery
- Coronary Artery Disease
- Surgical and Nonsurgical Treatment Options
- Community Care
- 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
- 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)
- 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
- Nursing Management
- Infectious and Inflammatory Disorders of the Nervous System
- Nursing Management
- Headaches
- Cranial nerve disorders
- Nursing Management
- 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
- Unit VIII. Sensory System
- 25. The Sensory System: Eye
- Anatomy and Physiology of the Eye
- The Eye
- Nursing Management
- Common Disorders of the Eye
- Nursing Care of Patients Having Eye Surgery
- Community Care
- 26. The Sensory System: Ear
- 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
- Unit IX. Gastrointestinal System
- 27. The Gastrointestinal System
- Anatomy and Physiology of the Gastrointestinal System
- The Gastrointestinal System
- Nursing Management
- 28. Care of Patients With Disorders of the Upper Gastrointestinal System
- Eating Disorders
- Nursing Management of Obesity
- Upper Gastrointestinal Disorders
- Nursing Management
- Problem Statement/Nursing Diagnosis and Planning
- Common Therapies for Disorders of the Gastrointestinal System
- 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
- 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
- Unit X. Musculoskeletal System
- 31. The Musculoskeletal System
- Anatomy and Physiology of the Musculoskeletal System
- Musculoskeletal Disorders
- Nursing Management
- 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
- Unit XI. Urinary System
- 33. The Urinary System
- Anatomy and Physiology of the Urologic System
- The Urologic System
- Nursing Management
- Common Urologic Problems
- 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
- Unit XII. Endocrine System
- 35. The Endocrine System
- Anatomy and Physiology of the Endocrine System
- The Endocrine System
- Nursing Management
- Community Care
- 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
- 37. Care of Patients With Diabetes and Hypoglycemia
- Diabetes Mellitus and Hypoglycemia
- Nursing Management
- Community Care
- 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+
- 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
- Nursing Management
- Home Care
- Community Care
- 40. Care of Men With Reproductive Disorders
- Disorders of the Male Reproductive System
- Community Care
- 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
- Unit XIV. Integumentary System
- 42. The Integumentary System
- Anatomy and Physiology of the Integumentary System
- The Integumentary System
- Nursing Management
- 43. Care of Patients With Integumentary Disorders and Burns
- Inflammatory Infections
- Bacterial Infections
- Viral Infections
- Fungal Infections
- Tinea Pedis
- Parasitic Infections
- Noninfectious Disorders of Skin
- Nursing Management
- Community Care
- Unit XV. Emergency And Disaster Management
- 44. Care of Patients in Disasters or Bioterrorism Attacks
- Disaster Preparedness and Response
- Psychological Responses to Disaster
- Preparing for Chemical, Nuclear, or Biological Disasters
- Active Shooter
- Debriefing
- 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
- Unit XVI. Mental Health Nursing of the Adult
- 46. Care of Patients With Cognitive Function Disorders
- Overview of Cognitive Disorders
- Nursing Management
- Assessment of Interventions for the Family
- Community Care
- 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
- 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
- Evaluation
- Community Care
- 49. Care of Patients With Thought and Personality Disorders
- Overview Of Thought Disorders
- Nursing Management
- Overview of Personality Disorders
- Nursing Management
- Community Care
- Appendixes
- Appendix A. Most Common Laboratory Test Values
- Appendix B. Standard Precautions
- Appendix C. Standard Steps for All Nursing Procedures
- References
- Bibliography
- Glossary
- Index
- Priority Problem List
- No. of pages: 1344
- Language: English
- Edition: 5
- Published: December 13, 2021
- Imprint: Saunders
- formats.LooseLeaf ISBN: 9780323931847
- Paperback ISBN: 9780323810227
- eBook ISBN: 9780323811842
HS
Holly K. Stromberg
Holly K. Stromberg is Professor Emeritus of Nursing at Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California.
Affiliations and expertise
Professor Emeritus of Nursing, Allan Hancock College, Clinical Educator, Marian Regional Medical Center, Santa Maria, California, USA